Display Screen Equipment DSE Policy

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Display Screen Equipment DSE Policy
Display Screen
Equipment DSE Policy
          THCCGCG15 Version:
Number:                        01

                                    This policy has been developed to ensure that Tower Hamlets
                                    Clinical Commissioning Group (CCG) comply with legislation
                                    Incorrect use of display screen equipment can cause ill-health
                                    and injury.

                                    The Display Screen and Equipment (DSE) Regulations requires
                                    the employer:
                                        - To carry out (and review) a suitable and sufficient
                                           assessment of all workstations regardless of who has
                                           provided the workstations, where they are used or who
                                           uses them
                                        - Any risk identified by the assessment must be reduced to
                                           the lowest level reasonably practicable.
                                        - To take steps to incorporate breaks or changes of activity
Executive Summary
                                           within the working day to prevent intensive periods of on-
                                           screen activity. Short frequent breaks are better than long
                                           infrequent ones.
                                        - When requested by DSE users, to arrange for free eye
                                           tests prior to starting work with DSE and assessment at
                                           regular intervals thereafter and, where a user has reason
                                           to believe that they have visual difficulties associated with
                                           the use of DSE.
                                        - Where special corrective appliances (glasses) are
                                           prescribed specifically for work with DSE the employer
                                           must provide the basic cost of suitable appliances.
                                        - Provide staff with information, instruction and training on
                                           the safe use of DSE and ergonomic principles.

Date of ratification                Executive Team Committee 20th August 2013

Document Author(s)                  Collette McQueen

                                                                                                       1
Who has been consulted?        Archna Mathur 25th July 2013

                               Senior Management Team 26th July 2013

                               Staff Consultation 26th July 2013

                               Executive Team Committee 20th August 2013

Was an Equality Analysis       N
required?

With what standards does           -   Health and Safety at Work Act 1974
this document demonstrate          -   Management of Health and Safety at Work Regulations
compliance?                            1992
                                   -   Health and Safety Regulations 2002
                                   -   The DSE Regulations
                                   -   the Management of Health and Safety at Work
                                       Regulations 1999
                                   -   Display Screen Equipment Regulations 1992, as amended
                                       by the Health and Safety (Miscellaneous
                                   -   Amendments) Regulations 2002.

References and associated
CCG documentation

List of approvals obtained     Archna Mathur 25th July 2013

                               Senior Management Team 26th July 2013

                               Staff Consultation 26th July 2013

                               Executive Team Committee 20th August 2013

Recommended review
                               July 2015
period

Key words contained in
                               Display Screen Equipment, CCG, Eyesight, Risk Assessment
document

Is this document fit for the               If   No,
                               Y
public domain? Y / N                       why?
Contents
Display Screen Equipment DSE Policy ......................................................................................... 1

1    Purpose and scope................................................................................................................. 4

2    Responsibilities ...................................................................................................................... 4

3    Policy ..................................................................................................................................... 5

    3.1     Operator/computer interface and workstation layout ....................................................... 5

    3.2     DSE workstation assessments........................................................................................ 5

    3.3     Prevention of fatigue ....................................................................................................... 6

    3.4     User's eyesight ............................................................................................................... 6

    3.5     Monitoring, audit and evaluation ..................................................................................... 6

4    References ............................................................................................................................. 7

5    Records .................................................................................................................................. 7

6    Workstation Assessment ........................................................................................................ 8

7    Eye and eyesight tests procedure..........................................................................................17

    7.1     Introduction ....................................................................................................................17

    7.2     Pre-Employment ............................................................................................................17

    7.3     During Employment .......................................................................................................17

    7.4     Financial Assistance ......................................................................................................17

8    Table 1: CCG Guide to Reimbursement for DSE Corrective Lenses and Eye Sight Test. ......18

    8.1     Attending an Optician ....................................................................................................18

    8.2     Process for Reimbursement...........................................................................................18

    8.3     Record Keeping .............................................................................................................18
1   Purpose and scope

This policy is part of the CCG’s overall approach to promoting health and safety in the workplace
and ensuring the CCG becomes a Model Employer. The CCG is committed to doing all that is
‘reasonably practical’ to ensure the Health and Safety of its employees, contractors and others
who use our facilities.

This policy covers all staff, including bank and agency staff, employed within the CCG who use
Display Screen Equipment (DSE) as part of their daily duties.

The CCG will meet its obligation within the Health and Safety DSE Regulations 1992[1] and the
amendments to these[2] by assessing health and safety risks, providing employees with suitable
working conditions for working on display screen equipment (all alpha-numeric and graphic
display screens, laptops, microfiche, process control screens and screens used to display line
drawings, graphs, charts or computer generated graphics, but not television or film pictures) and
to provide appropriate information and training. This document is based on the guidance
produced by the Health and Safety Executive.

