Display Screen Equipment (DSE) Workstation Assessments (1.3)

• User Name:

• Department:

• Line Managers Name:

• Workstation Location:

• Is this a face to face assessment

  Yes

  No

• How has assessment taken place?

• DSE Assessment Completed By:

• Date of Assessment:

  Date

Assessors Brief

• Give a brief explanation of the purpose of this Assessment.

• Remind users that ICT equipment is generally safe unless used incorrectly.

• Discuss any problems identified on the Workstation checklist.

Declaration

• User confirms the information they have provided during the assessment is true and correct.

  Yes

  No

• User confirms that the contents of the assessment will be disclosed with their employer/manager.

  Yes

  No

1 - General

• 1.1 - Has the user received any guidance in using the equipment?

  Yes

  No

• 1.2 - Has the user completed the online DSE training package?

  Yes

  No

• 1.3 - Does the user experience any discomfort when working?

  No

  Yes

• 1.4 - Does the user have any relevant pre-existing medical conditions?

  No

  Yes

• 1.4.1 - Give details of pre-existing medical condition:

• 1.5 - Has the user sought/been given any medical advice?

  No

  Yes

• 1.6 - Has the user been referred to Occupational Health?

  No

  Yes

2 - User Posture

• 2.1 - Is the user's head upright, not bent down or backwards?

  Yes

  No

• 2.2 - Is the user's head facing forwards most of the time?

  Yes

  No

• 2.3 - is the user's trunk held straight?

  Yes

  No

• 2.4 - Is the user's lower back supported?

  Yes

  No

• 2.5 - Does the user sit right back into their chair?

  Yes

  No

• 2.6 - Are the user's shoulders relaxed?

  Yes

  No

• 2.7 - Are the user's arms relaxed by their sides, elbows below shoulders?

  Yes

  No

• 2.8 - Are the user's forearms horizontal?

  Yes

  No

• 2.9 - Are the user's legs in the correct position?

  Yes

  No

• 2.10 - Does the user take regular postural breaks?

  Yes

  No

3 - Environment

• 3.1 - Does the user have any problems with temperature, humidity or ventilation?

  No

  Yes

• 3.2 - Does the user have any problems with sunlight, shadows, or reflections?

  No

  Yes

• 3.3 - Does the user have any problems with noise or vibrations?

  No

  Yes

• 3.4 - Is the desk and general lighting adequate for the work being done by the user?

  Yes

  No

• 3.5 - Is there anything else about the environment that bothers them?

  No

  Yes

• 3.5.1 - Details of environmental issues that concern user:

4 - Furniture

4.1 - Chair

• 4.1.1 - Does the chair have 5 wheels/feet on its base?

  Yes

  No

• 4.1.2 - Is the height of the chair adjustable?

  Yes

  No

• 4.1.3 - Is the seat height correct?

  Yes

  No

• 4.1.4 - Is the seat pan depth and width adequate for user?

  Yes

  No

• 4.1.5 - Is the height of the chair back adjustable?

  Yes

  No

• 4.1.6 - Is the tilt angle of the chair back adjustable?

  Yes

  No

• 4.1.7 - Are the chair arms (if fitted) adjustable

  Yes

  No

  N/A

• 4.1.8 - Does the user know how to adjust the different parts of the chair?

  Yes

  No

• 4.1.9 - Are the chair armrests (if fitted) at a height and length that enables you to sit at the right height and distance from your keyboard?

  Yes

  No

  N/A

• 4.1.10 - Can the user place their feet comfortably on the floor, without too much pressure from the seat on the backs of your legs when the chair has been correctly adjusted?

  Yes

  No

4.2 - Desk

• 4.2.1 - Is the desk large enough for all the tasks being carried out?

  Yes

  No

• 4.2.2 - Is the height of the desk suitable for the user, when the chair is correctly adjusted?

  Yes

  No

• 4.2.3 - Is the desk free from clutter?

  Yes

  No

• 4.2.4 - Is the area below the desk free from clutter?

  Yes

  No

• 4.2.5 - Are frequently used items within easy reach, including the telephone?

  Yes

  No

• 4.2.6 - Is there any awkward reaching or stretching for work items?

  No

  Yes

4.3 - Accessories

• 4.3.1 - Is a monitor riser in use?

