Name of the Employee Employee’s Job Title Employee’s Contact number Employee’s Email Address Employee’s Job Description (Little details of daily work activities) (Please tick as Appropriate) YES NO YES NO YES NO Characters on screen well defined and clearly formed (adequate size/ spacing) Screen image stable, no flickering / instability, contrast and brightness adjustable Screen can swivel and tilt easily and freely YES NO YES NO YES NO Separate base for screen or an adjustable table provided Keyboard with matt surface. keyboard arrangements and characteristics of the keys suitable symbols on keys are legible and contrasted Keyboard tiltable and separate from the screen YES NO YES NO YES NO N/A Space in front of the keyboard sufficient to support hands/arms Work desk has sufficiently large low reflectance surface & allows flexible arrangements Document holder stable, adjustable and positioned appropriately YES NO YES NO YES NO Adequate space for users to find comfortable position Work chair stable and allows freedom of movement Seat adjustable in height Display Screen Equipment (DSE) Risk Self Assessment Worksheet Form Date
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Display Screen Equipment (DSE) Risk Self Assessment ...… · Display Screen Equipment (DSE) Risk Self Assessment Worksheet Form Date. YES NO YES NO YES NO Seat back adjustable in
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Name of the Employee
Employee’s Job Title
Employee’s Contact number
Employee’s Email Address
Employee’s Job Description (Little details of daily work activities)
(Please tick as Appropriate)
YES NO YES NO YES NO Characters on screen well defined and clearly formed (adequate size/ spacing)
Screen image stable, no flickering / instability, contrast and brightness adjustable
Screen can swivel and tilt easily and freely
YES NO YES NO YES NO
Separate base for screen or an adjustable table provided
Keyboard with matt surface. keyboard arrangements and characteristics of the keys suitable symbols on keys are legible and contrasted
Keyboard tiltable and separate from the screen
YES NO YES NO YES NO N/A
Space in front of the keyboard sufficient to support hands/arms
Work desk has sufficiently large low reflectance surface & allows flexible arrangements
Document holder stable, adjustable and positioned appropriately
YES NO YES NO YES NO Adequate space for users to find comfortable position
Work chair stable and allows freedom of movement
Seat adjustable in height
Display Screen Equipment (DSE) Risk Self Assessment Worksheet Form
Date
YES NO YES NO YES NO
Seat back adjustable in both height and tilt
Footrest should be made available where required
Workstation provides space for user to change position and vary movements
YES NO YES NO YES NO Satisfactory lighting conditions/ contrast between screen and background/prevention of disturbing glare through correct position of light source
Sources of light at workstation managed to reduce direct glare/distracting reflection-Use adjustable covering for windows
Adequate level of humidity/no excess heat at work station
Additional Concerns
Useful posturing Links
Please follow the link below for the posturing topics, such as The art of sitting Effective back care Laptop/Keyboard helpful hints Portable communication devices Tablet using advice Workstation exercise