Lumiform
Features Solutions Resources Templates Enterprise Pricing
Select a language
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
en
Log in
Book a demo
Book a demo
Back
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
Features Solutions Resources Templates Enterprise Pricing
Free demo
Log in
en
Book a personal demoView video demoContact sales
Explore
Resource hubCentral repository for all Lumiform resourcesCustomer storiesReal-world successes and experiences with Lumiform.
Learn
Template collectionsComprehensive collections of best practice templates.Topic guidesComprehensive safety, quality, and excellence insights.LexiconDefinitions key to quality, safety, and compliance.
Support
Developer's guideTechnical documentation for developers.Help centerAssistance with onboarding and platform mastery.
Featured reads
Explore our collection of 38 free preventive maintenance checklists

Template collection

Explore our collection of 38 free preventive maintenance checklists

Start reading
Your guide to performing and documenting efficient child care observation

Topic guide

Your guide to performing and documenting efficient child care observation

Start reading
Lumiform as customer journey mapping tool in gastronomy

Success story

Lumiform as customer journey mapping tool in gastronomy

Start reading
Book a personal demoView video demoContact sales
By industry
Food and hospitalityManufacturingConstructionRetailTransport and logisticsFacility managementView all industries
By business needs
Health and safetyQualityOperational excellenceRisk management and complianceView all business needs
By use case
Safety management softwareEnergy audit appForklift inspection appBuilding management softwareVehicle inspection appQMS appKaizen method appProperty inspection appRestaurant inspection appElevator management appProject management softwareFire inspection app
View all app uses
Book a personal demoView video demoContact sales
Overview
Template libraryDiscover over 12,000 free, ready-made and expert proofed templates.
Use cases
CleaningMaintenanceRisk assessmentSupply chainIncident management
Business needs
Health and safety managementQuality managementOperational excellenceRisk management and compliance
Industries
Food and hospitalityManufacturingRetailTransport and logisticsConstructionFacility management
Book a personal demoView video demoContact sales
Overview
Product overviewAll features
Capabilities
Digitize
Form builderMobile AppActions
Automate
Workflow automationApprovalsIntegrations
Transparency and accountability
ReportsAnalytics
Orchestrate
Administration
Book a personal demoView video demoContact sales
Templates
DSE workstation assessment checklist template

DSE workstation assessment checklist template

Enhance workstation ergonomics with our DSE assessment checklist template. Identify risks, optimize comfort, and protect your team’s health.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF
DSE workstation assessment checklist template

Enhance workstation ergonomics with our DSE assessment checklist template. Identify risks, optimize comfort, and protect your team’s health.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Designed for health and safety professionals, this DSE workstation assessment checklist offers a thorough evaluation framework for display screen equipment setups. The template addresses critical ergonomic factors including workstation setup, lighting conditions, and employee wellbeing practices.

Research shows that there is an association between long sitting times and exhaustion, musculoskeletal disorder symptoms, and decreased job satisfaction. When an employee reports discomfort or after significant workstation changes, you can use this checklist to quickly identify adjustment needs, document compliance efforts, and implement targeted improvements. This helps prevent potential health issues while optimizing workplace comfort and efficiency.

Related categories

  • Health and safety management templates
  • General templates
  • Workplace safety templates
Preview of the template
Page 1
Workstation Setup
Is the chair height adjusted so the user's thighs are horizontal and feet are flat on the floor or a footrest?
Is the backrest adjusted to provide appropriate lumbar support?
Is the seat pan depth appropriate, allowing 2-4 inches between the back of the knee and the seat?
Is the desk/work surface height appropriate, allowing the user's arms to rest comfortably on the work surface with shoulders relaxed?
Is the monitor height adjusted so the top 1/3 of the screen is at or slightly below eye level?
Is the monitor distance appropriate, allowing the user to read the screen without excessive neck flexion?
Is the keyboard height and position adjusted to allow the user's arms to rest comfortably on the work surface with wrists flat?
Is the mouse positioned close to the user and at the same height as the keyboard?
Is the work area free of clutter and obstacles that could cause strain or trips?
Lighting and Glare
Is the lighting appropriate for the tasks being performed?
Are there any reflections or glare on the computer screen?
Are windows covered with blinds or curtains to control natural lighting?
General Wellbeing
Does the user take regular breaks from continuous computer work?
Does the user perform stretching or other exercises to alleviate muscle tension?
Is the work area temperature and humidity comfortable for the user?
Additional Comments
Please provide any additional comments or observations about the workstation setup and user comfort.

