DSE Workstation Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

HEALTH - Does the user suffer from

• any aches, pain, discomfort, numbness, pins and needles in their back?

  Yes

  No

  N/A

• any aches, pain, discomfort, numbness, pins and needles in their neck and/or shoulders?

  Yes

  No

  N/A

• any aches, pain, discomfort, numbness, pins and needles in their arms and/or elbows?

  Yes

  No

  N/A

• any aches, pain, discomfort, numbness, pins and needles in their feet and/or legs?

  Yes

  No

  N/A

• any aches, pain, discomfort, numbness, pins and needles in their hands, wrists and/or fingers?

  Yes

  No

  N/A

• any eyestrain and/or headaches caused or made worse by computer based tasks?

  Yes

  No

  N/A

• any stress and/or fatigue caused or made worse by computer based tasks?

  Yes

  No

  N/A

• anything else that they believe is caused or made worse by computer based tasks?

  Yes

  No

  N/A

EYE TEST

• Have you had an eye sight test within the last three years?

  Yes

  No

  N/A

• Does the user know of the Council scheme?

  Yes

  No

  N/A

SPECIAL NEEDS

• Does the user have any declared special needs?

  Yes

  No

  N/A

• Has the user been referred to occupational health or to a medical specialist?

  Yes

  No

  N/A

• Has the health and safety adviser been provide with a copy of the relevant section in the report?

  Yes

  No

  N/A

WORKING POSTURE

• Is the screen / monitor directly in front of user?

  Yes

  No

  N/A

• Is the user siting in the recommended typing position?

  Yes

  No

  N/A

• Does the user type without resting their wrists on the desk?

  Yes

  No

  N/A

• Is the screen / monitor at a suitable height?

  Yes

  No

  N/A

• Is a document holder required?

  Yes

  No

  N/A

• Does the users feet rest fully on the floor or on a footrest?

  Yes

  No

  N/A

• Does the user require a headset?

  Yes

  No

  N/A

• If user is predominantly left hand, have appropriate measures been taken?

  Yes

  No

  N/A

KEYBOARD AND MOUSE

• Is the keyboard tiltable and separate?<br>

  Yes

  No

  N/A

• Are the keyboard symbols easy to read?

  Yes

  No

  N/A

• Is the keyboard comfortable to use?<br><br>

  Yes

  No

  N/A

• Is the user free from discomfort when using the mouse?<br>

  Yes

  No

  N/A

• Can the mouse be use without stretching?

  Yes

  No

  N/A

DISPLAY SCREEN

• Is the screen free from reflections and glare?<br>

  Yes

  No

  N/A

• Is the image free from flicker and movement?

  Yes

  No

  N/A

• Are the characters easy to read?

  Yes

  No

  N/A

• Does the screen / monitor swivel and tilt and adjust in height?

  Yes

  No

  N/A

• Can the user adjust the brightness, contrast and colour?

  Yes

  No

  N/A

• Is the screen / monitor clean?

  Yes

  No

  N/A

WORK SURFACE

• Is there adequate space in front of keyboard to rest hands when not typing?

  Yes

  No

  N/A

• Is there enough space to arrange work to suit users needs?

  Yes

  No

  N/A

• Is the space under the workstation free from obstructions?

  Yes

  No

  N/A

• Is there adequate space around the workstation?

  Yes

  No

  N/A

CHAIR

• Does the user find the chair comfortable?

  Yes

  No

  N/A

• Does the chair provide good lumbar support?

  Yes

  No

  N/A

• Does the user know how to adjust the chair?

  Yes

  No

  N/A

• Does the chair arms prevent the user from sitting close to desk?

  Yes

  No

  N/A

• Is the chair fully adjustable including seat base, back support, height and tilt?

  Yes

  No

  N/A

• Is the chair in good condition?

  Yes

  No

  N/A

ENVIRONMENT - LIGHTING

• Is the lighting suitable and sufficient for all tasks?

  Yes

  No

  N/A

• Do the windows have adjustable blinds / curtains?

  Yes

  No

  N/A

ENVIRONMENT - GENERAL

• Is the area around / under workstation free of trailing cables?

  Yes

  No

  N/A

ENVIRONMENT - TEMPERATURE

• Does the user find the temperature comfortable?

  Too Hot

  Just Right

  Too Cold

ENVIRONMENT - VENTILATION

• Does the user find the ventilation comfortable?

  Stuffy

  Just Right

  Draughty

ENVIRONMENT - NOISE

• Is the equipment free of distracting noise?

  Yes

  No

  N/A

SOFTWARE

• Does the user find the software suitable for the task and easy to use?

  Yes

  No

  N/A

DAILY WORK ROUTINE

• How many hours in an average day would the user be carrying out computer based tasks?

  Yes

  No

  N/A

• How long would user carry out computer based tasks before having a break from the screen?

  Between 45mins to 1 hour

  Between 1 to 1 1/2 hours

  Between 1 1/2 to 2 hours

  Longer than 2 hours

• Can user alter work pattern to allow for adequate breaks and changes of activity?

  Yes

  No

  N/A

INFORMATION AND TRAINING

• Has user completed the Council's DSE User e Learning course within the last THREE years?

  Yes

  No

  N/A

• Is the user aware of the Employees Guidance on Display Screen Equipment (DSE)?

  Yes

  No

  N/A

ITEMS REQUIRED

• Foot Rest?

  Yes

  No

  N/A

• Select date

  Date

• Document Holder?

  Yes

  No

  N/A

• Ergonomic Mouse?

  Yes

  No

  N/A

• Mouse Rest?

  Yes

  No

  N/A

• Keyboard Rest?

  Yes

  No

  N/A

• Monitor Stand?

  Yes

  No

  N/A

• Telephone Headset?

  Yes

  No

• Task Light?

  Yes

  No

• Lumbar Roll?

  Yes

  No

• Blinds?

  Yes

  No

• Select date

  Date

• Chair?

  Yes

  No

REMEDIAL ACTION TAKEN

• Shown chair adjustment?

  Yes

  No

  N/A

• Shown typing position?

  Yes

  No

  N/A

• Centred screen?

  Yes

  No

  N/A

• Changed screen height?

  Yes

  No

  N/A

• Discussed breaks and changes of activity?

  Yes

  No

  N/A

• Explained screen adjustment?

  Yes

  No

  N/A

• DSE User

  Sign

• DSE Assessor

  Sign