Display Screen Equipment (DSE) Checklist

Name of DSE User:

Date:

Department:

Location:

1.1 Are characters on the screen easy to read?YES/NO
1.2 Are screen images stable and free from flicker and drift?YES/NO
1.3 Can you easily adjust the screen brightness and contrast? YES/NO
1.4 Is the screen at a comfortable height and position for you?YES/NO
2.1 Is the keyboard at a comfortable height and position for you? YES/NO
2.2 Can you rest your hands in front of the Keyboard? YES/NO
2.3 Can you easily reach and press the keys? YES/NO
2.4 Can you easily see the symbols on the keys? YES/NO
YES/NO
3.1 Is the desk surface large enough for the equipment, documents, telephone etc.? YES/NO
3.2 If you require one, do you have an adjustable document holder? YES/NO
3.3 Is the work surface at a suitable height? YES/NO
3.4 Is there enough room to sit comfortably at the keyboard? YES/NO
4.1 Is the chair comfortable to use and stable? YES/NO
4.2 Is it set at a comfortable height? YES/NO
4.3 Does the backrest on the chair give adequate support? YES/NO
4.4 Can you put both feet flat on the floor while sitting, or is a footrest provided? YES/NO
4.5 If your chair has armrests, can you move without them getting in the way? YES/NO
5.1 Is there enough space to easily move to and from your workstation? YES/NO
5.2 Is there enough space at your workstation? YES/NO
5.3 Is there enough space between workstations? YES/NO
6.1 Is the lighting at your workstation: Too Bright / About Right / Too Dark
6.2 Are you distracted by reflections on the screen? YES/NO
7.1 Are you distracted by noise from other equipment? Rarely / Occasionally / Constantly
8.1 Is the humidity at your workstation: Too Dry / Comfortable / Too Humid
8.2 Is the room temperature: Too Hot / Comfortable / Too Cold
9.1 Do you understand how to use the software? YES/NO
10.1 Has your instruction and training covered: layout and use of your workstation / the software / Health and Safety risks and how to avoid them?YES/NO
10.2 Do you understand the arrangements for eye and eyesight tests?YES/NO

Completion of this checklist will help with the risk assessment of your workstation to ensure your comfort, health, and safety at work. Please circle the answer which in your opinion best descriptions above. When completed return this form to:

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