2. Work Chair a) Is the chair provided for your use: Comments (if any) stable? (preferably a five star castor Yes No base) comfortable? Yes No b) Can the following be adjusted sufficiently for your needs: seat height? Yes No seat back height? Yes No seat back angle/tilt? Yes No Do you know how to make the above Yes No adjustments? 2 a & b) Guidance Adjust the chair back so that the upper Sitting with the chair too low and too far from body is supported the desk encourages a slouched posture with no support from the chair back Move the chair close to the desk and sit back on the seat The head is tilted forward. Shoulders may be hunched Raise the chair seat so that, with the upper Feet are hooked around the chair base arms vertical, the elbows are level with or restricting blood circulation in the legs just above the desk c) When sitting in your normal position can Yes No your feet be placed flat on the floor? d) Do you require a foot rest? Yes No 2d) Guidance With your chair correctly adjusted your feet should rest flat on the floor. If this is not the case you may require a foot rest. It is advised that when using DSE equipment for long periods of time, that flat shoes are worn, alternatively remove your shoes. e) When you sit on your chair at your desk, are the backs of your thighs and knees free of Yes No excess pressure? 2e) Guidance Adjustment to the chair may be required and/or provision of a footrest. If you are experiencing any pain/discomfort report this to your manager or your display screen assessor. An appointment should be made with the University’s Occupational Health Service. 3. Display Screen General Guidance Display Screen Equipment (DSE) can be defined as any conventional, screen and liquid crystal display (LCD), flat panel monitor etc a) Does the Display Screen have a stable Yes No image with no flickering?
2. Work Chair a) Is the chair provided for your use: Comments (if any) stable? (preferably a five star castor base) Yes No comfortable? Yes No b) Can the following be adjusted sufficiently for your needs: seat height? Yes No seat back height? Yes No seat back angle/tilt? Yes No Do you know how to make the above adjustments? Yes No 2 a & b) Guidance Sitting with the chair too low and too far from the desk encourages a slouched posture with no support from the chair back The head is tilted forward. Shoulders may be hunched Feet are hooked around the chair base restricting blood circulation in the legs Adjust the chair back so that the upper body is supported Move the chair close to the desk and sit back on the seat Raise the chair seat so that, with the upper arms vertical, the elbows are level with or just above the desk c) When sitting in your normal position can your feet be placed flat on the floor? Yes No d) Do you require a foot rest? Yes No 2d) Guidance With your chair correctly adjusted your feet should rest flat on the floor. If this is not the case you may require a foot rest. It is advised that when using DSE equipment for long periods of time, that flat shoes are worn, alternatively remove your shoes. e) When you sit on your chair at your desk, are the backs of your thighs and knees free of excess pressure? Yes No 2e) Guidance Adjustment to the chair may be required and/or provision of a footrest. If you are experiencing any pain/discomfort report this to your manager or your display screen assessor. An appointment should be made with the University’s Occupational Health Service. 3. Display Screen General Guidance Display Screen Equipment (DSE) can be defined as any conventional, screen and liquid crystal display (LCD), flat panel monitor etc a) Does the Display Screen have a stable image with no flickering? Yes No
DSE-SelfAssessmentForm-v2-1.doc.docx