Dse eye test form 2026

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The document outlines a DSE (Display Screen Equipment) Workstation Risk Assessment process for employees at Sandwell Home & Hospital Tuition Service. It includes a checklist for evaluating various aspects of the workstation, such as display quality, keyboard and mouse usability, furniture ergonomics, environmental conditions, and eyesight considerations. Employees are required to complete the assessment and submit it to their Line Manager for review. Additionally, there is a section for eye examinations related to DSE use, detailing the process for obtaining corrective spectacles if necessary.

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Click ‘Get Form’ to open the DSE Eye Test Form in the editor.
Begin by filling in your personal details at the top of the form, including your name, payroll number, post, and location. This information is essential for identification.
Proceed to Part A and ensure you complete all fields accurately. This section is crucial as it provides context for your eye examination.
In Part B, if applicable, have your optometrist fill out the required information regarding your eyesight test and any spectacles needed specifically for DSE use.
Once completed, review all sections for accuracy. Ensure that both you and your line manager sign where indicated to validate the assessment.
Finally, save or export the completed form directly from our platform for easy sharing and record-keeping.

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