More templates like this

DSE risk assessment template
DSE risk assessment template
Document screen, seating, and ergonomic risks for each workstation and boost your workplace safety.
Risk assessment templates
DSE self-assessment form template
DSE self-assessment form template
Identify and address ergonomic issues with our DSE self-assessment form to create a comfortable, healthy workspace.
Workplace safety templates
DSE assessment template
DSE assessment template
Use this DSE assessment form to evaluate workstation ergonomics and identify health risks for display screen users.
Workforce management and HR templates
Workplace safety inspection checklist
Workplace safety inspection checklist
Use this checklist to identify hazards, document findings, and assign follow-ups. It’s designed to help you conduct thorough inspections across various areas.
Workplace safety templates
Ergonomic risk assessment checklist template
Ergonomic risk assessment checklist template
Use this ergonomic risk assessment checklist to identify risks in the workplace.
Workplace safety templates
Workplace safety and crisis management plan template
Workplace safety and crisis management plan template
Enhance workplace safety with the workplace safety and crisis management plan template.
Emergency preparedness templates

Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

Read in-depth guides covering key topics related to this article.

Workplace safety: Best strategies and practicesHazard communication program: A guide for workplace safetyJob safety analysis (JSA): A comprehensive guide
See all topic guides

Template collections

See comprehensive collections of best practice templates related to this topic.

Top 6 free DSE assessment templates5 hazard identification forms for workplace safety3 free OSHA 300 form templates for informed workplace safety
See all template collections

Use cases

Check out how the Lumiform software can be utilized for related use cases.

Workplace safety softwareSafety management softwareJob safety analysis softwareHealth and safety management system software
See all use cases

Other resources

Explore all the additional resources we offer to assist you in mastering this topic.

10 reasons why workplace safety is important4 steps of a job safety analysis (JSA)How to write a workplace safety policyHow to perform safety inspections

Frequently asked questions

Why is proper chair adjustment so important in a DSE assessment?

Proper chair adjustment is crucial because it forms the foundation of good posture and ergonomics. When your chair is correctly adjusted for height, back support, and seat depth, it helps maintain proper spinal alignment, reduces pressure on your lower back, and prevents strain on your legs. This significantly decreases the risk of developing musculoskeletal problems.

How can you address glare issues identified in your DSE assessment?

You can address glare by repositioning your monitor perpendicular to windows, installing adjustable blinds or curtains, using anti-glare screen filters, or adjusting lighting fixtures. Sometimes simply changing the screen’s brightness and contrast settings or repositioning task lighting can significantly reduce glare and reflections that cause eye strain and headaches.

What should you do if employees report discomfort despite passing the DSE assessment?

You should conduct a more detailed ergonomic evaluation, possibly involving an occupational health professional. Consider factors beyond the checklist such as work habits, break patterns, or individual physical conditions. Sometimes personalized adjustments or specialized equipment may be necessary to address unique needs that standard assessments might miss.

What should you prioritize when addressing multiple issues found in a DSE assessment?

You should prioritize issues that cause immediate discomfort or pain, followed by fundamental postural elements like chair and monitor positioning. Next, address keyboard and mouse setup, then lighting and glare issues. This approach tackles the most impactful and potentially harmful ergonomic problems first while creating a foundation for further improvements.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
Lumiform logo
Platform
HomeProductAll featuresPricingEnterpriseTrust and securityCustomer success offeringsDownload the appDemo videos
Solutions
IndustriesFood and hospitalityManufacturingConstructionRetailTransport and logisticsFacility management
Business needsHealth and safetyQualityOperational excellenceRisk management and compliance
Uses cases
Learn
Template collectionsTopic guidesLexiconHelp centerJournalInfographicsVideos
Resources
Lumiform templatesby industryby use caseby business needAll categories
Customer storiesDeveloper APIResource hubIntegrations
Company
AboutJobsLegalBook a demoContact sales
© 2025 LumiformTerms and conditionsPrivacyData processingSitemap
App StoreGoogle play