Display Screen Equipment DSE Policy
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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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