Ergonomics in Office Work - OSHwiki
Ergonomics in Office Work - OSHwiki
Ergonomics in Office Work - OSHwiki
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(This article is based upon one initially prepared as an EU-OSHA e-facts (13 - Office Ergonomics) with additional material by Richard Graveling)
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Contents
1 Introduction
2 Risks and hazards facing office workers
3 Legislation
4 Developing a proactive organisational strategy
5 Conducting risk assessments
6 Ergonomics good practice – reducing hazards and risks
7 Further information
7.1 Checklists
7.2 Books/leaflets
7.3 Websites
7.4 References
8 ANNEX A: COMPUTER WORKSTATION CHECKLIST
8.1 A. TASK
8.2 B. EQUIPMENT
8.2.1 Display screen
8.2.2 Keyboard
8.2.3 Non-keyboard input device (e.g. mouse)
8.3 C. SOFTWARE
8.4 D. FURNITURE
8.5 E. ENVIRONMENT
8.6 F. HEALTH and CONSULTATION
8.7 RISK ASSESSMENT ACTIONS Record here the actions required to rectify any problems identified.
Introduction
Office work is diverse, with jobs ranging from those that demand a high level of skill and knowledge (for example journalists and financial administrators), to
those where the worker has little control over their work or the organisation of their working day, such as call centre and data processing work. Although widely
regarded as low risk environments, the large (and growing) proportion of employees within the EU who work in office environments means that a significant
number of workers are potentially exposed to any risks to their health that might arise.
In the modern office much of the focus in terms of risks to health relate to the use of computers in some form. However, it is important to recognise that
computers are not the only potential source of risk. Some health problems arise from the essentially sedentary nature of many office-based jobs (regardless of
whether a computer is used or not); while documents and papers can be heavy (especially in bulk) and might lead to manual handling risks (especially when
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Many office jobs have become increasingly dependent on the use of computers, or would not exist in their current form without the advent of such computer
systems. Computers have almost entirely replaced typewriters for any work involving the production or editing of text (reports, letters, etc.) and have
transformed communication systems through developments such as email and instant messaging.
As well as transforming how text and other material are produced, this has also transformed jobs. Thus few organisations still have the equivalent of a dedicated
typing pool where staff specifically trained in ‘keyboard work’ carried out their work. Instead, staff primarily employed for other forms of expertise are usually
required to carry such tasks out themselves.
In a further technological development, the advent of portable systems such as laptops and, in more recent years, smartphones and tablets, has created additional
changes, not only to the physical manner in which such devices are used but also in where they are used, moving ‘computer work’ out of the office and into the
café, hotel, train, home and many other locations. Increasing concerns have been expressed that such changes are leading to a blurring of the distinction between
work and non-work with potentially negative impacts on ‘work-life balance’. Even with more conventional computers, technological developments mean that
an employee no longer needs to be in a centralised physical office and the development of ‘telework’ allows employees to work in remote locations (including
their home). Teleworking provides a variety of new challenges, not just in terms of communication and how such work is organised but working away from
centralised, controlled premises makes it more difficult for the employer to ensure that the teleworker is provided with a safe and healthy workplace in which to
work.
In an additional complication, the increasing use of computing technologies in the office has been paralleled with a growth in their use at home. Starting with
‘home computers’ this has now extended to many of the same array of smart devices as used in working environments.
This has had two major consequences. Firstly, it has increased the extent of ‘exposure’ of individuals to some of the physical risks associated with the use of
these technologies and secondly, this development has led to some authorities seeking to absolve employers from any adverse consequences because of the
problem of attribution of any problems (especially musculoskeletal problems) to work rather than home use.
Postural problems: Almost regardless of how an office worker works there is growing recognition of the important role of movement in maintaining
musculoskeletal health; and that remaining in an essentially fixed posture for extended periods is not conducive to good health. When that posture
involves sitting, then any impact of a lack of movement is exacerbated by the fact that the sedentary posture is fundamentally bad for the back (and other
parts of the body - there are even some clinical case reports of Deep Vein Thrombosis (DVT) from sustained sedentary postures). Obviously how an
employee does sit and work (including the posture they adopt in interacting with their computer systems) can compound the effect of the sedentary nature
of their work. Prolonged poor postures, especially awkward limb and neck positions, arising from insufficient attention being paid to the layout of office
equipment such as display screens, keyboards and other input devices will accelerate or exacerbate the development of musculoskeletal symptoms.