2   Responsibilities

          Party                                 Key responsibilities

                              As Accountable officer, has overall responsibility for health
Chief Officer                 and safety within the CCG.
                             Ensure that adequate resources are available to implement
                           DSE procedures as a part of the CCG’s health and safety policy.
                              Ensure that health and safety is on the agenda of CCG
                              Governing Body where necessary.
                              To ensure managers in their control are aware of the
Chief Finance Officer         requirements of this policy,
                              That managers in their control have identified all DSE users,
                              That all changes identified by the DSE assessment are
                              funded.

Managers                   Managers are required to ensure the following:

                              That a suitable and sufficient risk assessment is carried out
                              for each
                              That any problem areas identified by the risk assessment are
                              addressed as soon as possible,
                              That the assessment is reviewed when there has been a
                              significant change in a user’s work area or at least once a
                              year.
                              That DSE users receive suitable information and training.
That DSE users take rest breaks or changes of activity.
                                To take regular breaks from the computer or make changes
DSE users                       of activity
                                To notify their manager of any significant changes to their
                                workstation to their manager)
                                To report any workstation problem to their manager in the
                                first instance or to Occupational Health
                                To carry out DSE assessments for all new employees
Health     and      Safety
contractor

Party                        Key responsibilities

3     Policy

Work with computers is generally regarded as being safe. However in the wrong circumstances,
problems such as upper limb disorders, visual fatigue and mental stress can arise. The CCG aims
to minimise the likelihood of any adverse effects from the use of DSE through design of
workstations, use DSE workstation assessments and encouraging staff to take appropriate breaks
from DSE work.

3.1     Operator/computer interface and workstation layout

In designing, selecting, commissioning and modifying software and in designing tasks using
display screen equipment, the CCG will ensure that the software is suitable for the tasks, the
systems display information is in a format and at a pace which is adapted to operators, and that
the principles of software ergonomics are applied.

Under Regulation 3 of Health and Safety Display Screen Equipment (DSE) Regulations 1992, as
amended, requires that all workstations must meet minimum standards. The precise requirements
are set out in the Schedule to the Regulations and guidance in Appendix 1 of the HSE document
Work with Display Screen Equipment Work, L26.

3.2     DSE workstation assessments

A DSE workstation assessment must be carried out for:

      Any employee who qualifies as a DSE user. This includes managers as well as other staff.
      A DSE user who may work from home doing CCG work.
      Agency workers who qualify as DSE users.

DSE workstation assessments must be carried out using the CCG’s DSE Assessment tool. For all
new employees, Managers should organise a DSE workstation assessment from the CCG’s
Health and Safety contractor. These can be arranged by contacting the Estates and Facilities
team.

Issues arising from the reports need to be escalated to their line managers. Line managers are
responsible for considering the recommendations outlined in the reports and for providing any
additional pieces of equipment they require. This equipment needs to be ordered and paid for by
each department/directorate.

The assessment needs to be reviewed if there is a major change in software, the type of
equipment used and the way that the equipment is arranged within the workstation. Where there’s
been a change within the environment such as lighting, or any other factor that might impinge on
the assessment such as time required to work or speed of working. DSE workstation
assessments should be repeated annually.

The assessment needs to be conducted together with the DSE user, as it is essential to assess
how they relate to that particular workstation. Where more than one person may use the same
workstation then either assessment should be made separately or a joint assessment can be
made and any differences noted. Adjustments that would need to be made may in some cases be
very simple such in set up as the height each user would need to adjust the chair to.

If managers are unable to implement or assess themselves that a recommendation is not actually
required; they need to discuss with the member of staff, complete a risk assessment and then
consider if it needs to be:

       Added to the service risk register; and / or
       Escalated to the directorate risk register

3.3   Prevention of fatigue

Whenever possible, jobs at display screens will be designed to consist of a mix of screen-based
and non-screen based work to prevent fatigue and to vary visual and mental demands. Where
spells of intensive display screen work are undertaken without being integrated with non-screen
work, such as data or text entry tasks, employees will ensure that this work is occasionally broken
with non-screen work before the onset of fatigue. Short frequent breaks prove more beneficial
than long, less frequent ones.

The Health & Safety Executive recommends the following:

       o   a 5–10 minute break / change of activity every hour or
       o   a 15-20 minute break / change of activity every 2 hours
       o   More frequent (every 30 minutes) breaks need to be taken by laptop / notebook users

3.4   User's eyesight

Staff are entitled to ask the CCG to provide an eye test if they are an employee who use DSE for
2 or more hours of their normal day to day work. This is a full eye and eyesight test by an
optometrist (or a doctor).

