HSF06 - DSE Assessment Checklist DSE Assessment Checklist DSE Ident: Is operator classed as a ‘user’ (ref: HSP04 section 4): Y/N Display Screen 1. Are charaters defined, clear, of adequate size and spacing? 2. Is brightness and contrast is adjustable? 3. Is screen image stable and flicker free? 4. Is screen capable of being tilted and swivelled? 5. Is screen free of reflective glare? Confirm user been instructed on how to adjust display screen (signature): ………………. Workstation 1. Is keyboard tilt-able and separate from screen? 2. Is there sufficient space in front of keyboard to support wrists? 3. Is worktop sufficiently large to allow flexible workstation arrangement? 4. Is there adequate storage provided for work materials / equipment? 5. Is the seating and desk stable and does it allow freedom of movement? 6. Is user able to rest both feet on the floor with horizontal forearms (after seat adjustment)? 7. Is the chair adjustable in height and back of seat adjustable in height and tilt? (Note: does not require separate adjustments, provided comfortable posture is achieved) Environment 1. Based on type of work, is a document holder required? 2. If a document holder is used, is it at same height and distance from screen? 3. Adequate clearance for thighs, knees, lower legs and feet under the work surface? 4. Does work surface and furniture component clearance allow for postural change? 5. Is there adequate and satisfactory glare-free lighting conditions at the workstation? 6. Has screen been positioned to avoid glare and distracting reflections? 7. Are any windows causing reflections fitted with adjustable curtains or blinds? 8. Is noise from any equipment at or near workstations at a reasonable level? 9. Is ventilation and humidity maintained at a level which prevents discomfort? Assessment Conclusion 1. DSE worksation found to generally meet above requirements at time of assessment. 2. DSE worksation adjusted during assessment to meet above applicable requiriements. 3. Furher action required as follows: tick i) ii) iii) iv) Footrests to be provided. Document holder to be provided. Anti-glare screen to be provided. Eye test requested. Agreed by HR: ……………… Date: ………… Assessment carried out by: ……………………………………. Date: ……………………… HSF06 DSE Assessment Checklist Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N Y/N