• Audit conducted by

  • Document No.

  • Conducted on

  • Location

Employee Details:

  • Name:

  • Contact information including telephone and email address:

  • Working status? I.e Full Time? Part Time? Contractor?

  • Employed? Self employed?

For Assessor/Line Manager to complete:

  • Workstation location and number (if applicable)?

  • Assessor name?

  • Checklist completed by?

  • Date of assessment?

Line manager name and contact details?

  • Assessment checked by?

  • Any further action needed?

  • Follow up action completed on?


Display Screens

  • Are the characters clear and readable?

  • Is the text size comfortable to read?

  • Is the image stable? I.e is free of flicker?

  • Is the screens specification suitable for its intended use?

  • Are the brightness and/or contrast adjustable?

  • Does the screen swivel and tilt?

  • Is the screen free from glare and reflections?

  • Are adjustable window coverings provided and in adequate condition?

  • Are adjustable window coverings provided and in adequate condition ?


  • Is the keyboard separate from the screen?

  • Does the keyboard tilt?

  • Is it possible to find a comfortable keying position?

  • Do you have good keyboard technique?

  • Are the characters on the keys easily readible?

Mouse, pointing device

  • Is the device suitable for the tasks it is used for?

  • Is the device positioned close to you?

  • Is there support for your wrist and forearm?

  • Does the device work smoothly at a speed that suits you?

  • Can you easily adjust software settings and accuracy of the pointer?


  • Is the software suitable for the task?


  • Is the work surface large enough for all the necessary equipment and papers etc?

  • Can you comfortably reach all of the equipment and papers you need to use?

  • Are surfaces free from glare and reflection?

  • Is the chair suitable and stable? Does the chair have a working:

  • Seat back height and tilt adjustment?

  • Seat height adjustment?

  • Swivel mechanism?

  • Castors?

  • Glides?

  • Is the chair adjusted correctly?

  • Is the small of the back supported by the chairs backrest?

  • Are forearms horizontal and eyes roughly the same height as the VDU?

  • Is the seat depth adjustable to allow a gap of approx. 2 fingers between the back of the knees and front of the seat?

  • Are feet flat on the floor or foot rest, without too much pressure from the seat on the backs of the legs ?


  • Is there enough room to change position and vary movement?

  • Is the lighting suitable e.g. Not too,bright or too dim to work comfortably?

  • Does the air feel comfortable?

  • Are levels of heat comfortable?

  • Are the levels of noise comfortable?

Final questions

  • If you have other problems with your VDU workstation that are not addresses above then please mention them here.

  • Have you experienced any discomfort or other symptoms which you attribute to working with the VDU? Please list details here:

  • A you aware of your entitlement to eye and eyesight testing?

  • Do you ensure that you take regular breaks away from DSE's?

  • Do you experience any ill health, that you feel is attributed to the use of the DSE? If so it may indicate that reassessment is required. Highlight this to your Health and Safety Coordinator who will arrange for a reassessment to be undertaken.

Assessor findings and recommendations:

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.