The CCG will only have to pay for spectacles if the test shows the staff need special corrective
appliances (normally spectacles) that are prescribed for the distance the screen is viewed at. If an
ordinary prescription is suitable for staff DSE work, the CCG is not obliged to pay for the
spectacles.

3.5   Monitoring, audit and evaluation

The use of DSE workstation assessments will be monitored through the Health and Safety
consultants’ activity reports.
4   References

1    Health and Safety (Display Screen        Equipment)   Regulations   1992,   HMSO.
     http://www.hse.gov.uk/msd/faq-dse.htm

2    The Health and Safety (Miscellaneous Amendments) Regulations 2002, MHSO.

3    Work with display screen equipment: Guidance on Regulations, L26, HSE Books, 2nd
     edition 2003.

4    DSE assessment form

5   Records

     Description                Where kept                  How long      Disposal

     DSE assessments            Local file                  2 years       Shredding
6    Workstation Assessment

WORKSTATION LOCATION AND
NUMBER (IF APPLICABLE):

USER

CHECKLIST COMPLETED BY

USERS MANGERS

USERS   MANAGERS    AGREES Employee is
THAT THE EMPLOYEE IS A DSE DSE USER
USER

                                       Employee is
                                       not    DSE
                                       USER

DATE OF ASSESSMENT

ANY FURTHER ACTION NEEDED?
YES/NO

FOLLOW-UP ACTION COMPLETED
ON:

This checklist can be used as an aid to risk assessment and to help comply with the Schedule to the
Health and Safety (Display Screen Equipment) Regulations.

    Work through the checklist, ticking either the `yes' or `no' column against each
    risk factor:

               ‘Yes’ answers require no further action.
                ‘No’ answers will require investigation and/or remedial action by the
               workstation assessor. They should record their decisions in the `Action to
               take' column. Assessors should check later that actions have been taken
               and have resolved the problem.

Remember the checklist only covers the workstation and work environment. You
also need to make sure that risks from other aspects of the work are avoided.
Further information on this can be found in the CCG’s Health and Safety Risk
Assessment Guidance

RISK FACTORS                                Tick        THINGS TO CONSIDER                     ACTION TO
                                           answer                                                TAKE

                                          Yes   No

1 Display screens
                                                     Make sure the screen is clean
                                                     and cleaning materials are made
Are   the   characters    clear     and              available.
                                                     Check that text and Background
readable?                                            colours work well together.

Is the text size comfortable to                      Software     settings   may      need
read?                                                adjusting to change text size.

Is the image stable, i.e. free of                    Try using different screen colours to
flicker and jitter?                                  reduce     flicker,      e.g.    darker
                                                     background and lighter text.
                                                     If problems still exist, get the set-up
                                                     checked, e.g. by the equipment
                                                     supplier.

Is the screen's specification
suitable for its intended use?                       For example, intensive graphic work
                                                     or work requiring fine attention to
                                                     small details may require large
                                                     display screens.

Are the brightness and/or contrast                   Separate adjustment controls are not
adjustable?                                          essential, provided the user can read
                                                     the screen easily at all times.

Does the screen swivel and tilt?                     Swivel and tilt need not be built in;
                                                     you can add a swivel and tilt
                                                     mechanism.
However, you may need to replace the
                                    screen if:
                                       swivel/tilt is absent or
                                       unsatisfactory;
                                        work is intensive; and/or
                                       the user has problems getting
                                       the screen to a comfortable
                                       position.

                                    Use a mirror placed in front of the
Is the screen free from glare and   screen to check where reflections
          reflections?              are coming from.
                                    You might need to move the screen
                                    or even
                                    the desk and/or shield the screen
                                    from the source of reflections.
                                    Screens that use dark characters on
                                    a light background are less prone to
                                    glare and reflections.

Are adjustable window coverings     Check that blinds work. Blinds with
provided and in adequate            vertical slats can be more suitable
condition?                          than horizontal ones.

                                    If these measures do not work,
                                    consider anti-glare screen filters as a
                                    last resort and seek specialist help.
2 Keyboard
Is the keyboard separate from      This is a requirement, unless the
the screen?                        task makes it impracticable (e.g.
                                   where there is a need to use a
                                   portable).
Does the keyboard Body tilt?       Tilt need not be built in.

Is it possible to find         a   Try pushing the display screen
comfortable keying position?       further back to create more room
                                   for the keyboard, hands and
                                   wrists.

