DSE Self Assessment Form 

Form template for completing assessment of Display Screen Equipment 

Ensure compliance with Display Screen Equipment (DSE) Regulations and protect employee wellbeing with this comprehensive DSE Assessment Form and Guidance Document.

This professionally designed template allows employees to assess their own workstation setup, helping employers identify and minimise health and safety risks associated with screen-based work.

What’s Included:

• Employee DSE Self-Assessment Form
• Built-in drop-down Yes/No response boxes for easy completion
• Section for additional equipment requests or workstation adjustments
• Area to record actions taken following assessment
• Detailed DSE Guidance Document covering best practice workstation setup
• Includes GG-7-17 Safe Use of DSE

Covers Key Workstation Safety Areas

• Monitor positioning and screen height
• Correct chair setup and sitting posture
• Keyboard and mouse positioning
• Desk layout and workspace ergonomics
• Lighting and glare considerations
• Reducing musculoskeletal strain and eye fatigue

The accompanying guidance explains best practice ergonomic principles, safe sitting positions, proper mouse usage, and how to set up a compliant workstation environment.

Ideal For:

• HR departments
• Health & Safety managers
• Office-based businesses
• Remote and hybrid working environments
• Employers requiring documented DSE compliance procedures

This document can be used as part of your health and safety management system, workstation risk assessment process, or internal compliance audit documentation.

• Supports compliance with DSE Regulations
• Demonstrates proactive health & safety management
• Standardises workstation assessments across your organisation
• Helps reduce workplace injury risks
• Easy-to-use, professional format ready for immediate implementation