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Duration, intensity and design of office work: In industrial workplaces, the risk of musculoskeletal problems arising from sustained repetitive activity
has long been recognised. It is now recognised that working for long periods without a break, with a computer keyboard and/or non-keyboard input
devices that involve frequent and repetitive hand/wrist movements, can contribute to the risk of such problems in office workplaces. The impact of these
physical factors can be heightened by the high levels of concentration, and information overload resulting from some forms of computer-based work or, in
other cases, by their repetitive monotonous nature.
Psychosocial factors: Psychosocial risks to health in the workplace include: excessive workloads, conflicting demands, a lack of influence over the way
the job is done, job insecurity, and a lack of support from management or colleagues. Many of these can be encountered in office work, with or without
the use of computers (although in some cases, the impact of computing technologies on how jobs are structured can play a major role – such as in call
centres). The potential impact of these factors is two-fold. Firstly they can have a direct impact on the mental and physical health of workers. Secondly,
there is a growing body of evidence that they can contribute to (and exacerbate) the risk of musculoskeletal problems.
Environment: a good physical working environment is important, not only for health and well-being but also because an inadequate environment can
have a negative impact on concentration and communication therefore impairing work performance. Unsuitable temperatures, draughts, inadequate
lighting, excessive or disturbing noise can all have an adverse impact.
Although, as noted above, the risks to health associated with office work are not solely related to the use of computers or computing technologies, nevertheless,
a very high proportion of workers in office workplaces carry out their work with the aid of such devices. The provisions of the EU Directive on the use of
Display Screen Equipment (DSE), which embodies a number of ergonomics provisions, is particularly relevant (see below for details of the legal framework).
The Directive identifies three categories of risk relating to the use of DSE (a term used to encompass various computing technologies of the time although now
(2016) somewhat outdated). The Directive identifies possible risks to “eyesight, physical problems (musculoskeletal disorders) and problems of mental stress”.
There is a widespread consensus in the scientific literature that work with computers does not cause any damage to the eyes or eyesight. Although prolonged
detailed visual work can lead to visual discomfort and transient symptoms such as those associated, for example with drying of the eyes, there is no reliable
evidence to support the suggestion that such work actually damages eyesight. In a UK-based study of over 1500 computer users, Melrose et al (2006)[1] found
that the level of reported ocular symptoms was no different to the levels reported in population-based studies. This suggests that there is no particular
relationship between office (DSE) work and visual problems leading to a higher incidence of such problems. Temporary or transient symptoms such as
headaches, and tired, red or sore eyes may be caused by concentrating on the display screen for a long time, poor positioning of the computer, flickering screens,
inadequate lighting, glare and reflection, or poor legibility of paper or screen documents.
As noted above, the psychosocial risks which can lead to mental stress or other health problems are well-known and have been long established. However,
although some of these can be present in work which involves the use of DSE, they are generally recognised as being associated with the nature of the work,
rather than any intrinsic risks associated with DSE use. However, there are growing concerns that the growth of ‘new DSE’ such as smartphones and tablets is
leading to the expectation amongst some employers for workers to check emails, etc. when not at work. This blurring of the ‘work-life balance’ can lead to
psychosocial risks.
The main health consequences that arise from working with DSE are musculoskeletal disorders (MSDs), conditions affecting the muscles, tendons, ligaments,
nerves and other soft tissues and joints of the neck, upper limbs (shoulders, arms, hands, wrists, fingers), back or lower limbs (knees, hips, feet). Symptoms
include pain, swelling, tingling and numbness, and may result in difficulty moving or long-term disability if no action is taken.
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The term covers conditions with specific medical diagnoses (e.g. frozen shoulder, carpal tunnel syndrome (CTS)), and others where there is pain without
specific symptoms. Neck, upper limb and back pain are of particular concern for office workers given the repetitive, static and intensive nature of their work.
Although there is little doubt that office work involving the use of computers can provoke symptoms or exacerbate existing MSDs, there is some question over
the extent to which such work directly causes them, as opposed to provoking symptoms of pre-existing disorders (such as appears to be the case for CTS).
