Title Page
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Name of DSE User
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Assessment conducted on
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DSE Assessment
Risk Factors
Keyboards
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Is the keyboard separate from the screen?
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Does the keyboard tilt?
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Is it possible to find a comfortable keying position?
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Are the characters clear and readable?
Mouse, trackball etc
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Is the device suitable for the tasks it is used for?
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Is the device positioned close to the user?
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Is there support for the device user’s wrist and forearm?
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Does the device work smoothly at a speed that suits the user?
Display Screens
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Are the characters clear and readable?
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Is the text size comfortable to read?
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Is the image stable, ie free of flicker and jitter?
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Is the screen’s specification suitable for its intended use?
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Are the brightness and/or contrast adjustable?
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Dose the screen swivel and tilt?
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Is the screen free from glare and reflections?
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Are adjustable window coverings provided and in adequate condition?
Software
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Is the software suitable for the task?
Furniture
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Is the chair adjusted correctly?
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Is the small of the back supported by the chair’s backrest?
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Are forearms horizontal and eyes at roughly the same height as the top of the DSE?
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Are feet flat on the floor, without too much pressure from the seat on the backs of the legs?
Environment
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Is there enough room to change position and vary movement?
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Is the lighting suitable, e.g. not too bright or too dim to work comfortably?
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Does the air feel comfortable?
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Are levels of heat comfortable?
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Are levels of noise comfortable?
Final questions to users
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Has the checklist covered all the problems you may have working with DSE?
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Have you experienced any discomfort or other symptoms which could attribute to working with DSE?
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Does you take regular breaks working away from DSE?
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Notes for questions above:
Declaration:
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DSE User's Signature
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Date: