DSE self-assessment form

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Display Screen Equipment (DSE) Self-Assessment

Do you have any health problems that could be made worse by using a computer?

Do you experience any discomfort or pain when using the computer?

How would you rate the overall comfort of your workstation?

Is the screen positioned at a comfortable viewing distance and height?

Is the screen free from glare and reflection?

Is the screen image stable and free from flicker?

Is the text on the screen clear and readable?

Is the keyboard comfortable to use?

Is the mouse comfortable to use?

Is the work surface large enough for all the equipment?

Is the work surface at a comfortable height?

Is the chair comfortable and adjustable?

Is the seat height adjustable?

Is the backrest adjustable?

Is the footrest provided if required?

Is the lighting suitable, without glare or reflection?

Is the temperature comfortable?

Is the ventilation adequate?

Do you take regular breaks from DSE work?

Have you been provided with information and training on safe DSE use?

Have you been offered an eye test in relation to DSE use?

Additional Comments

DSE self-assessment form

If Olga, one of your top performers, struggles with back pain and eye strain, she may not be alone. Many of your team members could be facing similar issues. HR professionals employ the DSE self-assessment form to evaluate such situations. Unlike other assessments, this form empowers employees like Olga to evaluate their workstations, identify potential ergonomic problems, and make necessary adjustments. By promoting self-assessment, you create a proactive culture of health and comfort.

Encouraging employee feedback culture with the DSE self-assessment form

If work chairs fidgeting and staff squinting is a familiar sight in your office, then pay closer attention. No matter how prepared and devoted a workforce is, the slightest discomfort can dampen morale. An effective DSE self-assessment form prevents workstation woes from holding your team hostage! You may be blaming the wrong issues for poor productivity.

When every employee is empowered with the DSE self-assessment form, they are given a voice for feedback.

Your workplace begins to encourage a healthy feedback culture that translates into productivity. The self-assessment form is easy to use, guiding your employees in identifying ergonomic obstacles like monitor glare, back-breaking chairs, and awkward keyboard angles. By slaying these comfort killers, you’ll see a domino effect of happy employees, reduced aches and pains, and a productivity surge that’ll leave your competition in the dust!

Learn how to use it to unlock a healthier, happier, and more productive team!

Features of a good DSE self-assessment form for staff feedback

Effective DSE self-assessment forms usually include major elements designed to provide a thorough evaluation of workstation ergonomics:

Display Screen Usage Check: Assess screen clarity, optimal text size, and image stability to reduce eye strain and enhance visual comfort.

Keyboard Ergonomics Check: Evaluate keyboard positioning and tilt to ensure a comfortable typing posture, preventing wrist strain and enhancing typing efficiency.

Mouse and Pointing Device Assessment: Ensure proper positioning and support for wrist and forearm to improve precision and reduce repetitive strain injuries.

Furniture and Seating Review: Adjust work surface size and chair settings to support proper posture, preventing back pain and enhancing overall comfort.

Work Environment Evaluation: Optimize lighting, air quality, temperature, and noise levels to create a comfortable and productive work atmosphere.

Each component is designed to ensure that all ergonomic factors are considered, helping employees create a safer and more comfortable workspace.

Bonus: Make it Yours! Customize the form with additional fields and modify sections to perfectly fit your project’s specific needs.

Work Automation Features: Assign tasks, complete with automatic reminders, to keep your team accountable and focused on success.

Get Started with Lumiform’s DSE Self-Assessment Form

Empower your employees to take control of their ergonomic safety by downloading our free DSE self-assessment form today. This easy-to-use tool helps your team evaluate and improve their workstation setups, ensuring a comfortable and productive work environment.

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DSE self-assessment form

DSE self-assessment form

Encouraging employee feedback culture with the DSE self-assessment form

Features of a good DSE self-assessment form for staff feedback

Get Started with Lumiform’s DSE Self-Assessment Form

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