Title Page

  • Department

  • Employee's Name

  • Position

  • Home Address
  • Phone Number

  • Conducted on

Working from Home Health and Safety Checklist

Work Environment

Designated Work Area

  • A designated work/study area has been identified which provides sufficient clear space to enable the employee to have full range of movement required to work without risk of strain or injury.

  • There are no trip hazards (e.g. cabling, mats, clutter)

Environmental Conditions

  • Lighting is adequate for the tasks being performed (i.e. easy to see and comfortable on the eyes)

  • Glare and reflection can be controlled

  • Ventilation and room temperature can be controlled, regardless of season (i.e. I feel comfortable with the room temperature and air flow)

  • There is no excessive noise affecting the work area

  • Non-smoking environment

Emergency Exit

  • Path to the exit is reasonably direct

  • Path to the exit is sufficiently wide and free of obstructions or trip hazards to allow unimpeded passage


  • Security is sufficient to prevent unauthorised entry by intruders


  • Power outlets are not overloaded with double adapters and power boards

  • Earth leakage circuit protection is in place for work related equipment

  • Electrical cords are safely stowed

  • Connectors, plugs and outlet sockets are in a safe condition

  • Electrical equipment is free from any obvious external damage

Workstation Set Up

Work Surface

  • The area of the work surface is adequate for the tasks to be performed (i.e. similar work space to that used while the person is at the office)

  • A document holder is used if transcribing information from hard copy to computer or if referring to reference material for prolonged periods

  • The most frequently used items are within easy reach from the seated position

  • There are no sharp contact points on the workstation or other equipment


  • The seat height, seat tilt, angle and back rest are all adjustable

  • The chair has a 5-point base to ensure stability (does not slip or roll) on the floor

  • There is adequate lumbar support and padding

  • The chair height is adjusted so that feet are flat on the floor and knees are bent at right angles with thighs parallel to the floor

  • The seat back is adjusted to support the lumbar curve of the lower back

  • The seat pan tilt is adjusted so that hips and tops of thighs are at right angles or slightly greater

  • Chair arms are not present or are low enough to easily clear the desk


  • The desk is at a suitable height

  • There is adequate leg room under the desk, and no clutter

  • A footrest is available if needed

Keyboard and Mouse

  • Keyboard to user distance allows user to relax shoulders with elbows close to the body

  • Keyboard position is flat and in front of the screen

  • Mouse is placed directly next to the keyboard, fits hand comfortably and works freely

  • Mouse is at same level as the keyboard


  • Monitor height is adjusted so top of the screen is level with or at slightly lower height than eye level (approx. 400mm above the work surface)

  • Monitor is approx. arm’s length from user

  • Monitor is positioned to avoid glare, i.e. perpendicular to window or other strong light source

Nature of Tasks

Physical Demands of Tasks

  • Safe posture is adopted

  • Any lifting, pushing or carrying type task is well within physical capacity (i.e. my work does not involve physically heavy, overly repetitious or demanding tasks)

  • The employee’s fitness and health is suitable to the tasks to be undertaken

  • Any special needs to ensure health and safety have been advised to the manager and can be accommodated (e.g. are there any pre-existing injuries, illness or disease that could be accelerated, exacerbated, aggravated, re-occur or deteriorate in performing the inherent requirements of the role)

Work Practices

  • Wrists are kept straight and not supported on surface while typing

  • Sitting posture is upright or slightly reclined, with lower back supported

  • The telephone is within easy reach from the seated position

  • Long periods of continuous activity are broken by performing other tasks, changing position, standing up and stretching

Emergency procedures, incidents and check-in

  • A procedure has been established to periodically confirm with the office workplace that the home worker is safe and well

  • Telephone or other communication devices are readily available to allow effective communication in an emergency situation

  • Emergency contact numbers and details are known, i.e. 000 for fire, ambulance or police

  • Access to first aid supplies is available

  • A smoke detector is installed in/near the designated work area and is properly maintained

  • Any safety incidents will be reported using the business’ incident reporting system

Remote Access

  • A request for a remote access to IT systems has been made and approved by the manager or cloud-based systems are in place to allow remote working


  • Photographs of the home-based work office, including desk layout, power outlets, telephone and lighting

  • Additional Comments

  • Employee Name & Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.