KD-HR-DS-006
Display Screen Equipment Workstation Assessment
A workstation assessment for display screen equipment users in the office, the site cabin or at home: screen, keyboard and mouse, desk and chair, environment, software and breaks, eye and eyesight tests, training and reported discomfort, each with its action, then the action plan and the next assessment date.
2 pages · 88 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.
Page 1 of 2 — click to enlarge
Read all 2 pages first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
- Health and Safety (Display Screen Equipment) Regulations 1992 regs 1 to 7 and Schedule
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.
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