Safety Inspection Checklist for Telecommuting

Safety Item	Yes	No
Alternate work location allows for focused work
All Stairs with four or more steps have handrails
Electrical equipment is free of recognized hazards that would cause physical harm such as frayed wires, bare conductors, loose wires, flexible wires running through walls, exposed wires fixed to the ceiling
Electrical outlets are three-pronged (grounded)
Aisles, doorways, and corners are free of obstructions to permit visibility and movement
File cabinets and storage closets are arranged so that drawers and doors do not open into walkways
Work chair provides proper support. It should be adjustable for height, seat tilt, and have armrests. The base should provide movement with minimal effort while keeping the chair and occupant from falling or tipping
Frequently used objects (telephone, reference materials) should be within easy reach to prevent repetitive stretching and/or turning
Monitors should be at eye level and about 18-24 inches away
When using the keyboard and mouse, shoulders should be relaxed with the upper arms resting at your sides. Hands should be in neutral position, level with the wrists
Phone lines, electrical cords, and extension cords are secured under the desk or alongside the baseboard
Floor surfaces are clean, dry, level, and free from worn or frayed seams with carpeting secured to the floor
Alternate work location is adequately ventilated
Other

Employee	Date

Supervisor	Date

The Safety Inspection Checklist is used in conjunction with the Application for Telecommuting, the Telecommuting Agreement and Policy 1332 – Telecommuting.

Send to Human Resources, humanresources@jmu.edu, or MSC 7009

Department/Employee may retain an administrative copy.