📋 Assessment Details

? Enter the full legal name of the company or business where the assessment is being conducted.
? Create a unique reference code for this assessment (e.g., DSE-001). Use this for tracking and future reviews.
? Specify the department, office, or location where the DSE user works (e.g., Main Office, Sales Department).
? The date when this DSE workstation assessment was conducted. Required for compliance and audit purposes.
? Name of the health and safety professional or manager conducting this DSE assessment. Should be a competent person.
? DSE assessments must be reviewed annually. Enter the date for the next review (typically 12 months from assessment date).

👤 User Details

? Full name of the employee or worker using the DSE equipment. Required for individual assessment records.
? The job role or position of the DSE user (e.g., Administrator, Data Entry Clerk, Software Developer).
? Enter how many hours per day the worker spends on DSE work. Users working 6+ hours daily are considered DSE users.
? Regular breaks from DSE work are essential. Breaks help prevent eye strain, fatigue, and musculoskeletal issues. Note if breaks are taken.
? Record any pre-existing medical conditions that may be affected by DSE work (e.g., back pain, visual problems, repetitive strain). This helps identify support needs.

🖥️ Display Screen

Item Yes No N/A Comments/Action
Image stable and flicker-free?
Brightness and contrast adjustable?
Screen clean and free from glare?
Characters clear and readable?
Screen tilts and swivels?
Screen at comfortable viewing distance?
Top of screen at or below eye level?

⌨️ Keyboard & Mouse

Item Yes No N/A Comments/Action
Keyboard separate from screen?
Keyboard tilts?
Space in front for wrist rest?
Keys legible and working?
Mouse within easy reach?
Mouse moves smoothly?
Suitable mouse mat provided?

🛏️ Desk/Workstation

Item Yes No N/A Comments/Action
Desk large enough for equipment and documents?
Desk surface non-reflective?
Document holder provided (if needed)?
Adequate space for comfortable position?

🪑 Chair

Item Yes No N/A Comments/Action
Seat height adjustable?
Seat back height and tilt adjustable?
Five-star castor base?
Footrest provided (if needed)?
Armrests allow close approach to desk?

🌍 Environment

Item Yes No N/A Comments/Action
Adequate lighting?
No distracting reflections or glare?
Comfortable temperature?
Adequate ventilation?
Noise levels acceptable?

💻 Software & Training

Item Yes No N/A Comments/Action
Software suitable for the task?
User had adequate training?

Overall Assessment

? Overall risk level based on the assessment findings. Low: minimal issues, Medium: some concerns needing action, High: serious issues requiring urgent intervention.
? Summarise the main findings from the assessment and list any actions needed to address identified risks or non-compliances.
? Name or position of the person responsible for implementing the required actions and managing remediation.
? Target completion date for implementing the identified actions. Urgent/High risk actions should be completed as soon as possible.

DSE Workstation Assessment

Display Screen Equipment Assessment Report

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