DSE Self Assessment Form 2019
DSE Self Assessment Form 2019
DSE Self Assessment Form 2019
SELF-ASSESSMENT FORM
The purpose of this form is to allow a Display Screen Equipment (DSE) user to carry out a self-assessment of their
computer workstation. The University provides on-line DSE training and information specifically for DSE users to
support them in completing this self-assessment form.
The form describes the various elements of the DSE assessment; consider each element as it applies to your
computer workstation. Answer each of the questions posed and include any comments you may have regarding
your DSE workstation.
2) Computer Screen
a. Can you adjust the height of the screen such that the top of
the screen is at eye level (screen platform may be
required)
b. Is the screen free from glare and is the image stable
c. Can you adjust the brightness and contrast on the
computer screen
3) Keyboard
a. Can you achieve a comfortable keying position (ref
diagram 2) with the keyboard positioned in front of the
computer screen
5) Other Equipment
a. Is your desk suitable for the purpose
b. Do you have sufficient space on your desk to position
your workstation equipment within easy reach
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Equipment Yes / Comments
No
6) Working Environment
a. Are the lighting levels sufficient at the workstation
b. Is temperature and humidity controlled at a comfortable
level
c. Is background noise controlled at a suitable level to allow
for concentration
d. Is the area around the workstation sufficiently clear to
allow easy access and is it free from trailing leads and
other such trip hazards
7) Working Practices
e. Are you able to take short breaks away from computing
tasks and or adjust your posture to reduce build-up of
fatigue
Please pass this completed assessment form to your DSE assessor or Health & Safety Adviser
This section is to be completed by a DSE Assessor and/or Health and Safety Advisor
Comments / Actions: Describe any actions that need to be taken following this initial assessment
Name:
Signature: Date
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August 2017
DISPLAY SCREEN EQUIPMENT (DSE)
SELF-ASSESSMENT FORM
Maintain a gap between the wrist and the desktop and use
a mouse mat.
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August 2017