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Display Screen Equipment (DSE) Assessment Form Template

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The DSE workstation assessment form can be used by employers who need to comply with the Health and Safety (Display Screen Equipment) Regulations 1992. It lists risk factors in six areas, with "yes/no" tick boxes: keyboards, mouse and trackball, display screens, software, furniture, and work environment. It also lists issues to consider and provides a space to record planned action. This template is based on the Health and Safety Executive Northern Island's (HSENI) DSE Workstation Assessment Checklist.

With Mitti you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

With Mitti you can

Digitize any process, procedure or policy
Eliminate mistakes made by paper-based processes
Create and share professional reports instantly
Confirm accountability and compliance with a digital log

About author

Mitti (by SafetyCulture) is the operations system for every site, shift and standard. Trusted by 80,000 organizations in 190 countries, Mitti publishes free checklists, SOP templates, audit checklists and toolbox talk topics that turn paper processes into a digital audit trail. Download one, put it to work on your next inspection or shift, and see why teams keep coming back for more.