                                   Users of thick, raised keyboard may
                                   need a wrist rest.

Does the user have         good    Training can be used to prevent:
keyboard technique?
                                     hands bent up at wrist;
                                     hitting the keys too hard;
                                     overstretching the fingers
Are the characters on the keys     keyboard should be kept clean. If
easily readable?                   characters still can’t be read, the
                                   keyboard may need modifying or
                                   replacing
                                   Use a keyboard with a matt finish
                                   to reduce glare and/or reflection.
RISK FACTORS                            Tick answer      THINGS TO CONSIDER                        ACTION TO TAKE

                                        Yes    No

3 Mouse, trackball etc.
 Is the device suitable for the tasks                 If the user is having problems, try a
 it is used for?                                      different device. The mouse and
                                                      trackball are general purpose devices
                                                      suitable for many tasks, and available in
                                                      a variety of shapes and sizes. Alternative
                                                      devices such as touch screens may be
                                                      better for some tasks (but can be worse
                                                      for others)
 Is the device positioned close to                    Most devices are best placed as
 the user?                                            close as possible, e.g. right beside the
                                                      keyboard.
                                                      Training may be needed to:
                                                        prevent arm overreaching;
                                                        advise users not to leave their
                                                        hand on the device when it is not
                                                        being used
                                                        encourage a relaxed arm and
                                                        straight wrist

 Is there support for the device                      Support can be gained from, for
 user's wrist and forearm?                            example, the desk surface or arm of
                                                      a chair. If not, a separate supporting
                                                      device may help.
                                                      The user should be able to find a
                                                      comfortable working position with the
                                                      device.

 Does the device work smoothly at                     See if cleaning is required (e.g. of
 a speed that suits the user?                         mouse ball and rollers).
                                                      Check the work surface is suitable. A
                                                      mouse mat may be needed.

 Can the user easily adjust software                  Users may need training in how to
 settings for speed and accuracy of                   adjust device settings.
 pointer?
4 Software
 Is the software suitable for the         Software should help the user carry
 task?                                    out the task, minimise stress and be
                                          user-friendly.
                                          Check users have had appropriate
                                          training in using the software.
                                          Software should respond quickly and
                                          clearly to user input, with adequate
                                          feedback. Such as clear help
                                          messages.

5 Furniture
Is the work surface large enough for      Create more room by moving
all the necessary equipment, papers       printers, reference materials etc
etc?                                      elsewhere.

                                          If necessary, consider providing new
                                          power and telecoms sockets, so
                                          equipment can be moved.

                                          There should be some scope for
                                          flexible rearrangement.

Can the user comfortably reach all        Rearrange equipment, papers etc to
the equipment and papers they need        bring frequently used things within
to use?                                   easy reach.

                                          A document holder may be needed,
                                          positioned to minimise uncomfortable
                                          head and eye movements.
Are surfaces free from glare and          Consider mats or blotters to reduce
reflection?                               reflections and glare.

Is the chair suitable?                    The chair may need repairing or
Is the chair stable?                      replacing if the user is uncomfortable,
                                          or cannot use the adjustment
Does the chair have a working:            mechanisms.
  seat back height and tilt adjustment?
  seat height adjustment?
  swivel mechanism?
  castors or glides?
5 Furniture (cont.)

RISK FACTORS                              Tick answer      THINGS TO CONSIDER                     ACTION TO TAKE

                                          Yes    No

Is the chair adjusted correctly?                        The user should be able to carry out
                                                        their work sitting comfortably.
                                                        Consider training the user in how to
                                                        adopt suitable postures while
                                                        working.
                                                        The arms of chairs can stop the user
                                                        getting close enough to use the
                                                        equipment comfortably.
                                                        Move any obstructions from under
                                                        the desk.

Is the small of the back supported by                   The user should have a straight back,
the chair's backrest?                                   supported by the chair, with relaxed
                                                        shoulders.

Are forearms horizontal and eyes at                     Adjust the chair height to get the
roughly the same height as the top                      user's arms in the right position; then
of the VDU?                                             adjust the VDU height, if necessary.

Are feet flat on the floor, without too                 If not, a foot rest may be needed.
much pressure from the seat on the
backs of the legs?
RISK FACTORS                             Tick answer      THINGS TO CONSIDER                      ACTION TO TAKE

                                         Yes    No

6 Environment
Is there enough room to change                         Space is needed to move, stretch
position and vary movement?                            and fidget.
                                                       Consider reorganising the office
                                                       layout and check for obstructions.
                                                       Cables should be tidy and not a trip
                                                       or snag hazard
Is the lighting suitable, e.g. not too                 Users should be able to control light
bright or too dim to work                              levels, e.g. by adjusting window
comfortably?                                           blinds or light switches.
                                                       Consider shading or repositioning
                                                       light sources or providing local
                                                       lighting, e.g. desk lamps (but make
                                                       sure lights don't cause glare by
                                                       reflecting off walls or other surfaces).

