Display Screen Equipment (DSE) Assessment for Flexible Workers

DSE workstation assessments are a requirement of the Health & Safety (Display Screen Equipment) Regulations 1992, amended 2002.

For employees working flexibly at several DSE workstations it is not practicable to complete a DSE Workstation Assessment Checklist for every workstation. This DSE Assessment for Flexible Workers form is to help a manager assess if the employee can satisfactorily adjust the workstations used to ensure good working posture and avoid aches and pains. This form is to be completed by the employee, reviewed by the manager and action taken to resolve any problems highlighted. Any action taken should be noted on the form and monitored in subsequent 1:1 supervision sessions. If problems are not resolved by the action taken, managers may need to request help and advice from Occupational Safety or the Employee Health and Wellbeing Team.

Note - If the Flexible Worker has a regularly used workstation a DSE Workstation Assessment Checklist should be completed for this workstation. If the Flexible Worker works at home as part of the flexible working arrangements, a DSE Workstation Assessment Checklist must be completed for that particular workstation.

Workstations must meet minimum standards, as outlined in Display Screen Equipment H&S Guidance for Managers, appendix 1. The manager in charge of a Non Territorial Work Space/ Hot desks etc. is responsible for ensuring all workstations comply.

Please complete all the relevant questions

Summary Information
Employee Name
Job Title
Name of Manager
Department
Service or Team
Type of work undertaken
Workplaces used
Date of assessment

Part 1	Yes	No
Is working in your home part of your flexible working arrangements? If Yes, Ensure a DSE Workstation Assessment Checklist been completed for the home workstation Date completed and reviewed by Manager……
Do you use a Laptop, or other portable DSE equipment as part of your flexible working arrangements? If Yes, ensure you read Using Portable Computing Devices: H&S Advice for Staff
Have you been trained in the Health and Safety aspects of working with DSE?
Are you confident that you can adjust each workstation so you can use it correctly?
Have you been trained in the use of the software that you frequently use?
Does the Software cause you any problems? If yes, please give details
Are you aware of the procedures to follow if you experience any problems working with the DSE (e.g. health, equipment, software etc).
Do you know about the arrangements for eye tests?
Are you normally free from aches and pains? If ‘No’ please briefly explain
Do you experience any physical or visual discomfort whilst working with the DSE? If ‘Yes’ please give details.
Does the work activity allow breaks away from the DSE? (No one should work continuously on a keyboard/mouse for more than an hour (computer) or 30 mins (lap top) without a break, task break or change of activity).
Do you feel the breaks are adequate to avoid discomfort? If ‘NO’ please explain how the situation could be improved.
REMINDER The workstations you work at should have the following: DSE chair with adjustable seat height and backrest height & tilt; suitable seat size. If a chair has arms they should not stop you from getting close enough to use the equipment comfortably. A work surface at a suitable height, large enough for all equipment, papers etc. and suitable for the work tasks. Screen - suitable size, adjustable height (or on adjustable stand), free from flicker, reflections & glare. Keyboard - separate from screen; readable characters keys. Mouse or pointer device– suitable style, works smoothly and suitable for work tasks. If applicable additional personal equipment to enable you to adopt a good working posture and prevent musculoskeletal problems e.g. footrest; document holder; telephone headset; wrist rest; laptop stand.
Yes	No
Consider all the workstations you use, are there any workstations where: The furniture and/or equipment allows you to adopt a good working posture? If ‘No’ please give details of the problems and identify the workstations The working environment causes problems? (e.g. lighting, temperature, noise) If ‘Yes’ please give details of the problems and identify the workstations
Do you experience any problems whilst using the laptop, or other portable computing device? If ‘Yes’ please give details
Are there any other Health and Safety issues relating to the workstations you use, the work tasks, or the flexible working arrangements not identified or stated above?
I understand the importance of this assessment, and realise the need to report any issues, physical symptoms of pain or discomfort, arising during the course of my work, to my manager as soon as they occur.
Signed: …… ………………………… Date: … ………
Part 2 - To be completed by manager Action required to resolve problems highlighted above
Resolved
Issue Identified	Proposed Action Required	Manager responsible Completion date	Yes	No
If problems cannot be resolved by the action taken, managers should request assistance from the Occupational Safety Team or the Employee Health & Wellbeing Unit. Manager … ….. Date… …
Assessment Review Workstation Assessments should be reviewed annually or sooner if there is a significant change (e.g. change of workplace, new software; new work routines etc). The existing checklist can be reviewed and dated by completing the boxes below.
Review Date	Comments and or actions taken	Manager Signature