Title Page
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Site conducted
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Site name
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Name of person carrying out assessment
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Company
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Position on site
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Assessment Date
Display Screen Equipment (DSE)
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Display screen equipment refers to the equipment used at you desk location to perform your work, i.e. Monitor.
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Is the top 3rd of the screen level with your eyes?
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Is the screen about arms length away whilst typing?
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Is the screen free from reflections and glare?
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Can you easily adjust brightness and contrast?
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Is the screen image stable and flicker free?
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Can the screen be moved to suit your work position?
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Are you able to clearly read the text on your monitor?
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Comments - Please detail any comments you have regarding your answers in this section.
Keyboard
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The primary typing input device for use on your DSE equipment.
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Can you tilt your keyboard?
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Are the character keys legible?
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Is the keyboard free from reflections?
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Comments - Please detail any comments you have regarding your answers in this section.
Work surface or table
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The area where you will spend the majority of your time working.
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The area where you will spend the majority of your time working
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Is the table a suitable size to allow positioning of equipment?
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Does the surface of the table reflect light and glare?
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Is there adequate space to access your workstation?
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Is your desk telephone within easy reach?
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Is there enough space on the desk for essential work-related equipment / documents?
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Can you rest your arms on the table when the keyboard is not in use?
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If a document holder is used is this positioned at the same height as the screen?
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Comments - Please detail any comments you have regarding your answers in this section.
Chair
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Can you adjust the height of your chair?
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Is the seat back adjustable?
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Is the chair stable and easily moved?
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Can your chair be moved close enough to the desk?
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Can you comfortably place your feet flat on the floor? Or is a foot rest required?
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Is your lumbar region supported by the back rest of the chair?
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Has the chair been correctly adjusted and do you know how to adjust the chair if it has been moved?
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Does the chair have arm rests and are these adjustable?
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Is the area under your desk free from obstructions?
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Comments - Please detail any comments you have regarding your answers in this section.
Environment
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The environment where the majority of your work is taking place. An area, such as an office or reception desk, fitted with equipment and furnishings for an individuals use.
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Are lighting levels adequate with no reflection or glare?
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Is the work station free from any distracting noise?
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Is the working temperature adjustable?
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Is the area free from draughts?
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Is ventilation adequate?
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Comments - Please detail any comments you have regarding your answers in this section.
Training and information
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It is important that if there are any issues with software programmes you are using that these are raised to the appropriate person and training is requested where required
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Do you understand how to use the software?
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Have you been trained how to use your workstation equipment?
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Have you been trained on the use of the software?
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Have you been informed about the availability of eye tests by your company?
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Do you know how to report health concerns and equipment defects?
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Comments - Please detail any comments you have regarding your answers in this section.
General
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Alternating the types of tasks, you perform throughout the day and taking more frequent breaks (at least can reduce your overall fatigue.
Ensure you look at a distant object regularly and ensure that you are blinking your eyes during this time to refresh them. -
Do you suffer from eye tiredness, migraines or aching upper limbs?
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Are you able to take regular breaks through out the day?
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Comments - Please detail any comments you have regarding your answers in this section.
Completion
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Date completed:
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Assessor signature