Does the air feel comfortable?                         VDUs and other equipment may dry
                                                       the air.
                                                       Circulate fresh air if possible. Plants
                                                       may help.
                                                       Consider a humidifier if discomfort is
                                                       severe.
                                                       Can heating be better controlled?
Are levels of heat comfortable?                        More ventilation or air-conditioning
                                                       may be required if there is a lot of
                                                       electronic equipment in the room. Or
                                                       can users be moved away from the
                                                       heat source?
Consider moving sources of noise,
Are levels of noise comfortable?                              e.g. printers, away from the user. If
                                                              not, consider soundproofing.

7 Final questions to users
        Ask if the checklist has covered all the problems they may have working with their VDU.
        Ask if they have experienced any discomfort or other symptoms which they attribute to
        working with their VDU
        Ask if the user has been advised of their entitlement to eye and eyesight testing.
        Ask if the user takes regular breaks working away from VDUs

Write the details of any problems and corrective recommendations here:

Actions taken in response to the assessment
7     Eye and eyesight tests procedure

7.1    Introduction

Users of Display Screen Equipment (DSE) can request to have their eyes tested every two
years or more frequently if indicated by an optician, optometrist or ophthalmologist.

7.2    Pre-Employment

The CCG may arrange for an eyesight test to be carried out as part of the pre-employment
health examination where a job involves habitual use of DSE to ensure that the applicant
has a standard vision suitable for the job. Where the examination identifies problems with
middle vision the applicant will be responsible for supplying their own glasses.

7.3    During Employment
        An initial vision screening by Occupational Health is required if they wish to obtain
        financial assistance from the CCG towards the cost of any eyesight tests or
        prescription glasses
        Employees who are eligible for vision screening must inform their manager of their
        wish to have a screening test
        They will be issued with an Eye Sight Screening Form (Appendix Three) and should
        book the screening directly through Occupational Health at Barts Hospital
        They must take the Approval Form with them to the screening
        This screening will determine whether a full eye and eyesight examination by an
        optician is required
        Depending on the outcome of the eyesight test, the CCG may make a contribution
        towards the cost

7.4    Financial Assistance
        Financial assistance for testing and glasses is only available where staff who use
        DSE have been screened by Occupational Health.
        DSE users who wore glasses for everyday use prior to screening by Occupational
        Health are not eligible for financial assistance where those glasses are suitable for
        use with DSE.
        Where financial assistance is provided to DSE users for glasses, they must wear
        those glasses at all times when operating DSE.
        Financial assistance for the replacement of glasses may only be claimed once every
        two years. Where glasses are lost or damaged in the interim period it will be the
        responsibility of the individual to replace them.
8     Table 1: CCG Guide to Reimbursement for DSE Corrective Lenses and Eye Sight
      Test.

Outcome of Examination                            CCG’s Contribution

Glasses not required                              Not exceed £17.00 for the eyesight test.

Glasses are required for general use. (The Not exceed £17.00 for the eyesight test.
employee can use this general prescription
for DSE use.)

Glasses are required for general use, Not to exceed £50.00 including the cost of
incorporating a special prescription for DSE testing.

Glasses are required solely for DSE use           Not to exceed £50.00 including the cost of
                                                  testing.

8.1     Attending an Optician
         When you attend an optician you will have an eye examination and be told whether
         you require glasses for use with DSE. If you require such glasses you will be shown
         a selection of frames.
         If you choose a selection from this range the CCG will reimburse payment up to £50
         for DSE prescription glasses; this includes the cost of the eye test (see table 1
         above).
         In order to reclaim the cost of the eye test and glasses please bring both the receipt
         and the signed eye sight screening form (Appendix three) back to your manager to
         authorise reimbursement. The line manager is to provide these to the CCG finance
         team for processing.
         Should you decide to ‘upgrade’ to another pair of glasses or type of lens that will take
         the total cost including the glasses and the eyesight test over the CCG’s contribution
         limit you will only be reimbursed for the amount stated in the table above.

8.2      Process for Reimbursement
      Once the receipt and eye sight testing form have been given to the line manager for sign
      off, the line manager will then forward copies to the CCG finance team. The CCG finance
      team will then arrange for reimbursement to the member of staff.

8.3     Record Keeping
         Records of Optical testing will be kept in staff members’ Occupational Health File
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