Workstation Assessment Checklist

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    Display Screen Equipment Work Station Assessment Checklist

    (The following assessment should be carried out jointly between Line Manager and Employee)

    Department Work Station Identification Date of Assessment

    1. Employee

    Employee Name.

    Is the workstation used habitually as a significant part of normal work? Yes No

    If YES, what percentage of his/her working time is spent operating%

    the DSE (if intermittent give estimated average)

    2. Equipment

    1. Monitor Make and Model Remarks

    Swivel/tilt available? Yes No

    Remarks

    2. Screen Stable Image? Yes No

    Adjustable brightness? Yes No

    Glare/reflection free? Yes No

    3. Keyboard Make and Model Remarks

    Separate from monitor? Yes No

    Tiltable? Yes No

    Matt surface? Yes No

    Legible keys? Yes No

    4. Work Desk/Surface Remarks

    Adequate Strength/stability Yes No

    Area adequate size?(inc. space for the processing ofany involved paperwork)

    Yes No

    Matt surface? Yes No

    Copyright 2012 Agora Business Publications LLP. This material may only be used in the furtherance of the subscriber's business and may not be sold, hired, copied or used forany other commercial purpose etc. without the prior written consent of Agora Business Publications LLP. Every effort has been made by Agora Business Publications LLP to ensure thatthe information given is accurate and not misleading, but Agora Business Publications LLP cannot accept responsibility for any loss or liability perceived to have arisen from the use ofany such information.

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    Adequate space for worker togain a comfortable posture duringany combined work/paperwork?

    Yes No

    Surface non-reflective? Yes No

    5. Work Chair RemarksIs chair adjustable? Yes No

    Seat height adjustable? Yes No

    Back height/tilt adjustable? Yes No

    6. Ancillary Equipment (If required!) Remarks

    Document holder available? No Yes

    Footrest available? No Yes

    Suitable task light available? No Yes

    3. Environment

    7. Space Requirements Remarks

    Adequate for postural changes? Yes No

    8. Lighting Remarks

    Adequate lighting levels? Yes No

    Glare/reflections present? No Yes

    9. Noise Remarks

    Causing distractions? No Yes

    Disturbs speech? No Yes

    10. Thermal Comfort Remarks

    Background temp' satisfactory? Yes No

    Humidity adequate? Yes No

    Ventilation adequate? Yes No

    4. User/Computer Interface

    11. Software Remarks

    Is software adequate for tasks? Yes No12. General Safety Remarks

    Electrical hazards? No Yes

    Trip hazards No Yes

    Is equipment positioned safely? Yes No

    Adequate space to allow easyAccess/egress?

    Yes No

    5. Remedial Action Required

    Copyright 2012 Agora Business Publications LLP. This material may only be used in the furtherance of the subscriber's business and may not be sold, hired, copied or used forany other commercial purpose etc. without the prior written consent of Agora Business Publications LLP. Every effort has been made by Agora Business Publications LLP to ensure thatthe information given is accurate and not misleading, but Agora Business Publications LLP cannot accept responsibility for any loss or liability perceived to have arisen from the use ofany such information.

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    6. What Is The Most Reasonably Practical Solution?

    7. Confirmation

    Signature of Assessor Signature of Employee

    Print Name Print Name

    Review Date (where applicable)

    Copyright 2012 Agora Business Publications LLP. This material may only be used in the furtherance of the subscriber's business and may not be sold, hired, copied or used forany other commercial purpose etc. without the prior written consent of Agora Business Publications LLP. Every effort has been made by Agora Business Publications LLP to ensure thatthe information given is accurate and not misleading, but Agora Business Publications LLP cannot accept responsibility for any loss or liability perceived to have arisen from the use ofany such information.

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    Copyright 2012 Agora Business Publications LLP. This material may only be used in the furtherance of the subscriber's business and may not be sold, hired, copied or used forany other commercial purpose etc. without the prior written consent of Agora Business Publications LLP. Every effort has been made by Agora Business Publications LLP to ensure thatthe information given is accurate and not misleading, but Agora Business Publications LLP cannot accept responsibility for any loss or liability perceived to have arisen from the use ofany such information.

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    Guidance for DSE Workstation Assessment Checklist

    1. MONITORSwivel and tilt as required.

    7. SPACE REQUIREMENTSAllow for postural changes at theworkstation, and legroom.

    2. SCREENReadable and stableimage, flicker free, no disturbingglare or reflections.

    8. LIGHTINGNo direct or indirect glare orreflections, window blinds, tasklighting.

    3. KEYBOARDSeparate, usable, readable,adjustable.

    9. NOISEMinimise any distractingnoise.

    4. WORK DESK/SURFACESufficient desktop space,

    wrist/forearm support, noreflections.

    10. THERMAL COMFORTBackground temperature, excessive

    heat from equipment, humidity,ventilation.

    5. WORK CHAIRComfortable, stable, adjustable forboth height and lumbar support.

    11. SOFTWAREMinimise obstacles to the user.

    6. ANCILLARY EQUIPMENTDocument holder, task light,footrest, as appropriate.

    12. GENERAL SAFETYElectrical, trip hazards, safe positioningof equipment, access/egress.

    Copyright 2012 Agora Business Publications LLP. This material may only be used in the furtherance of the subscriber's business and may not be sold, hired, copied or used forany other commercial purpose etc. without the prior written consent of Agora Business Publications LLP. Every effort has been made by Agora Business Publications LLP to ensure thatthe information given is accurate and not misleading, but Agora Business Publications LLP cannot accept responsibility for any loss or liability perceived to have arisen from the use ofany such information.