Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Personal details

  • Have or are you suffering from headaches

  • Have you or are you suffering aches and pains

  • Are you suffering from RSI

  • Do you have sore eyes

  • Do you wear glasses

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

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

DSE Screen

  • Is it possible to swivel the screen

  • Is it possible to tilt the angle of the screen

  • Is it possible to adjust the screen height

  • Are there any reflections or glare on the screen

  • Are the characters on the screen large enough

  • Are the characters on the screen adequately spaced

  • Is the image stable and free from flickers

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

DSE KEYBOARD

  • Is the key board easy to use

  • Is the key board separate from the screen

  • Is the keyboard tiltable

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

  • Is the keyboard surface of a Matt finish

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

DESK TOP

  • Is there enough space to work comfortably

  • Is the desk top surface of a none reflective material

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

  • Is there a document holder provided

  • Is the document holder stable and adjustable

  • Are there trailing cables across the desk

SEATING

  • Is the seat of the chair adjustable in height

  • Is the back of the chair adjustable in height

  • Is the back of the chair adjustable in tilt

  • Is the chair stable

  • Is the chair in good order of repair

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

  • Is a foot rest provided

ENVIRONMENTAL FACTORS

  • Is there adequate lighting for the task

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

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

  • Are there adjustable blinds on the windows

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

  • Is the level of humidity comfortable

  • Does heat emitted from the equipment cause you discomfort

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

SOFTWARE and SYSTEMS

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

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

  • Is the software suitable for its use

  • Is the format and pace of the information displayed suitable

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.