Different countries and authorities use a number of different terms to describe MSDs. These include Cumulative Trauma Disorders, Upper Limb Disorders, and
Repetitive Strain Injuries (RSI). Some sources also use the latter term as a ‘diagnosis’ (although not one with any clinical definition) which they apply to non-
specific symptoms.
Legislation
In the late 80s the Council of the European Communities launched a programme concerning safety, hygiene and health at work. Two of the resulting Council
Directives are of particular relevance to the office environment: the Manual Handling Directive[2] and the DSE Directive[3]. Although there will undoubtedly be
manual handling activities in office environments by far the most important (at least in terms of number of employees affected) is the DSE Directive. This
defines minimum safety and health requirements for work with display screen equipment. These minimum requirements were designed to encourage
improvements, especially in the working environment, to ensure a better level of protection of safety and health for workers who use display screens.
Display screen equipment - an alpha-numeric or graphic display screen, regardless of the display process employed.
Workstation - an assembly comprising display screen equipment, which may be provided with a keyboard or input device and/or software determining
the operator/machine interface, optional accessories, peripherals including the diskette drive, telephone, modem, printer, document holder, work chair and
work desk or work surface, and the immediate work environment.
Worker - any worker who habitually uses display screen equipment as a significant part of their normal work.
How these definitions are interpreted may differ in the national legislation implementing this Directive.
The same Directive sets out employers' obligations regarding the analysis of workstations, the provision of information and training to workers, the planning of
daily work routines, the consultation and participation of workers, and the protection of workers' eyes and eyesight. Other obligations laid down in the Directive
apply to equipment components present in the workstation, specifically display screens, keyboards, work desks or work surfaces, and work chairs. The Directive
further specifies environmental requirements regarding space, lighting, reflections and glare, noise, heat, radiation, and humidity.
One of the drawbacks of the current Directive is that it has failed to keep abreast of changes in technology and working practices. As a result there are no
references to computer mice (for example) or for alternative seating technologies/approaches such as sit-stand chairs or standing workstations. It effectively
enshrines the concept of the fixed ‘workstation’ in a conventional office environment despite the fact that many workers now do not work at set workstations
(e.g. hot-desking) or even set workplaces (e.g. home working). It also excludes “’portable’ systems [interpreted to mean laptops in most Member States] not in
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prolonged use at a workstation”. The interpretation of this in different Member States appears to vary somewhat, thus some exclude laptops completely (they do
not comply with other aspects of the legislation, enshrined within the Annex of Minimum Requirements) while others include them where they are used
extensively in one place.
Nevertheless, the Directive does acknowledge the importance of taking ergonomic aspects of workstations into account, thereby helping to ensure the
consideration of ergonomics principles in the office environment. Applying ergonomics principles to the design and layout of where people work and the work
that they do there remains valid, whatever the nature of the workplace and whatever form the technology used takes.
The Directive also outlines principle requirements for the operator/computer interface, particularly regarding the suitability of software for tasks, ease of use,
feedback to workers on their performance, adequacy of display information format and pace, and the application of software ergonomics to take account of
human data processing.
At the national level, Member States’ legislation brought into force the provisions necessary to comply with this Directive. Legislation is in place in all of the
EU Member States. Examples of such legislation are:
ES: Real Decreto 488/1997 (14 April) [sobre disposiciones mínimas de seguridad y Salud relativas al trabajo con equipos que incluye pantallas de
visualización] {Royal Decree 488/1997 of 14 April 1997 on minimum safety and health-related requirements for working with display screens
equipment}.
PT: n.º 349/1993 [Decreto-Lei n.º 349/93 de 1 de Outubro de 1993 que transpõe para a ordem jurídica interna a Directiva n.º 90/270/CEE, do Conselho,
de 29 de Maio, relativa às prescrições mínimas de segurança e de saúde respeitantes ao trabalho com equipamentos dotados de visor, Diário da República,
I Série-A, N.º 231] transposes the Directive and Portaria n.º 989/93 (6 October) [Portaria n.º 989/93 de 6 de Outubro de 1993 que estabelece as
prescrições mínimas de segurança e saúde respeitantes ao trabalho com equipamentos dotados de visor, Diário da República, I Série-B, N.º 234] sets out
the minimum requirements for work with display screen equipment.
