Tom Hawkesford

Chair audit

Chair Audit

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Use this Template

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Information

Conducted on
Name of assessor
This risk assessment template is based around the HSE "working with display screen equipment (DSE): a brief guide" leaflet INDG 36 (revision 4) and the associated Display screen equipment (DSE) workstation checklist issued on 05/13
Location
Make and model?
Quantity?

Furniture

Is the chair in good condition i.e. no stains or rips
Action to be taken
Responsibility
Overall Condition 1-5
Can the chair be adjusted correctly?
Action to be taken
Responsibility
Does chair have back adjustment and seat height adjustment
Does chair have seat tilt
Does chair have seat slide
does chair have lumbar pump
Action to be taken
Responsibility
Does chair have adjustable arm rests
Action to be taken
Responsibility

Tom Hawkesford

Chair audit

Chair Audit

Use this Template

Print as PDF

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.