Homeworkers

Do you have the contact information (name, email, phone number) of a manager or supervisor who you can get in touch with easily

YES
NO
N/A

Does your employer have a system to regularly ‘check in’ with you, if you are not visibly online each day

YES
NO
N/A

?Is your home kept secure whilst you’re working there

YES
NO
N/A

Have you ensured that important files and laptops are kept locked away securely when not in use

YES
NO
N/A

Workspace

Please describe your home office

Dedicated office space
Desk/table in shared room
word from bed
other

How likely are you to be distracted by others while working from home

Not at all
Sometimes but not often
Frequently
other

Please provide some photos of your work area

حداکثر اندازه فایل: 500 MB.

Is there anything that can be done to improve your working from home environment

YES
NO
N/A

Workstation

? Do you have a table or desk to work from

YES
NO
N/A

Is your chair set up correctly? Is your lower back supported and are your feet flat on the floor

YES
NO
N/A

Do you have enough surface space on your desk to work comfortably

YES
NO
N/A

Are your keyboard and mouse clean and within easy reach, without having to stretch

YES
NO
N/A

Can you easily reach everything that you need without twisting and straining your upper body

YES
NO
N/A

Is your display screen clean and positioned so there is no glare from a window or light

YES
NO
N/A

Is your display screen level with your eyes so it doesn’t cause discomfort to your neck or head

YES
NO
N/A

Fire & Electrical Safety

Do you have an emergency assembly point outside of your home in place in case of fire

YES
NO
N/A

Are your smoke detectors working and checked regularly, e.g. every month

YES
NO
N/A

Do you regularly dispose of waste, including papers, to prevent a build- up of fire ‘fuel’

YES
NO
N/A

Have you checked electrical equipment for spark, signs of damage or deterioration

YES
NO
N/A

?Do you switch off equipment when not in use

YES
NO
N/A

Slips, Trips & Fall Hazards

?Are floor coverings, such as carpets and rugs, secure

YES
NO
N/A

?Are walkways and corridors clear of trip hazards

YES
NO
N/A

Is the floor area around your desk clear of boxes, papers and wires

YES
NO
N/A

Stress & Welfare

Do you sit with a good posture and not hunched over the desk

YES
NO
N/A

Are you able to carry out regular stretches at your desk to avoid stiff or sore muscles

YES
NO
N/A

?Do you have easy access to first aid equipment if required

YES
NO
N/A

Do you have a window or long distance view to look at every 15 minutes to give your short sighted muscles a rest

YES
NO
N/A

During the work day, do you feel disconnected or isolated

YES
NO
N/A

Personal Health & Hygiene

Do you have any flu symptoms such as headaches, running nose, sore throat, cough or fever

YES
NO
N/A

Has anyone in your home travelled overseas in the past two weeks

YES
NO
N/A

?Do you have hand sanitizer and face masks on hand

YES
NO
N/A