UK: Display Screen Equipment Regulations 1992 (DSER) (as amended 2002).
The organisational strategy must identify important issues for the administration and practical execution of the assessments, such as: who should undertake risk
assessments, how will they be trained, how will the assessment be conducted and recorded, how will changes be implemented and monitored, and what will be
the timescales for the process, including when reassessment will be undertaken. This strategy applies to any working environment, including offices and other
locations where similar work is carried out.
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It is important to be systematic when carrying out a risk assessment, and to take into account all aspects of the work situation. As well as investigating furniture
and equipment, software, the environment and health issues with workers, the risk assessment should also explore the way that tasks are organised. It is
important to understand what a person is required to do at work in order to conduct a comprehensive risk assessment, and to ask users about the nature and
duration of the tasks that they carry out (e.g. any requirement to meet performance targets or to sit in the same position for many hours). Workers' views should
be taken into account throughout the risk assessment process (e.g. in the identification, assessment and controlling of risks).
Health and safety professionals can conduct assessments, as can other trained staff who are familiar with the main requirements, who are able to identify hazards
and assess risks, who draw valid and reliable conclusions from the data collected and identify steps to reduce risk, who keep clear records and who recognise
their own limitations (i.e. they know when to ask for help). It is essential to check that assessors understand information and have reached a suitable level of
competence.
Using a checklist can help you identify hazards and evaluate risks. It also provides a record of the risk assessment. There are many checklists available for
performing risk assessments, and examples are included in some Member State legislation. Annex A provides one example of such a checklist, and outlines the
issues that should be explored in an assessment.
Re-assessment should be conducted at intervals set by the employer according to need and resources. Most importantly, risk assessment should take place where
changes occur to the workforce, equipment, work tasks or conditions (including to software).
The guidance below is based upon the assumption of a seated posture using a conventional office chair. An increasing number of alternatives are becoming
available including different styles of seating, and standing workstations.
Alternative styles of seating such as kneeling chair and saddle chairs have some advantages over more conventional styles. However, they are not without their
drawbacks and cannot be universally recommended.
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Although more expensive than a conventional desk, height-adjustable desks allowing the worker to change between sitting and standing postures can be of
value, especially for workers with pre-existing back problems who cannot sustain extended periods of sitting. Some manufacturers are now devising add-ons
that allow conventional desks to be adapted to sit-stand.
There is growing recognition of the fact that the human body is designed for movement and that many of the health problems associated with sedentary work
stem, not necessarily from not sitting ‘correctly’, but from the absence of movement associated with such work. Some authorities suggest a more dynamic work
plan, where working posture is changed periodically between sitting and standing[4]. Other simple measures can include going and talking to work colleagues –
instead of sending them an email from three desks away!
Using a conventional seat, a neutral body posture has the following characteristics:
The head is level, or bent slightly forward, looking straight at the screen and generally in line with the torso (NB. This assumes that the worker looks at
the screen as their main visual attention area. Those with poor typing skills may need to look at the keyboard when typing creating a potential conflict).
The shoulders are relaxed and the upper arms hang normally at the side of the body.
The back is fully supported, with appropriate lumbar support when sitting vertically or leaning back slightly (preferred).
The elbows stay close to the body, bent to around 90 degrees or slightly more (not less).
The hands, wrists, and forearms are ‘straight’ (in an anatomically neutral position which, in some individuals, may actually entail some slight wrist
extension – bending backwards), in line and roughly parallel to the floor.
The thighs and hips are supported by a well-padded seat, and generally parallel to the floor or sloping slightly down (hips higher than knees).
The knees are no higher than the hips and possibly slightly lower, with the feet slightly forward of the knees.
The feet are fully supported by the floor or by a footrest. In order to achieve adequate working conditions, the work space and equipment must be
carefully selected and positioned.
The following guidance should help in achieving the postural characteristics described above. However, in all cases, the need for an appropriate posture is
paramount, rather than regarding the following as ‘rules’ to be obeyed at all times.
