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Risk Assessment Form for Individual Computer …

40 Guidance on the prevention and management of musculoskeletal disorders(MSDs) in the workplaceAppendix 6: Display Screen Equipment (DSE) Risk Assessment Worksheet (Blank)Name of the Employee DateEmployee Job Description (Key Work Tasks)Name of the AssessorNoRisk Assessment Form for Individual Computer Work StationAssessment (Tick as Appropriate ) and clearly formed (adequate size/spacing)YesNoSeparate base for screen or an adjustable table providedYesNoSpace in front of the keyboard YesNoScreen can swivel and tilt easily and freelyYesNoKeyboard tiltable and separate from the screenYesNoDocument holder stable, adjustable and positioned appropriatelyYesNoinstability, contrast and brightness adjustableYesNoKeyboard with matt surface.

40 Guidance on the prevention and management of musculoskeletal disorders (MSDs) in the workplace Appendix 6: Display Screen Equipment (DSE) Risk Assessment Worksheet (Blank)

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