Telecommuting Safety Checklist

• Institution

• Home Address
  Address

• Employee Name

• Conducted on

  Date

General

• Workspace is away from noise, distractions, and is devoted to your work needs?

  Yes

  No

  N/A

• Workspace accommodates workstation, equipment, and related material?

  Yes

  No

  N/A

• Floors are clear and free from hazards?

  Yes

  No

  N/A

• File drawers are not top-heavy and do not open into walkways?

  Yes

  No

  N/A

• Phone lines and electrical cords are secured under a desk or along wall, and away from heat sources?

  Yes

  No

  N/A

• Temperature, ventilation, and lighting are adequate?

  Yes

  No

  N/A

• All stairs with four or more steps are equipped with handrails?

  Yes

  No

  N/A

• Carpets are well secured to the floor and free of frayed or worn seams?

  Yes

  No

  N/A

Fire Safety

• There is a working smoke detercor in the workspace area?

  Yes

  No

  N/A

• A home multi-use fire extinguisher, which you know how to use, is readily available?

  Yes

  No

  N/A

• Walkways aisles, and doorways are unobstructed?

  Yes

  No

  N/A

• Workspace is kept free of trash, clutter, and flammable liquids?

  Yes

  No

  N/A

• All radiators and portable heaters are located away from flammable items?

  Yes

  No

  N/A

• You have an evacuation plan so you know what to do in the event of a fire?

  Yes

  No

  N/A

Electrical Safety

• Sufficient electrical outlets are accessible?

  Yes

  No

  N/A

• Computer equipment is connected to a surge protector?

  Yes

  No

  N/A

• Electrical system is adequate for office equipment?

  Yes

  No

  N/A

• All electrical plugs, cords, outlets, and panels are in good condition? No exposed/damaged wiring?

  Yes

  No

  N/A

• Equipment is placed close to electrical outlets?

  Yes

  No

  N/A

• Extension cords and power strips are not daisy chained and no permanent extension cord is in use?

  Yes

  No

  N/A

• Equipment is turned off when not in use?

  Yes

  No

  N/A

Computer Workstation

• Chair casters (wheels) are secure and the rungs and legs of the chair are sturdy?

  Yes

  No

  N/A

• Chair is adjustable?

  Yes

  No

  N/A

• Your back is adequately supported by a backrest?

  Yes

  No

  N/A

• Your feet are on the floor or adequately supported by a footrest?

  Yes

  No

  N/A

• You have enough leg room at your desk?

  Yes

  No

  N/A

• There is sufficient light for reading?

  Yes

  No

  N/A

• The computer screen is free from noticeable glare?

  Yes

  No

  N/A

• The top of the screen is at eye level?

  Yes

  No

  N/A

• There is space to rest the arms while not keying?

  Yes

  No

  N/A

Other Safety Measures

• Files and data are secure?

  Yes

  No

  N/A

• Materials and equipment are in a secure place that can be protected from damage and misuse?

  Yes

  No

  N/A

• You have an inventory of all equipment in the office including serial numbers?

  Yes

  No

  N/A

• If applicable, do you use up-to-date anti-virus software, keep virus definitions up-to-date, and run regular scans?

  Yes

  No

  N/A

Completion

• Additional Observations

• Employee Name & Signature

  Sign

• Supervisor Name & Signature

  Sign