Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Staff member assessed

  • Department

  • Approx length of time at workstaion

  • Ability to take breaks away from screen

DSE equipment (keyboards\ monitors ect)

  • Current workstation layout:

  • Is the keyboard separate from the screen? And have ability to tilt?

  • Is it possible to find a comfortable keying possition

  • Does user have good keyboard teqhnique?

  • Keyboard clear and readable?

  • Is the device positioned close to the user? Is there any support for wrist or forearm?

  • Monitor: clear and readable and free from flicker?

  • Can you adjust the brightness and contrast?

  • Does the screen swivel or tilt?

  • Screen free from glare or feflexion?

  • Window coverings provided? In decent condition?

Furniture and environment

  • Is the work area large enough for all the necessary equipment,papers etc?

  • Can the user comfortably reach all the equipment and papers needed?

  • Surfaces free from glare and reflexion?

  • Is the chair suitable? Stable? Have working back height\ tilt adjustment? Correct feet or castors?

  • Chair issues/failures or any health issues raised by user?

  • Is the chair adjusted correctly

  • Is there enough room to change position and vary movement?

  • Suitable lighting in the room?

  • Comfortable air quality and temperature?

  • Are they in a noisy distracting environment?

  • Any experience of discomfort which can be attributed to working with DSE?

Conclusion,notes and recommendations.

  • Workstation Assessment conditions

  • Any issues? recommendations.

  • Recommendations:

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