Information

  • Document No.

  • User name & Title (manager, engineer etc).

  • User

  • Conducted on

  • Prepared by

  • Location
  • Personnel (leave blank)

Display Screen

Display Screen

  • Are the characters clear and readable?<br><br>(The screen should be clean - cleaning materials are available from the Stores. Use contrasting colours for text and background colours).

  • Is the text size comfortable to read?<br><br>(Software setting may be adjusted to change text size).

  • Is the image stable? (no flicker)<br><br>(Try using different colours to reduce flicker e.g. Darker background and lighter text).

  • Is the screen suitable?<br><br>(Intensive graphic work may require a larger display screen).

  • Can you adjust brightness and contrast?

  • Does the screen swivel and tilt?<br><br>(Swivel and tilt need not be built in, but please indicate if you cannot get the screen to a comfortable position).

  • Is the screen free from glare and reflections?<br><br>(You may need to move the screen, or the desk, to shield the screen from the light.<br>Dark characters on a light background are less prone to glare & reflection).

  • Are adjustable blinds/curtains provided and in good condition?<br><br>(Check the blinds work - and thts they cut out unwanted light).

Keyboard

Keyboard

  • Is the keyboard separate from the screen?<br><br>(This is required unless there is a need to use a portable).

  • Does the keyboard tilt?<br><br>(Tilt need not be built in).

  • Is it possible to find a comfortable keying position?<br><br>(The keyboard should be approximately 5 cm from the front desk).

Mouse, trackball, etc.

Mouse, trackball, etc.

  • Is the device suitable for the tasks you use it for?<br><br>(The mouse and trackballs are general-purpose devices suitable for more many tasks and are available in a variety of shapes and sizes).

  • Is the device positioned close to you?<br><br>(Most devices are best placed right by the side of the keyboard)<br>-Do not over stretch arm to reach device.<br>-Do not leave hand on the device when it is not in use.<br>-Try to keep a relaxed arm and straight wrist.

  • Do you have support for your wrist and forearm?<br><br>(Support may be gained from the desk or chair arm - or a separate supporting device. You should be able to find a comfortable working position with the device).

  • Does the device work smoothly and at a suitable speed?<br><br>(The device may need cleaning or a mouse mat may be required).

Software

Software

  • Is the software suitable for your requirements?<br><br>(Training is available for many software packages - please indicate if required. Software should be user-friendly. It should respond quickly and clearly, with adequate feedback, such as clear help messages).

Furniture/Ergonomics

Furniture/Ergonomics

  • Is the desk large enough for all equipment, papers, etc?<br><br>(Create more room by moving printer, reference materials etc elsewhere. If necessary, it may be possible to provide new power and telecom sockets).

  • Can you reach all the papers and equipment you need?<br><br>(Ensure frequently used items are within easy reach. A document holder may be required to minimise head and eye movements).

  • Are surfaces free from glare and reflection?<br><br>(Consider mats or blotters if there is a problem).

  • Is the small of your back supported by the chair's backrest?<br><br>(You should have a straight back, supported by the chair, with relaxed shoulders).

  • Are feet flat on the floor?<br><br>(If not, a footrest may be needed)

Risk Factors

Risk Factors

  • Is the chair suitable? Does it have: 1: Back height and tilt adjustment, 2: Seat height adjustment, 3: Swivel mechanism, 4: Castors or glides<br><br>(The chair may need repairing or replacing if the user is uncomfortable, or cannot use the adjustment mechanisms).

  • Is the chair adjusted correctly?<br><br>(See diagram)

  • Are forearms horizontal and eyes at roughly the same height as the top of the screen<br><br>(Adjust the chair height to get your arms in the correct position - THEN adjust the screen height, if necessary).

  • Do you have a good keyboard technique?<br><br>(Elbows should be at a right angle with shoulders relaxed.the forearm, wrist and hands should be straight and level. Wrists must not rest on table).

Environment

Environment

  • Is there enough room to change position and vary movement?<br><br>(Space is needed to move, stretch and fidget. Cables should be tidy and not a trip hazard).

  • Is the lighting suitable, e.g. Not too bright or too dim. To work comfortably?<br><br>(You should be able to adjust light levels, by adjusting blinds or light switches or desk lamp).

  • Does air feel comfortable?<br><br>(Circulate fresh air if possible.plants may help).

  • Are levels of heat and noise comfortable?

Final Questions

Final Questions

  • Have you experienced any discomfort or other symptoms that you attribute to working with your screen?

  • Do you take regular breaks working away from the screen?<br><br>(At least 1 minute every half an hour).

  • How much time do you spend using the screen on a typical day?<br><br>(Select N/A, answer in hours).

  • Have you received an eye test within the last two years

Further Actions

Further action needed

  • Further action needed?

Sign Off

Sign Off

  • Auditor Signature

  • User signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.