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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