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DSE Assessment Form 2026

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The DSE Assessment Form is a checklist designed for users to evaluate their workstation ergonomics and health risks. It requires users to assess various factors such as physical discomfort, screen clarity, furniture suitability, input device comfort, and overall working environment safety. Users must complete this self-assessment upon starting or altering their workstation and every two years thereafter. If health issues arise that cannot be resolved by line managers, users are advised to contact the Corporate HSW Team or Occupational Health for further assistance.

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Click ‘Get Form’ to open the DSE Assessment Form in the editor.
Begin by filling in your User Details, including your name, department, date, location of your workstation, and the reason for assessment. This section helps identify who is completing the form and why it is necessary.
Proceed to the Assessment Checklist. For each risk factor listed, tick 'Yes' or 'No' based on your experience. Use the help notes provided to guide your responses.
If any concerns arise from your answers, detail the required actions in the box at the end of this section. Setting a review date is also recommended if necessary.
Finally, complete the Remedial Action Plan by noting any concerns and required actions. Ensure both you and your line manager sign off on this section for accountability.

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Versions	Form popularity	Fillable & printable
2021	4.5 Satisfied (25 Votes)

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DSE Assessment Form 2026

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