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DSE Assessment

This is an interactive PDF. It is recommended you view this PDF using Adobe Reader on desktop for
full compatibility. If you identify any areas that may require new equipment, save a copy of this
assessment and share it with your line manager to discuss the options.

Please enter your name here:

Is there enough space on your desk for Yes No


all your equipment?

Do you have room under and around Yes No


your desk to move your legs and
stretch your muscles?

Is your desk clear and clean? Yes No

Is the desk directly in front of you? Yes No

Do you have a keyboard? Yes No

Is there adequate room between your Yes No


keyboard and the edge of your desk to
rest your wrists when typing?

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DSE Assessment

Are you able to tilt your keyboard? Yes No

Do you have a mouse? Yes No

Is your mouse beside your keyboard Yes No


when you use it?

Do you have a height adjustable Yes No


chair that is comfortable and
supports your back?

Can you rest both feet flat on the Yes No


floor?

Do you have a monitor at your Yes No


workstation?

Are your eyes roughly at the same Yes No


height as the top of the screen?

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DSE Assessment

If you have dual screens, are they Yes No


slightly adjusted so they angle towards
you?

Do you take regular breaks from your Yes No


workstation?

Do you experience discomfort in your Yes No


hand, wrist or elbow when using your
mouse?

Thank you for filling in this interactive PDF.

Select the save icon within the PDF viewer in your


browser to save the document (it may resemble one of
the icons on the left). Then send the document to your
line manager.

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