Display Screen Equipment Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Personal details

• Have or are you suffering from headaches

  Yes

  No

  N/A

• Have you or are you suffering aches and pains

  Yes

  No

  N/A

• Are you suffering from RSI

  Yes

  No

  N/A

• Do you have sore eyes

  Yes

  No

  N/A

• Do you wear glasses

  Yes

  No

  N/A

• Have you had a recent eye test (if yes enter date tested)

  Yes

  No

  N/A

• Are you a frequent user (enter time spent at screen)

  Yes

  No

  N/A

DSE Screen

• Is it possible to swivel the screen

  Yes

  No

  N/A

• Is it possible to tilt the angle of the screen

  Yes

  No

  N/A

• Is it possible to adjust the screen height

  Yes

  No

  N/A

• Are there any reflections or glare on the screen

  Yes

  No

  N/A

• Are the characters on the screen large enough

  Yes

  No

  N/A

• Are the characters on the screen adequately spaced

  Yes

  No

  N/A

• Is the image stable and free from flickers

  Yes

  No

  N/A

• Is it possible to adjust the brightness and contrast of the screen

  Yes

  No

  N/A

DSE KEYBOARD

• Is the key board easy to use

  Yes

  No

  N/A

• Is the key board separate from the screen

  Yes

  No

  N/A

• Is the keyboard tiltable

  Yes

  No

  N/A

• Are the symbols on the keyboard contrasted and easy to read

  Yes

  No

  N/A

• Is the keyboard surface of a Matt finish

  Yes

  No

  N/A

• Is there at least 50mm between the edge of the desk and the keyboard

  Yes

  No

  N/A

DESK TOP

• Is there enough space to work comfortably

  Yes

  No

  N/A

• Is the desk top surface of a none reflective material

  Yes

  No

  N/A

• Is the surface large enough to allow all equipment and other material to be arranged and moved around

  Yes

  No

  N/A

• Is there a document holder provided

  Yes

  No

  N/A

• Is the document holder stable and adjustable

  Yes

  No

  N/A

• Are there trailing cables across the desk

  Yes

  No

  N/A

SEATING

• Is the seat of the chair adjustable in height

  Yes

  No

  N/A

• Is the back of the chair adjustable in height

  Yes

  No

  N/A

• Is the back of the chair adjustable in tilt

  Yes

  No

  N/A

• Is the chair stable

  Yes

  No

  N/A

• Is the chair in good order of repair

  Yes

  No

  N/A

• Is the chair comfortable and offers a working position that is both comfortable and gives freedom of movement

  Yes

  No

  N/A

• Is a foot rest provided

  Yes

  No

  N/A

ENVIRONMENTAL FACTORS

• Is there adequate lighting for the task

  Yes

  No

  N/A

• Is the equipment and the lighting arranged so as to prevent reflection and or glare

  Yes

  No

  N/A

• Is the glare and or reflection on the screen from windows, walls etc

  Yes

  No

  N/A

• Are there adjustable blinds on the windows

  Yes

  No

  N/A

• Is there enough space at the workstation to move around comfortably

  Yes

  No

  N/A

• Is the level of humidity comfortable

  Yes

  No

  N/A

• Does heat emitted from the equipment cause you discomfort

  Yes

  No

  N/A

• Does the noise from the equipment disturb speech or distract attention

  Yes

  No

  N/A

SOFTWARE and SYSTEMS

• Does the system you use give you feedback on its performance

  Yes

  No

  N/A

• Is the software adaptable for your purposes and easy to use

  Yes

  No

  N/A

• Is the software suitable for its use

  Yes

  No

  N/A

• Is the format and pace of the information displayed suitable

  Yes

  No

  N/A