Don’t forget that many alternative input devices are now available that can be used instead of a conventional mouse. These can be helpful, especially where
workers are experiencing symptoms with mouse use. However, care should always be taken to ensure that the alternative device is not creating further problems.
As a further option, voice-activated software can also provide a solution.
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Workstation
Guidance
element
The top of the screen should be at or just below the worker’s eye level (bifocal wearers may need to lower the screen)
Computer It should be placed at arm’s length, and aligned with the trunk
screen It should be positioned at right angles to windows and/or below light sources
It should be tilted back (so as to be aligned with the worker’s line of sight)
This should be aligned with the user (with key B in front of the belly button)
Keyboard
It should be positioned at or slightly below elbow level
This must be adjustable for seat height and backrest height and angle and have good stability
It should allow smooth movement
The seat pan should be adequately cushioned
Chair
Armrests should be positioned away from the front edge of the chair, or be adjustable in height, so that the chair can be pulled into the
desk. (Some ergonomics experts advocate chairs without armrests as they can intrude into the work area; prevent the worker from
adopting a suitable posture; and impede movement at the desk).
Arms, wrists or elbows must be kept away from ‘sharp’ edges (including right-angled desk surfaces)
Work surface Adequate leg clearance must be provided under the desk
The surface should be non-reflective
Document
This should be positioned next to the screen and at the same angle
holder
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Factor Guidance
Temperature 19 - 23ºC
Humidity 40 - 60%
Ventilation min 8-10 litres s-1 per person
Air speed < 0.25 ms-1
< 55dB(A) if the task requires concentration
Noise
< 60dB(A) for other tasks
As noted above, nowadays, special reference to the use of laptops is required, since an increasing number of workers use this type of computer all day. Laptop
design does not comply with the basic ergonomic requirement for computers to have a separate keyboard and screen. As a result, if the keyboard is in an optimal
position for the user, the screen is not, and if the screen's position is optimal the keyboard's is not. The use of laptops alone can lead to an increased risk of
musculoskeletal discomfort, particularly in the neck and wrist, compared to a normal desk-top computer, due to the postures that are usually adopted.
Where at all possible to do so, and the length of use warrants it (short uses of less than 20-30 minutes are unlikely to give rise to problems) it is advisable to use
at least a separate keyboard, allowing the laptop screen to be raised. Where work tasks involve extensive use of the pointer then a separate mouse or other
pointing device is also advisable. Many lightweight portable examples of keyboards and mice (including wireless models) are available which can facilitate such
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measures. In relatively static environments, use of a docking station may be beneficial, allowing the peripheral devices to remain connected. Where such
measures are not possible (perhaps when the user is working away from their usual workplace) then it becomes important to emphasise the importance of
breaks, and changes in activity.
One measure adopted in many modern offices is the concept of hot-desking, where workers to not have a personally dedicated workstation but share one with
other workers. Again the duration of use is critical but, where an individual is to use such a workstation for prolonged periods, then it becomes important that
features of the workstation (such as the display screen and chair) are easily and quickly adjusted to suit the individual wishing to use it and an even stronger
emphasis than normal must be placed on information and training, to ensure that the workers is aware of the posture they need to achieve and is sufficiently
motivated to take a few moments to make the necessary adjustments.
Regardless of how good the working position is, prolonged static postures are not healthy. Thus, work activity must allow for pauses and micro-pauses, during
which workers can:
Change their working posture frequently by making small adjustments to the chair or backrest.
Physical variety and regular breaks from the computer during the working day will help to relax muscles. Performing exercises and stretches will also help to
reinvigorate the body and mind. Such procedures both increase productivity and reduce discomfort and complaints among computer users, and minimise the
risks related to computer usage.
Further information
Checklists
Books/leaflets
Checklists for the Use of Visual Display Units in the Workplace: http://www.worksafe.govt.nz/worksafe/information-guidance/all-guidance-
items/guidelines-for-using-computers
Working with VDUs: http://www.hse.gov.uk/pubns/indg36.pdf
Woods, V., Hastings, S., Buckle, P. and Haslam, R. 2002, Ergonomics of Using a Mouse or Other Non-keyboard Input Device , HSE Books, RR045,
ISBN 0 7176 2162 6. http://www.hse.gov.uk/research/rrhtm/rr045.htm
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Websites
References
ISO 9241-6:1999 Ergonomic requirements for office work with visual display terminals (VDTs) -- Part 6: Guidance on the work environment
Health and Safety Executive (2002). Upper limb disorders in the workplace (HSG60). Suffolk, England: HSE Books:
http://www.hse.gov.uk/pUbns/priced/hsg60.pdf
‘No’ answers will require investigation and/or remedial action by the workstation assessor.
