DISPLAY SCREEN EQUIPMENT (DSE) SELF-ASSESSMENT

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YOUR NAME*
MANAGER'S NAME*
OFFICE ADDRESS*
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IN HOURS

INTRODUCTION AND INSTRUCTION


All staff are required to carry out a self-assessment of their workstation(s) by completing the form below.

For any negative response, corrective actions taken or required should be recorded in the ‘Comments’ column. Please also refer to Appendix 1 ‘Workstation minimum requirements’ (Display Screen Equipment Policy) for guidance on possible solutions.

A copy of the completed form should be sent to your manager who is responsible for ensuring that minimum workstation requirements are met. Health and Safety can be contacted for advice and support regarding suitable equipment or undertake a more formal assessment for example in cases where health issues are identified. Guidance on suitable equipment can be obtained from the Health and Safety Team.

If there are health or disability issues, the manager should seek support from Health and Safety in the first instance.

RISK FACTOR

(1) Chair: CLICK HERE to find out how to adjust the chair

(1.1) Is the chair height adjusted so that the knees are slightly lower than the hips or roughly at right angle?*
(1.2) Is the chair back height and tilt adjusted to support the spine?*
(1.3) Are your feet flat on the floor?*
(1.4) Is the seat depth adequate to avoid pressure on the back of the thighs and knees when seated?*
(1.5) If your chair has arms, does it prevent you from getting close to the desk?*
(1.6) Is your back supported when working on the computer?*
(1.7) Can the chair swivel?*
RISK FACTOR

(2) Work Surface

(2.1) Is the work surface at a suitable height to prevent awkward postures, e.g. sitting too low, un-relaxed shoulders and arms?*
(2.2) Are frequently used items positioned close by?*
(2.3) Is there sufficient space to accommodate needed accessories?*
(2.4) Is the desk largely ‘clutter free’?*
(2.5) Is there adequate space under the desk to enable you to stretch your legs and change position regularly?*
RISK FACTOR

(3) Screen/Monitor

(3.1) Is the screen adjustable?*
(3.2) Is the monitor position at the correct height and distance?*
(3.3) Does the screen swivel and tilt?*
(3.4) Are the brightness and contrast adequate?*
(3.5) Are the onscreen characters readable and images stable?*
RISK FACTOR

(4) Keyboard

(4.1) Is the keyboard directly in front of you, aligned with the monitor (to prevent awkward posture/twisting)?*
(4.2) Is there at least a 10cm space in front of the keyboard to rest hands in between keying in?*
(4.3) Are the keys non-sticky (prevent forceful keying in)?*
(4.4) Is the keyboard tiltable?*
(4.5) Are the characters on the keys easily readable?*
RISK FACTOR

(5) Mouse

(5.1) Is the mouse positioned close to you?*
(5.2) Are you able to use the mouse with your wrists flat and fingers in a neutral position (without excessive gripping action)?*
(5.3) Does the mouse work smoothly?*
(5.4) Is the hand left on the mouse when the mouse is not being used?*
(5.5) Is there a mouse mat?*
(5.6) Do you periodically clean the mouse?*
RISK FACTOR

(6) Environment

(6.1) Is there sufficient surrounding room to manoeuvre in and out of the chair?*
(6.2) Is there glare and reflection from light sources affecting on-screen viewing?*
(6.3) Is there adequate lighting?*
(6.4) Is the office temperature reasonable (between 16 and 30 degrees?*
(6.5) Is there adequate ventilation?*
(6.6) Are you affected by excessive noise, causing disruption to concentration?*
(6.7) Is the flooring supportive of the chair e.g. lockable castors for chairs operating on non-carpeted floor surface?*
RISK FACTOR

(7) Laptop

(7.1) Do you use a laptop continually for two or more hours daily?*
RISK FACTOR

(8) Work Organisation

(8.1) Do you work at the computer for prolonged periods of time without taking a break in activity or from the screen?*
(8.2) Do you frequently need to cradle the receiver on your shoulder because you have to use the telephone whilst keying in or using the mouse?*
(8.3) Do you regularly undertake copy typing/data entry?*
RISK FACTOR

(9) Health

(9.1) Do you experience any headaches or blurred vision, watery or tired eyes whilst working at the computer?*
(9.2) Do you require glasses to view the DSE?*
(9.3) Have you had an eye test within the last two years?*
(9.4) Do you wear varifocals or bifocals? These require the monitor to be flat on the desk to prevent excessive head and neck movement.*
(9.5) Do you have any existing Musculo-skeletal disorders? If yes, please explain in column three.*
(9.6) Is there a recognised disability, e.g. partially sighted, long term conditions?*
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