Beruflich Dokumente
Kultur Dokumente
Name
Department/Location
Job title
Comments
Comments/Action required
1
This form can also be used for the use of a laptop at a workstation
1
Display Screen Equipment: Appendix 1
Keyboard Yes No
Comments/action required
Comments/Action required
Desk Yes No
Is it at a suitable height?
Comments/Action required
2
Display Screen Equipment: Appendix 1
Is there a footrest?
Is it adjustable?
Comments/Action required
Comments/Action required
Location Yes No
Comments/Action required
3
Display Screen Equipment: Appendix 1
Lighting Yes No
Comments/Action required
If multiplug sockets are used, are they the correct fuse rating
and supplied with anti-surge protection?
Comments/Action required
Software Yes No
Is it easy to use?
Comments/Action required
4
Display Screen Equipment: Appendix 1
Does the user experience any discomfort, pain that may relate
to the work?
Comments/Action required