A. TASK
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Yes No
Is the job varied?
Are performance targets achievable?
Is staffing adequate for the volume of work?
Can breaks/changes of activity be fitted into your work day?
Is there the opportunity to vary your posture during the day?
Is there the opportunity to vary the focus of your eyes during the day?
Have you been informed
Do
B. EQUIPMENT
Display screen
Yes No
Are the characters clear and readable?
Does the text size make it comfortable to read?
Is the image stable (free from flicker and jitter)?
Is the specification of the screen suitable for its intended use?
Is brightness and/or contrast adjustable?
Does the screen swivel and tilt?
Is the screen free from glare and reflections?
Are adjustable window coverings provided and in adequate condition?
Keyboard
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Yes No
Is the keyboard separate from the screen?
Is the keyboard tiltable?
Is it possible to find a comfortable keying position?
Can you locate and activate keys quickly and accurately?
Is there adequate space in front of the keyboard to rest the hands while not typing?
Yes No
Is the device suitable for the tasks it is used for?
Is there support for your wrist and forearm?
Can the device be positioned to avoid awkward postures?
Does the device work smoothly at a speed that suits you?
Do you know how to adjust the settings for pointer speed/accuracy
C. SOFTWARE
Yes No
Is the software suitable for the task(s) it is used for?
Is the feedback on system performance (e.g. relevant error messages) adequate?
Do you know how to use all the software you use or need to use?
Can the software be adapted to your needs?
If applicable, are you aware of performance monitoring facilities?
D. FURNITURE
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Yes No
Is the work surface large enough for all necessary equipment, paper etc?
Can you comfortably reach all the equipment and paper you need?
Are surfaces free from glare and reflection?
Is your chair suitable?
Is your chair stable?
Is your chair comfortable?
Does your chair have:
- seat back height and tilt adjustment?
- seat height adjustment?
- a swivel mechanism?
- castors or glides?
Is your chair adjusted correctly?
Is the user's lower back supported by the chair’s backrest?
Are the user's forearms horizontal?
Are the user's eyes roughly at the same height as the top of the display?
Can the user place their feet flat on the floor or on a footrest, without too much pressure from the seat on the backs of the legs?
E. ENVIRONMENT
Yes No
Is there enough room to change position and vary movement?
Is the lighting suitable to work comfortably (not too bright or too dim)?
Is the air ventilation and humidity comfortable?
Is the room temperature comfortable?
Is the noise level acceptable (not disturbing or distracting)?
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Yes No
Are you aware of the procedures to follow in the event of a health or safety problem or concern?
Have you been given information and training on the safe use of computers and the importance of adopting a comfortable position?
If you have difficulties reading the screen, have you been for an eyesight test to determine if you need specific glasses for DSE work?
Yes to the following 2 questions will require further investigation
Do you experience eye discomfort when reading from the screen or from documents?
Do you have any aches, pains or discomfort?
RISK ASSESSMENT ACTIONS Record here the actions required to rectify any problems identified.
1. Melrose et al (2006). Better display screen equipment (DSE) work-related ill health data. Sudbury: HSE Books (Research Report No. 561). Available at:
http://www.hse.gov.uk/research/rrhtm/rr561.htm
2. Directive 90/269/EEC on the minimum health and safety requirements for the manual handling of loads where there is a risk particularly of back injury to
workers (manual handling of loads). Accessible via: https://osha.europa.eu/en/legislation/directives/6
3. Directive 90/270/EEC on the minimum safety and health requirements for work with display screen equipment (DSE). Accessible via:
https://osha.europa.eu/en/legislation/directives/5
4. BAuA, 2008, Up and down, up and down - How dynamic sitting and standing can improve health in the office.
http://www.baua.de/en/Publications/Brochures/A65.html
Contributors
Richard Graveling
OSH:
NACE:
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