Safety Checklist Form Template

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Display Screen Equipment Workstation Safety Checklist

Use our Checklist creator tool to create customised workplace safety documents. Learn more about Display Screen Equipment Workstation Safety Checklist Template below

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Safety Checklist Creator

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Create a Safety Checklist in 4 Easy Steps: Complete the checklist details below, add or edit the questions, add your logo and sign-off, then export a professional, print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

Checklist Details

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Checklist Questions

Every question is included by default. Untick any you want to leave out, or delete the ones you don't need.

Click Add Question to add your own custom checks. Click a row to edit its wording, and drag to reorder.

The Yes / No / N/A tick-boxes and comments space are added automatically on the exported PDF or Word document.

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Print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

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An editable Word (.doc) version with Yes / No / N/A tick-boxes and a comments space.

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A spreadsheet version for digital tracking and filtering.

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Risk Assessment Description:

This Display Screen Equipment (DSE) Workstation Safety Checklist helps employees and managers verify that workstations meet the requirements of the Health and Safety (Display Screen Equipment) Regulations 1992 and the HSE guidance HSG176 – Display Screen Equipment (DSE). It is suitable for any industry – office, factory, warehouse, retail or care settings – and can be used as a self‑assessment tool before, during or after workstation setup.

Use this checklist for:

Pre‑setup assessment of new or re‑configured workstations.
Regular in‑process reviews to maintain ergonomic standards.
Post‑adjustment verification after equipment changes or maintenance.
Employee self‑assessment and training reinforcement.

The checklist covers all ten dimensions of safe DSE use, including planning, competence, environment, equipment, substances, personal protective equipment, collective safety measures, emergency and welfare provisions. Each item is answered Yes, No or N/A – any “No” should be resolved before work continues.

By completing this checklist you ensure that risk assessments are in place, workstations are ergonomically set up, lighting and screen positioning reduce visual strain, and that appropriate controls such as cleaning procedures, chemical storage and first‑aid are provided. This systematic approach supports compliance with the DSE Regulations and promotes employee health, comfort and productivity.

Compliant with: Health and Safety (Display Screen Equipment) Regulations 1992; HSE DSE guidance (HSG176).

Sample PDF Document Image:

Checks covered in this DSE Workstation Assessment checklist

This DSE Workstation Assessment safety checklist template covers 29 checks. Customise the questions to your workplace, then download a professional, print-ready PDF with Yes / No / N/A tick-boxes and a comments space.

#	Checklist item
1	Has a DSE risk assessment been completed and communicated to the workstation user?
2	Is a written DSE policy or procedure available and accessible to users?
3	Is the workstation user trained and competent in safe DSE use?
4	Is the workstation user medically fit to perform screen work without musculoskeletal restrictions?
5	Is the workstation layout approved by the authorised person or manager?
6	Is the floor surface level, clean and free from slip or trip hazards?
7	Is the ambient temperature and ventilation suitable for screen work?
8	Is the lighting adequate for screen work, with no glare or excessive brightness?
9	Is the screen positioned at the correct viewing distance (approximately arm's length) and height?
10	Is the screen angle adjustable to reduce glare and maintain a comfortable viewing angle?
11	Is the monitor brightness and contrast adjusted to minimise eye strain?
12	Are any external light sources causing glare on the screen?
13	Is the chair adjustable, with lumbar support and appropriate height for the user?
14	Is the keyboard and mouse positioned to allow neutral wrist posture?
15	Are power and data cables neatly routed and secured to prevent trip hazards?
16	Are all DSE equipment (monitor, keyboard, mouse, chair) inspected for defects before use?
17	Are regular breaks scheduled in accordance with the risk assessment?
18	Is the workstation free from unnecessary clutter that could impede movement or cause strain?
19	Are any cleaning chemicals used near the workstation stored safely and labelled correctly?
20	Is personal protective equipment (e.g., anti‑glare screen filter or wrist rest) provided where required and being used?
21	Are any collective safety measures such as signage or floor markings in place to delineate workstation zones?
22	Is fire‑safety equipment (e.g., extinguisher) accessible near the workstation area?
23	Is first‑aid provision readily available and are users aware of emergency procedures?
24	Is there a procedure for reporting workstation‑related health concerns or musculoskeletal issues?
25	Are eye‑test arrangements available for users who need them?
26	Is the workstation cleaned and any waste removed at the end of the shift?
27	Has any adjustment or maintenance performed been recorded in the workstation log?
28	Is the DSE workstation assessment reviewed periodically (e.g., annually) to ensure continued compliance?
29	Has the workstation assessment been signed off by the authorised person confirming all hazards have been addressed?

Frequently asked questions

Are these safety checklist templates really free to download?

Yes — completely free. Customise any checklist to your workplace and download a professional, print-ready PDF in minutes. No paywall, and no signup required for guests.

What format do the safety checklists download in?

Checklists download as a professional PDF, ready to print and complete on-site — each question has clear Yes / No / N/A tick-boxes and a comments space. You choose portrait or landscape at download. Word and spreadsheet formats are being added.

Can I customise the checklist questions to my workplace?

Yes — fully. Add your own questions, edit or remove any of the pre-written ones, and reorder them to suit your site, task or inspection before you download.

Are the safety checklists suitable for UK workplaces?

Yes. The checklists are written around UK health and safety good practice and HSE guidance, and are suitable for inspections, audits, toolbox checks and routine workplace monitoring.

Do I need an account to use the checklist templates?

No — guests can build and download a checklist for free without signing up. Register a free account if you want to save checklists to your dashboard and edit them later.

Can I add my company logo and branding to the checklist?

Yes — add your company logo, colours and details on Standard and Pro plans, so the exported checklist carries your own branding. Guests and Free downloads carry Health & Safety Zone branding.

How do I complete the checklist once it is downloaded?

The exported checklist is a blank, ready-to-use document: print it and tick Yes, No or N/A against each question and write any comments in the notes space, then sign and date it in the sign-off section.

What types of safety checklist can I create?

We are building specialist checklists across a wide range of subjects and industries — fire safety, workplace inspections, equipment and machinery checks, site inductions, vehicle checks, PPE, first aid and more. Browse by category to find the right one.

How often should safety checklists be completed?

It depends on the activity and your risk assessment — many checks are daily, weekly or monthly, while others are done before each task or shift. Completed, dated checklists provide a useful record of your monitoring.

Are the checklists a substitute for a risk assessment?

No. A checklist is a monitoring and inspection tool that complements your risk assessments and method statements — it helps confirm that controls are in place and working. Use them alongside your risk assessments.