Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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DSE Assessment Record
Assessment
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Select work department
- Apprentices
- B & A
- Box Line
- Calibration
- Cleaning
- Commercial
- Containment/Product Audit
- Design Engineer
- Drop Arm
- Finance
- Group Leaders
- Health & Safety
- Human Resources/Pay Roll
- IT
- Lean Engineer
- Line Feeders
- Logistics
- Maintenance
- Mould Shop
- MS2
- Plastics Assembly
- Press Shop
- Process Engineering
- Production Manager
- Prototype Engineer
- Purchasing
- Quality
- Rad Caps/Perkins
- Steering Assembly
- Stores
- Themostat Assembly
- Team Leaders
- Toolmakers
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Enter Employee Name
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Enter Employee Pay Roll Number
Lighting
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Is the lighting at your usual workstation adequate?
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Are there distracting reflections on your screen?
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Describe the issue.
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Take a photo if possible to show the issue.
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Do you have control over local lighting?
Temperature & Humidity
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Are you usually comfortable at your workstation?
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Is the air around your workstation:
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Describe what the issue is that is making you uncomfortable.
Noise
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Is the noise from other work equipment acceptable?
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Describe the issues experienced.
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Take photos of equipment generating the noise issue.
Space
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Is there enough space around your workstation?
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Describe the issue.
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Take a picture of the desk area.
Chair
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Is the seat height adjustable?
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Is the angle and height of the backrest adjustable?
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Is the chair stable?
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Is the chair in a good state of repair?
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Describe the what is wrong with the chair.
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Take a photo of the chair.
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Does the chair have arms?
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Are the arms free from issues involving the workstation?
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Describe the issues that the arm are causing.
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Take a photo of the issue that the arms are causing.
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Is the chair comfortable?
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Describe the issues with the chair.
Desk
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Is the desk surface large enough?
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Take a picture of the working area.
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Is the height of the desk suitable?
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Describe the issues with the desk height i.e. Too high, Too low etc.
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Take a picture.
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Is the desk height suitable so that a foot rest is not required?
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Has a foot rest been provided?
Document Holder
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Do you require a document holder?
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Has a document holder been provided?
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Can you adjust your document holder to the right angle?
Display Screen and Keyboard
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Is there a brightness control on your screen?
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Is there sufficient difference between characters and background?
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Is the screen image stable and free from flicker?
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Is the computer a Desktop or Laptop?
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Does your screen move freely?
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Describe what is wrong with the item.
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Take a picture of the issue.
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Is the screen at a comfortable height for you?
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Describe what is wrong with the item.
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Take a picture of the issue.
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Is the keyboard height adjustable?
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Describe what is wrong with the item.
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Take a picture of the issue.
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Are the symbols on the keys easily visible?
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Describe what is wrong with the item.
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Take a picture of the issue.
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Is there sufficient space in front of the keyboard to rest operators hands?
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Are operators forearms parallel to the work surface?
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Describe what is wrong with the item.
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Take a picture of the issue.
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Is the operators wrists comfortable?
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Describe what is wrong with the item.
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Take a picture of the issue.
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Are the symbols on the keys easily visible?
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Describe what is wrong with the item.
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Take a picture of the issue.
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Is there sufficient space in front of the keyboard to rest operators hands?
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Are operators forearms parallel to the work surface?
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Describe what is wrong with the item.
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Take a picture of the issue.
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Is the operators wrists comfortable?
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Describe what is wrong with the item.
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Take a picture of the issue.
Other Equipment
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Is your phone located conveniently?
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Describe the issues.
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Take a picture.
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Is there enough space to load paper into printers and copiers?
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Describe the issues.
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Take a picture.
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Can you easily access shelf's above or below the workstation?
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Describe the issues.
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Take a picture.
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Is all other equipment satisfactory?
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Describe the issues.
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Take a picture.
Training
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Have you been trained in how to set up your workstation so it is comfortable?
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Have you been trained in how to use your software?
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Do you understand how to use your software?
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Enter a date when training needs to be completed by.
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Do you know who to contact if there is an issue with your workstation?
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Do you know the company arrangements for eye tests?
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Signature:
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Insert date of assessment