Checklist: Telecommuting Site Visit

This checklist should be completed during a site visit to the employee's proposed home office. The adequacy of the workspace must be determined between you and the employee. The success of the telecommuting arrangement depends on the assessment of the workspace and the ability of the employee to successfully complete the required work in this environment. If the workspace is not adequate, the telecommuting agreement will not work.

Does the space seem adequately ventilated? Yes ____ No ____
Is the space reasonably quiet? Yes ____ No ____
Are all stairs with 4 or more steps equipped with handrails? Yes ____ No ____
Are all circuit breakers and/or fuses in the electrical panel labeled as to intended service? Yes ____ No ____
Do circuit breakers clearly indicate if they are in open or closed position? Yes ____ No ____
Is all electrical equipment free of recognized hazards that would cause physical harm (frayed wires, bare conductors, loose wires, flexible wires running through walls, exposed wires fixed to the ceiling)? Yes ____ No ____
Are electrical outlets 3 pronged (grounded)? Yes ____ No ____
Are aisles, doorways, and corners free of obstructions to permit visibility and movement? Yes ____ No ____
Are file cabinets and storage closets arranged so drawers and doors do not open into walkways? Yes ____ No ____
Do chairs appear sturdy? Yes ____ No ____
Is the space crowded with furniture? Yes ____ No ____
Are the phone lines, electrical cords, and extension wires secured under a desk or alongside a baseboard? Yes ____ No ____
Is the office space neat and clean? Yes ____ No ____
Are floor surfaces clean, dry, level, and free of worn or frayed seams? Yes ____ No ____
Are carpets well secured to the floor and free of frayed or worn seams? Yes ____ No ____
Is there a fire extinguisher in the home, easily accessible from the office space (required)? Yes ____ No ____
Is there a working (test) smoke detector within hearing distance of the work space (required)? Yes ____ No ____
The employee agrees to arrange for an energy audit of the home by the local utility company and fire safety inspection by the local fire department within 30 days of the signing of this agreement, provided they can be accomplished free of charge. Yes ____ No ____
We agree that in our opinion this is an acceptable home office space that allows the employee a reasonable opportunity to meet the job requirements as a telecommuter. Yes ____ No ____