COVER
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Document No.
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Assessment title
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Audit Title
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Computer workstation location
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Responsible department
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Assessment date
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Prepared by
USER DETAILS
COMPUTER USER DETAILS
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Name
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Work email
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Work phone number
PLACE OF WORK
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Department
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Work location
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Type of computer work performed
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Relationship to University
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Immediate line manager(s)
(Manager who can action any recommendations)
line manager
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Line manager
COMPUTER HISTORY
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Has a computer workstation assessment been completed by the department
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Suffered discomfort or problem working at this computer workstation
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Suffered discomfort or ergonomic problem while working on another computer workstation
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Suffering from a medical condition or complaint which needs to be taken into account in the assessment
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Additional details of medical conditions and the effects these have
CONDITIONS
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Medical condition details
ASSESSMENT DETAILS
COMPUTER DISPLAY SCREEN PERFORMANCE
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Screen image is clear and readable
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Screen image free from glare & reflections<br>(consider both artificial and natural light sources)
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Blinds fitted to prevent screen glare & reflection and control contrast between screen & surroundings
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Screen brightness & contrast can be adjusted by the computer user
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Screen can swivel & tilt<br>(If the screen is a flat screen, then the ability to swivel is not usually important and can be ignored)
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Screen specification suitable for the intended use
Notes
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Notes
COMPUTER KEYBOARD
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Keyboard can tilt to provide a sloped face
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Keyboard characters are clear & readable
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Keyboard keys are fully functioning
Notes
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Notes
MOUSE OR EQUIVALENT DEVICE
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Mouse suitable for the user and the tasks performed.<br>(Give due consideration the size of the mouse and the shape of the mouse relative to the users dominant hand)
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Mouse works smoothly at a speed that suits the user and the tasks performed
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Mouse settings can be adjusted for speed and responsivness
Notes
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Notes
SEATING
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The seat is in general good condition and intact
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The seat has an adjustable height mechanism; the mechanism works and holds the seat at the desired height
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The seat has a back support adjustable for height and tilt; the mechanisms work and hold the back support in the desired position
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Seat arms can be adjusted for height and/or tilt
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Seat swivels freely without sticking
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Seat fitted with a five leg base equipped with castors or glides; castors and glides all work smoothly
Notes
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Notes
FURNITURE
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Work surface is large enough for the tasks commonly performed
Notes
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Notes
COMPUTER SOFTWARE
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Software is suitable for the tasks to be perfomed
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Software can be used by the user
Notes
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Notes
WORKING ENVIRONMENT
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Lighting level suitable for the work undertaken
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Temperature suitable for the work undertaken
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Noise level suitable for the type of work undertyaken
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Air quality satisfactory for the type of work undertaken
Notes
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Notes
WORKING POSITION & WORKING PRACTICES
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Sufficient space to change position during the working day
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Chair adjusted correctly
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Chair comfortable for the user
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Chair supports small of the users back
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Chair set to give a comfortable keying position
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The top the screen is roughly eye level,<br>when the chair is adjusted correctly and the user is in a comfortable keying position, <br>
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The feet can be placed flat on the floor (or flat on a foot rest),<br>when the chair is adjusted correctly and the user is in a comfortable keying position, <br>
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There is support for the users forearm & wrist<br>when the chair is adjusted correctly and the user is in a comfortable keying position, <br>
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The mouse is positioned within easy reach, as close to the users midline as possible
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The user has regular changes of activity or breaks away from the computer<br>(about 10 minutes in each hour)
Notes
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Notes
FINAL QUESTIONS
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Are there any other factors that need to be taken into account by this assessment
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User is aware of entitlement to periodic eyesight testing
Notes
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Notes
SIGNATURES
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Assessor
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Workstation user
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Others present
others present
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Others present
RECOMMENDATIONS
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The following recommendations are made to remedy the problems found during the assessment
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Enter recommendations
recommendation
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Recommendation title
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Action to be taken
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Recommendation for
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Deadline for completion
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Recommendations made by