Title Page
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Conducted on
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Prepared by
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Location
Personal Health & Hygiene
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Do you have any flu symptoms such as headaches, running nose, sore throat, cough or fever?
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Has anyone in your home travelled overseas in the past two weeks?
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Do you have hand sanitizer and hand soap on hand?
Workspace
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How would you describe your home office
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During the work day, are you likely to be distracted by others in the home?
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Take some photos of your work area
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Is there anything that can be done to improve your working from home environment?
Workstation
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Do you have a desk or table to work from?
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Is your chair set up correctly? Is your lower back supported and are your feet flat on the floor?
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Do you have enough surface space on your desk to work comfortably?
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Are your keyboard and mouse clean and within easy reach, without having to stretch?
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Can you easily reach everything that you need without twisting and straining your upper body?
Display screen
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Is your display screen clean and positioned so there is no glare from a window or light?
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Is your display screen level with your eyes so it doesn’t cause discomfort to your neck or head?
Stress & Welfare
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Do you sit with a good posture or are you hunched over the desk?
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Are you able to carry out regular stretches at your desk to avoid stiff or sore muscles?
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Do you have easy access to first aid equipment if required?
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Do you have a window or long distance view to look at every 15 minutes to give your short sighted muscles a rest?
Lone working
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Do you know the name and number of a manager or supervisor who you can get in touch with easily?
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Do you have a system for regularly ‘checking in’ with your employer if you are not visibly online each day?
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Is your home kept secure whilst you’re working there?
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Are important files and laptops kept locked away securely when not in use?
Sign off
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