Pre-Assessment DSE User Questionnaire Assessing risks for computer users
Pre-Assessment Display Screen Equipment (DSE)
User Questionnaire
Please complete this questionnaire and ensure that it is available for your assessment.
Name:
Organisation:
Department:
Workstation number:
General work pattern
Estimate the time spent in the office using computer each day hours
Do you use a laptop for work purposes? Yes No
Do you use other workstations in the workplace? Yes No
Do you work from home on a computer? Yes No
Do you use a computer at home for personal use? Yes No
DSE training
/Yes
/N/A
/No
1. Have you received information and training in the safe set-up and use of your workstation?
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/
Seated posture & support
/Yes
/N/A
/No
2. Do you know how and why to adjust the back-rest height and tilt angle?
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/
3. Do you know how and why to adjust the seat height?
//
/
Input devices
/Yes
/N/A
/No
4. Can you position your keyboard directly in front of you and with space to support the hands and arms when not typing?
//
/
5. Is the keyboard sufficiently clean?
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/
6. Do you have sufficient space to position and use your mouse without stretching?
//
/
Screen, reflections & glare
/Yes
/N/A
/No
7. Can you position the monitor at a comfortable viewing distance (approximately arm’s distance)?
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/
8. When seated at a comfortable keying height is the top of the monitor casing approximately at eye level?
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/
9. Is the screen free from glare and/or reflections that make the text difficult to read?
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10. Is the information on the screen easy to read, i.e. text large enough, in focus and flicker-free?
//
/
Local environment
/Yes
/N/A
/No
11. Does the general office lighting enable you to view the screen, keyboard and your paperwork clearly?
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/
12. Have adequate window blinds been provided where required?
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13. Is the office environment adequate to prevent discomfort from excess heat, cold and draughts?
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/
14. Is the office environment adequate to avoid discomfort from dry eyes?
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Desk and drawers
/Yes
/N/A
/No
15. Is there adequate legroom clearance under the desktop?
//
/
16. Is there adequate space on the desktop?
//
/
Document position
/Yes
/N/A
/No
17. If you frequently use documents whilst working on your computer do you place them in either a document holder or between keyboard and screen?
//
/
Equipment position & work area
/Yes
/N/A
/No
18. Are frequently used items of equipment within easy reach on the desk without excess reaching, stretching or twisting?
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/
19. Is the area around your desk free from obstructions, trip hazards, etc?
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/
Work organisation
/Yes
/N/A
/No
20. Do you get off your chair at least once an hour?
//
/
Vision
/Yes
/N/A
/No
21. Are you aware of the organisation’s DSE eye test guidance?
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/
22. Have you had an eye test within the last 2 years?
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/
Software
/Yes
/N/A
/No
23. Is the software provided suitable for the job you do?
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/
24. Do you know how to use your computer and software sufficiently well to do your job?
//
/
Other issues
/Yes
/N/A
/No
25. Has this questionnaire covered all of the health and safety issues you wish to raise concerning the use of your workstation or workplace?
//
/
If the answer to Q25 is “No” please write any extra comments below:
Signature: ______Date: ______
University of Leicester v4 Jan 15 Page 2 of 3