  Yes

  No

• Is it positioned/used correctly?

  Yes

  No

• 4.3.2 - Is a document holder in use?

  Yes

  No

• Is it positioned/used correctly?

  Yes

  No

• 4.3.3 - Is a footrest in use?

  Yes

  No

• Is it positioned/used correctly?

  Yes

  No

• 4.3.4 - Is a wrist rest in use?

  Yes

  No

• Is it positioned/used correctly?

  Yes

  No

5 - Computer Ergonomics

• Select the type of computer being used:

  Select Laptop with additional monitor/s Desktop PC with monitor/s Laptop only Apple Mac All in one PC

  • Laptop with additional monitor/s
  • Desktop PC with monitor/s
  • Laptop only
  • Apple Mac
  • All in one PC

5.1 - Monitor

• 5.1.1 - Is the monitor screen large enough for the user?

  Yes

  No

• 5.1.2 - Are dual screens in use?

  Yes

  No

• 5.1.3 - Is the monitor screen positioned for comfort of the user i.e. correct height and viewing distance?

  Yes

  No

• 5.1.4 - Are the display characters stable and font size suitable for the user?

  Yes

  No

• 5.1.5 - Is the monitor screen clean and free from glare and reflections?

  Yes

  No

• 5.1.6 - Are cleaning materials available?

  Yes

  No

5.2 - Keyboard

• 5.2.1 - Is the keyboard position comfortable for the user?

  Yes

  No

• 5.2.2 - Does the keyboard tilt?

  Yes

  No

• 5.2.3 - All all the characters legible?

  Yes

  No

• 5.2.4 - Is the keyboard stable in use?

  Yes

  No

• 5.2.5 - Is the number pad used frequently?

  Yes

  No

5.3 - Mouse

• 5.3.1 - Is the mouse position comfortable?

  Yes

  No

• 5.3.1.1 - Has the user raised any other concerns about the mouse?

  No

  Yes

6 - Task Design

• 6.1 - Are there any peaks of work when the user is under pressure?

  No

  Yes

• 6.2 - Does the software cause any problems for the user?

  No

  Yes

• 6.3 - Does the user take regular breaks?

  Yes

  No

• 6.4 - Does the user use a phone at work?

  Yes

  No

• 6.4.1 - How long does the user spend on the phone, over the working day?

• 6.5 - Does the user regularly use Teams?

  Yes

  No

• 6.5.1 - How long does the user spend on Teams, over the working day?

• 6.5.2 - Do you have the camera on for Teams calls?

  Yes

  No

• 6.5.2.1 - Is the camera positioned correctly?

  Yes

  No

• 6.5 - Does the user use a headset or earphones?

  Yes

  No

• 6.6 - Has the user had an eye test within the last 2 years?

  Yes

  No

7 - Working From Home

• 7.1 - Does the user work from home?

  Yes

  No

• 7.1.1 - Has a dedicated and suitable space been identified for working from home?

  Yes

  No

• 7.1.1.2 - Describe the workstation set-up

• 7.2 - Does the user have the necessary workstation equipment to carry out their work?

  Yes

  No

8 - User's Chair

• 8.1 - After completing sections 1-7. Are there any concerns over the suitability of the user's chair?

  No

  Yes

• Please complete the following information:

• User gender:

  Male

  Female

• User height (in feet & inches)

• User weight (in stones & pounds)

• 

• No.1 - Desk height (in centimetres) :

• No. 2 - Height from back of knee to floor, wearing shoe (in centimetres):

• No. 3 - Depth from back of buttock to back of knee joint (in centimetres):

• No. 4 - Height from underside of elbow to surface of seat (in centimetres):

• No. 5 - Height from centre of lumbar curve to surface of seat (in centimetres):

• No. 6 - Height from top of shoulder to seat (in centimetres):

• No. 7 - Hip width when in sitting position (in centimetres):

• Any equipment recommended, will need to be purchased by line management and from departmental budget.

• The items listed are recommendations from suppliers listed on Agresso. If cheaper like for like alternatives are found from other suppliers, you will need to arrange for them to be set up on Agresso, which may cause a delay in equipment delivery.

• A copy of this DSE user assessment should be kept on users file.

Signature

• DSE Assessors Signature

  Sign