DSE/VDU Assessment

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Is the workstation shared or dedicated to an individual?

  Yes

  No

  N/A

• Description of the Workstation (i.e. Dual Screen, Sit-Stand desk, Drawing Table, etc.)

• Is the software standard (i.e. Microsoft, GoogleDocs, Apple, etc. or proprietary system)?

Display Screen Details

• Is The Image Clear, Stable And Free From Flicker, Jitter And Glare?

  Yes

  No

  N/A

• Is The Screen Fitted With Brightness, Contrast (And Colour) Controls?

  Yes

  No

  N/A

• Can The Screen Tilt?

  Yes

  No

  N/A

• Can The Screen Swivel?

  Yes

  No

  N/A

• Is The Position Of The Screen Free From Distracting Reflection?

  Yes

  No

  N/A

• General comments on display screen

• Does The Screen Height/Angle Allow For A Comfortable Head Position?

  Yes

  No

  N/A

Keyboard and Input Devices

• Is The Keyboard Detachable, Have A Separate Numeric Key Set And Shallow Slope?

  Yes

  No

  N/A

• Is There Adequate Space In Front Of The Keyboard To Rest Wrists?

  Yes

  No

  N/A

• Is A Wrist Rest Available?

  Yes

  No

  N/A

• Is there sufficient space on the worktop for all peripherals and input devices?

  Yes

  No

  N/A

• General comments in keyboard and input devices

Chair and office furniture

• If fixed height, is the desktop 740mm +/- 20mm?

  Yes

  No

  N/A

• Is the chair adjustable for height, reach and tilt while the user is sitting on it?

  Yes

  No

  N/A

• Are all the chair castors/wheels free and working?

  Yes

  No

  N/A

• Is the upholstery in good condition?

  Yes

  No

  N/A

• Is the desk stable?

  Yes

  No

  N/A

• Is there sufficient space to change posture?

  Yes

  No

  N/A

• Is a footrest provided?

  Yes

  No

  N/A

• If yes, is the foot rest stable and in good condition?

  Yes

  No

  N/A

• General comments on Chair and Office Furniture

Work environment

• Is the room temperature comfortable for the occupant/user?

  Yes

  No

  N/A

• Is there a supply of fresh air?

  Yes

  No

  N/A

• Is there sufficient natural light?

  Yes

  No

  N/A

• Where needed, is there suitable artificial light?

  Yes

  No

  N/A

• If needed, is there suitable blinds on windows to prevent glare?

  Yes

  No

  N/A

• Is the floor covering free of trip and fall hazards?

  Yes

  No

  N/A

• Do the electrical sockets appear to be in good condition?

  Yes

  No

  N/A

• Are all items on their own fused plug?

  Yes

  No

  N/A

• Are all power leads routed to avoid trips and entanglement?

  Yes

  No

  N/A

• Where Required Does The Workstation Have An Up To Date Electrical Test Label?

  Yes

  No

  N/A

• General comments on Work Environment

User Considerations

• Is user aware of the fact that they can have an eye test?

  Yes

  No

  N/A

• Has the user received training on how to correctly set up the work station for good ergonomics?

  Yes

  No

  N/A

• Has the user received any needed training for the software being used?

  Yes

  No

  N/A

• Are users aware of the organisational arrangements by which problems may be communicated?

  Yes

  No

  N/A

• General comments on user considerations.

Assessment of Hazard and Risk

• What is the likelihood of a hazard being present?

  Impossible

  Remote

  Possible

  Probable

  Definite

• What would be the severity of an injury if the hazard is realised?

  Select Minor - cuts, bruises, etc. No time off work. Significant - cuts or inures that require medical attention Major - Injuries likely to result in more than 1 week of lost time. Life Altering - Amputations, loss of a sense, etc. Fatality

  • Minor - cuts, bruises, etc. No time off work.
  • Significant - cuts or inures that require medical attention
  • Major - Injuries likely to result in more than 1 week of lost time.
  • Life Altering - Amputations, loss of a sense, etc.
  • Fatality

• Multiply the likelihood by the severity to get a hazard score.

  1 - 5 Very low Risk

  6 - 10 Low Risk

  11 - 15 Medium Risk

  16 - 20 Medium to High Risk

  21 - 25

Report Summary

• Observations and suggested actions