DSE Workstation Assessment

• Document No.

• Client / Site

• Conducted on

  Date

• Name of assessor

DSE Details

• Computer location

• User

• Asset ID

• Computer make

• Computer Type

  laptop

  desktop

Equipment

General

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

  Yes

  No

  N/A

• Has the equipment been PAT Tested

  Yes

  No

  N/A

• Is it easy to manoeuvre if required?

  Yes

  No

  N/A

• Is the screen image clear?

  Yes

  No

  N/A

• Is the screen free from glare?

  Yes

  No

  N/A

• Is the screen absent from flicker / jitter?

  Yes

  No

  N/A

• Is the size suitable for the task?

  Yes

  No

  N/A

• Is the angle of tilt adjustable?

  Yes

  No

  N/A

• Is there a brightness/contrast control?

  Yes

  No

  N/A

• Has the user had an eye test in the last 2 years?

  Yes

  No

  N/A

Keyboard

• Is the keyboard detachable or movable?

  Yes

  No

  N/A

• Does the keyboard have a tilt facility?

  Yes

  No

  N/A

• Has the keyboard got clear, clean symbols?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Desk

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is there sufficient leg room?

  Yes

  No

  N/A

• Is there sufficient support for hands and wrists?

  Yes

  No

  N/A

Chair

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Does it swivel?

  Yes

  No

  N/A

• Is it adjustable in height?

  Yes

  No

  N/A

• Does the back rest adjust in height and tilt?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is it free from excessive noise emission?

  Yes

  No

  N/A

Footrest

• Is a footrest provided if nessassary?

  Yes

  No

  N/A

Working Posture

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

  Yes

  No

  N/A

• Is the telephone suitably accessible ?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Environment

Lighting

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

  Yes

  No

  N/A

• Is there sufficient supply of fresh or purified air?

  Yes

  No

  N/A

• Are the temperatures and relative humidity comfortable?

  Yes

  No

  N/A

Noise

• Are noise levels acceptable?

  Yes

  No

  N/A

Signature

• Assessor Signature

  Sign

• Comments