DSE-001

DISPLAY SCREEN EQUIPMENT ASSESSMENT CHECKLIST

Please complete the checklist below if you are the single or main user of this workstation. It will help management to ensure
that you have everything required to work safely and efficiently. Not all questions may be relevant to you and, if so, please
indicate a nil response by writing "N/A" (not applicable). If you need further explanation or are unsure of the meaning of any
of the questions, please contact your Supervisor or Manager.
LOCATION OF WORKSTATION:
USER NAME:
WORKSTATION NUMBER:
USAGE TIME PER WORK PERIOD:
DATE:
IF ASSESSMENT NOT UNDERTAKEN BY THE USER, NAME OF ASSESSOR:

TO BE COMPLETED BY THE USER.

1. NATURE OF JOB
1.1 Is there a required speed of response?
1.2 Can you cope with the software and can you adjust the pace to suit your abilities?
1.3 Do you suffer from fatigue or stress?
2. USER
2.1 Do you get aches, pains, sensory loss ('tingling' or 'pins and needles') in neck, back, shoulder or upper
limbs?
2.2 Do you have problems with vision (eg headaches, focusing difficulties, eye discomfort, difficulties seeing
or reading the screen or source documents)?
2.3 Do you experience restricted joint movements or grip or other disability?
3. EQUIPMENT - DISPLAY SCREEN
3.1 Is the display screen image clear?
3.2 Are screen cleaning kits provided and used regularly?
3.3 Are the characters readable?
3.4 Is the image free of flicker and movement?
3.5 Is the brightness and / or contrast adjustable?
3.6 Does the screen swivel and tilt?
3.7 Is the screen free of glare and reflections?
4. EQUIPMENT - KEYBOARD
4.1 Is the keyboard tiltable and separate from display?
4.2 Is there enough space to rest hands in front of keyboard?
4.3 Is the keyboard comfortable for the user?
4.4 Can you find a comfortable keying position?
4.5 Is the keyboard glare free?
4.6 Are the characters on the keys easily readable?
5. EQUIPMENT - WORK DESK
5.1 Does the furniture fit the work and you as the user?
5.2 Is the work surface large enough for documents, monitor, keyboard etc?
5.3 Is there adequate space for a comfortable position?
5.4 Is the surface free of glare reflections?
5.5 Is any document holder stable and properly located so that you as the user is comfortable using it?

YES

NO

DSE-001

6. EQUIPMENT - WORK CHAIR

YES

6.1 Is the work chair stable but with easy freedom of movement?
6.2 Is the work chair mechanism adjustable in backrest height, tilt, seat height?
6.3 Is the user comfortable?
6.4 Is there a footrest available?
7. ENVIRONMENT - SPACE
7.1 Is there enough room to change positions and vary movement?
7.2 Is the environment of the workstation risk free?
8. ENVIRONMENT - GENERAL SAFETY
8.1 Are there electrical hazards around the workstation?
8.2 Are there any trip hazards?
8.3 Is there a risk of walking into or dislodging badly positioned equipment?
8.4 Are working surfaces adequate in strength and stability?
9. ENVIRONMENT - LIGHTING, NOISE, HEAT & HUMIDITY
9.1 Are the levels of light, noise and heat comfortable?
9.2 Is ventilation adequate to ensure no uncomfortable heat or draughts?
9.3 Is there appropriate adjustable lighting?
9.4 Are the light fittings free from glare?
9.5 Does heat given off from the workstation equipment cause the user any discomfort?
9.6 Does any noise pollution from the VDU distract or discomfort the operator?
9.7 Are you able to conduct normal conversation in your office?
9.8 Is an adequate level of temperature and humidity maintained?
10. TRAINING AND EYE TESTS
10.1 Have you received adequate instruction in how to use your workstation to achieve a good working
posture?
10.2 Have you received adequate training in the use of the software?
10.3 Are you aware of the availability of eye or eyesight tests?
11. SPECIAL NEEDS
11.1 Are you satisfied that you have no special needs which should be taken into account?
11.2 Are you aware of who to go and see if you are experiencing any problems in using your workstation?

I have answered all the above questions to the best of my ability.

SIGNATURE:

OFFICE USE:
ANY FURTHER ACTION REQUIRED:
IF SO, ACTION TO BE COMPLETED BY:
COMMENTS:

CHECKED BY:

DATE:

SIGNATURE:

NO