Display Screen Equipment (DSE) Assessment Form Person/Post Assessed Location Does the person depend on Display Screen Equipment (DSE) to do their job (i.e. no alternative)? YesNo Does the person have no choice about using DSE? YesNo Does the person need particular skills and significant training in the use of DSE to do the job? YesNo Does the person normally use DSE for spells of more than one hour? YesNo Does the person usually use DSE daily? YesNo Is the fast transfer of information between user and screen an important requirement of the job? YesNo Does the system require high levels of concentration by the user, for example where error may be critical? YesNo If the majority of the answers to the Initial Assessment are YES then the subject can be considered to be a DSE ‘user’. The ‘Detailed Assessment’ will need to be completed – see below. The incorrect statement below should be deleted. From the findings of the initial assessment it is concluded that the person being assessed is a user of Display Screen Equipment. Element 1 - The Display Screen Are screen characters well-defined and of adequate size and spacing? YesNo Are screen images flicker-free and stable? YesNo Can screen brightness and contrast be adjusted? YesNo Is the screen free from glare and reflection? YesNo Is the screen positioned correctly to enable comfortable use? YesNo Is a screen cleaning kit provided? YesNo Element 2 - The Keyboard Can the keyboard be tilted? YesNo Is the keyboard separate from the terminal? YesNo Does the keyboard have a non-reflective surface? YesNo Are the keyboard characters clearly defined? YesNo Are the keys comfortable to use? YesNo Element 3 - The Work Desk Is the work desk large enough for all equipment? YesNo Are the surfaces non-reflective? YesNo Is there a document holder available, if required by the user? YesNo Is there sufficient space in front of the keyboard to allow users to rest hands/wrist? YesNo Element 4 - The Work Chair Is the work chair stable? YesNo Can the chair be height-adjusted? YesNo Can the backrest be adjusted for height and tilt, independently of the seat height? YesNo Can both feet be placed on the floor when in a comfortable working position? YesNo Is a footrest available if required by the user? YesNo The Environment Is there sufficient space for comfortable handling of documents and telephone, etc? YesNo Is the lighting adequate at the workstation? YesNo Is the general lighting adequate to prevent excess lighting contrast when the user looks away from the screen? YesNo Is the temperature at the workstation comfortable? YesNo Are heat levels emitted by the equipment under control? YesNo Are noise levels at the workstation comfortable? YesNo Is ventilation of the area adequate and comfortable? YesNo Is the relative humidity comfortable? (Complaints about dry facial skin, sore eyes) YesNo Element 6 - Health Is the user free of eyesight problems? YesNo Has the user requested or been offered an eyesight test? YesNo Where appropriate, does the identified user wear eye correction provided as a result of an official eyesight test? YesNo Is the user free of aches, pains, or sensory loss (tingling or pins and needles) in the neck, shoulder or upper limbs? YesNo Is the user free of restricted joint movement, impaired finger movements or grip or other disability? YesNo Is the user free of fatigue or stress? YesNo Element 7 - Training, Information and Work Planning Has the user received training in the use of DSE and software system(s)? YesNo Has the user received training in identifying and correcting workstation hazards, including equipment adjustments? YesNo Is there a written record of the identified users training and is it up to date? YesNo Has the work been planned to include breaks and changes in activity to avoid excessive exposure to DSE work? YesNo Considering the answers, what is your overall assessment of the risk of injury. InsignificantLowMediumHigh If the answer to any question is NO, then action will be taken to correct the problem. Name of Assessor Date Comments and Corrective Action Name of user Signature