• Conducted on

  • Name of assessor

DSE Details

  • Location Of Workstation

  • Name of user

  • Computer make

  • Computer Type

  • Serial number

  • Model number



  • Is the workstation suitable for the job, environment and user?

  • Has the equipment been PAT Tested

  • Is it easy to manoeuvre if required?

  • Is the screen image clear?

  • Is the screen free from glare?

  • Is the screen absent from flicker / jitter?

  • Is the size suitable for the task?

  • Is the angle of tilt adjustable?

  • Is there a brightness/contrast control?


  • Is the keyboard detachable or movable?

  • Does the keyboard have a tilt facility?

  • Has the keyboard got clear, clean symbols?

  • Has the keyboard got Matt surround and non reflective keys?


  • Is the desk size sufficient, to provide space for equipment, documents etc?

  • Is there sufficient space under the desk for knee clearance?

  • Is there sufficient leg room?

  • Is there sufficient support for hands and wrists? (0.05 - 00.1 metres)


  • Does it provide support for the back, pelvis, and buttocks?

  • Does it have a 5 star base configuration of casters?

  • Does it swivel?

  • Is it adjustable in height? (Ideally between 0.38 - 0.42m)

  • Does the back rest adjust in height and tilt? (Ideally 0.38 - 0.42m)

  • Are the mechanisms for adjustment easy to operate when sitting?


  • Is it satisfactory sited in relation to the way it is used?

  • Does it have a lot of noise emission?


  • Does your feet touch the floor?

  • If above is no, is a foot rest provided

Working Posture

  • Is the distance between the DSE screen approximately 0.35 - 0.70m?

  • Are your eyes cast down at an angle of approx 15 - 20 degrees?

  • Is the telephone suitably accessible ?

Work Regime

  • Is the keyboard work regularly interrupted by other activities taking you away from the workstation?

  • Are there sufficient periods away from the DSE keyboard? (5-10 mins every hr)



  • Is the lighting in the workplace and at the desk suitable and sufficient?

  • When DSE tasks require reading of documents is there additional lighting at the desk?

  • Is the additional lighting suitable and adjustable?

  • Is the position of the windows comparable with the DSE?

  • To avoid glare; are the DSE positioned between overhead lights rather than directly underneath?

  • Are there blinds on the windows

Heating & Ventilation

  • Are the temperatures and relative humidity comfortable?

  • Is there sufficient supply of fresh or purified air?


  • Is there excessive or annoying amount of noise?


  • Assessor Signature

  • Comments

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.