DTJ VDU

• Site

  Select

• Individual Involved

  Sign

• Conducted on

  Date

• Prepared by

• Location

• List all Equipment at workstation

  Select

• Are you experiencing any discomfort

  Yes

  No

• Have you been assessed by a doctor or other professional?

  Yes

  No

• Any additional equipment required?

  Select Dedicated Space Workstation/Desk Standing Desk Office Chair Monitor x 1 Monitor X 2 or more Laptop External Keyboard External Mouse Docking Station Printer Wrist rest Desktop computer Document holder Headset Footrest Laptop stand Using laptop keyboard Task lighting

  • Dedicated Space
  • Workstation/Desk
  • Standing Desk
  • Office Chair
  • Monitor x 1
  • Monitor X 2 or more
  • Laptop
  • External Keyboard
  • External Mouse
  • Docking Station
  • Printer
  • Wrist rest
  • Desktop computer
  • Document holder
  • Headset
  • Footrest
  • Laptop stand
  • Using laptop keyboard
  • Task lighting

The Display Screen

• Is the Screen(s) free from glare and reflection?

  Yes

  No

• Is the image clear and easily read?

  Yes

  No

• Can the screen(s) swivel and tilt easily and freely?

  Yes

  No

• Is the screen positioned so the top of the screen is at eye level

  Yes

  No

  N/A

• Is the screen at a comfortable distance? e.g. arms length away?

  Yes

  No

  N/A

The Keyboard

• Is the keyboard tilt-able to allow a neutral wrist position to be maintained when typing?

  Yes

  No

  N/A

• Are the mouse and keyboard within easy reach, with space provided in front of the keyboard?

  Yes

  No

  N/A

The Desk

• Does the work desk have a sufficiently large surface, and does it allow for flexible arrangements of equipment?

  Yes

  No

  N/A

• Is a document holder available if required?

  Yes

  No

  N/A

• Is there adequate space for users to find comfortable positions?

  Yes

  No

  N/A

The Chair

• Is the work chair stable and does it allow freedom Of movement?

  Yes

  No

  N/A

• Is the chair set up to have forearms level with the desk?

  Yes

  No

  N/A

• Is the seat adjustable in height and is the seat back adjustable in both height and tilt?

  Yes

  No

  N/A

• Is there a footrest made available where required?

  Yes

  No

  N/A

• Does the workstation provide space for the user to change position and vary movements?

  Yes

  No

  N/A

Workstation Environment

• Suitable temperature / ventilation?

  Yes

  No

• Suitable Lighting?

  Yes

  No

• Adequate electrical sockets?

  Yes

  No

• Smoke Detectors Checked?

  Yes

  No

• Overall Housekeeping?

  Good

  Fair

  Poor

  N/A

• Taking regular breaks?

  Yes

  No

• In regular communication with workplace?

  Yes

  No

  N/A

• Aware of VDU Eye test?

  Yes

  No

Comments / Summary of AssessmentA

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