Display Screen Equipment (DSE) Policy

Workstation Guidance & Self-Assessment Form

Workstation Guidance

Please read the following recommendations, which should be considered prior to completing your self-assessment form below.

Chair

Monitor

Keyboard and Mouse

Phone

Paperwork

Environment

Breaks & Eyes

Mobile Device (not including laptops)

Workstation Self-Assessment Form

Please read the workstation guidance above and incorporate any recommended changes before completing this form. Answer the following questions about your workstation to help us analyse your working environment, giving further detail where questions are answered "yes".

Note: This form is fillable in your browser so you can complete it on screen and then Save as PDF or print it. It does not save or submit anywhere — send the completed PDF to the Operations Manager / HR lead.
Chair
QuestionYesNoDetail
Is your chair comfortable?
Have you familiarised yourself with and made adjustments to the chair mechanisms?
Are your feet flat on the floor without too much pressure on the back of your thighs?
Does the chair support the lower back?
Are your forearms horizontal to the desk when in a typing position?
Keyboard — type:
QuestionYesNoDetail
Is the keyboard comfortable to use?
Is the keyboard separate from the screen?
Is your keyboard positioned close to the edge of your desk (about 10cms/4 inches)?
Are the characters clear and readable?
Are you aware of and do you use keyboard shortcuts? (applicable to your equipment)
Mouse
QuestionYesNoDetail
Do you use the mouse function on your laptop or a separate mouse?
Is the device suitable for the tasks it is used for?
Is the mouse positioned close to you?
Do you know how to manually adjust the speed and accuracy settings to suit you?
What side is the mouse on?
Is the mouse comfortable to use and does it work smoothly?
Do you use your wrist or shoulder to move the mouse?
Display Screen
QuestionYesNoDetail
Is your screen positioned in the curved or widest section of your desk?
How many screens do you use?
Are your eyes level with the top part (toolbar) of the screen?
Is your screen one arm's-length away from you?
Does the screen tilt or swivel?
Are the characters clear, readable and is the text comfortable to read?
Is the image free of flicker and movement?
Do you know how to adjust the brightness and/or contrast?
Is the screen free from glare and reflections?
Are adjustable window coverings provided and in adequate condition?
Other Equipment
QuestionYesNoDetail
Is your desktop telephone within easy reach?
What side is the desktop telephone on?
Do you ever hold the phone between your ear/shoulder, not using your hands?
Do you have and use a headset?
Do you have to do significant amounts of copy typing?
Do you often place paper in front of your keyboard and lean over the paper to type?
Environment
QuestionYesNoDetail
Is there enough room to change position and vary movement?
Is your work surface and under your desk free of clutter?
Is the work surface large enough for the necessary equipment as well as adequate working space?
Do the levels of light, heat, noise and air feel comfortable?
Other
QuestionYesNoDetail
Do you have any discomfort or other symptoms, which you attribute to your workstation?
Do you have any medical problem that WealthVector should be aware of that is affecting you while at your workstation?If yes, please mark this yes, but do not give detail. Instead discuss this with the HR lead.
Do you take regular breaks from your workstation?

I confirm that I have read the workstation information guidelines and recommended adjustments have been made prior to completing my self-assessment form.

I understand WealthVector may, after consideration of my completed assessment form, make recommendations to improve my posture and/or working environment. It is my responsibility, however, to decide whether to implement such recommendations, and if necessary, seek medical advice.

I agree that, if deemed appropriate, relevant details may be discussed with my Line Manager and/or a qualified health professional as appropriate.

— see attached