DSE Assessment
DSE Assessment
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CHAIR
21. Do you know how to use the adjustments on your chair?
Yes
/
No
Training Provided
Red
Yellow
Green
Red
Yellow
Green
Assessors recomendations or advice
22. Is the seat height adjustable?
Yes
/
No
Adjusted
Red
Yellow
Green
Red
Yellow
Green
Assessors recomendations or advice
23. Is the backrest height adjustable?
Yes
/
No
Adjusted
Red
Yellow
Green
Red
Yellow
Green
Assessors recomendations or advice
24. Is the backrest angle adjustable?
Yes
/
No
Adjusted
Red
Yellow
Green
Red
Yellow
Green
Assessors recomendations or advice
25. Do all of the adjustments function correctly?
Yes
/
No
Red
Yellow
Green
Red
Yellow
Green
Assessors recomendations or advice
26. Is the chair on a stable base and fitted with castors?
Yes
/
No
Red
Yellow
Green
Red
Yellow
Green
Assessors recomendations or advice
27. Does the chair have armrests?
Yes
/
No
Red
Yellow
Green
Red
Yellow
Green
Assessors recomendations or advice
If yes, are they suitable?
Yes
/
No
28. Do you consider the chair suitable?
Yes
/
No
Red
Yellow
Green
Red
Yellow
Green
Assessors recomendations or advice
29. If adjustments have been made to your chair during assessment, can you confirm that you are satisfied with the changes made.
Yes
/
No
Red
Yellow
Green
Red
Yellow
Green
Assessors recomendations or advice