Home Office Work Health and Safety Checklist

Please complete and sign the form below, and then select Submit

Please complete all fields.

Checklist Date:

4th June 2020 - 09:03

Staff Member

First Name:

Surname:

Office Location

Street Address:

State:

Suburb:

Postcode:

Designated Work Area

The work area floor is level and clear of trip hazards?:

The lighting is adequate?:

Ventilation and room temperature can be controlled?:

There is no excessive noise affecting the work area?:

The work area is separated from other hazards in the home such as hot cooking surfaces?:

The work area is a non-smoking environment?:

The path to the exit is sufficiently wide, clear and reasonably direct?:

Safety And Security

The work area contains a first aid kit?:

The work area contains a fire extinguisher or other means to extinguish minor fires?:

A properly maintained smoke detector is installed in the work area?:

The work area is secured from unauthorised entry?:

Electrical

Power outlets are not overloaded with double adaptors and power boards?:

Electrical cords are safely stowed?:

Electrical equipment is free from any visible external damage?:

All connectors, plugs and sockets are in safe working order?:

Work Surface

There is adequate leg space under the workstation?:

A footrest is available if needed?:

From the seated position the most frequently used items are within easy reach?:

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

Chair

The seat height, tilt angle and back rest are all adjusted to the optimum positions?:

The chair has a stable base?:

The chair moves freely?:

The chair offers adequate lumbar support?:

Keyboard And Mouse

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

Keyboard is placed flat with mouse at the same level on the preferred side?:

Monitor

Monitor height is adjusted so top of screen is at or slightly lower than eye level?:

Monitor viewing distance is between 350mm and 750mm?:

Mouse and keyboard positioned directly and symmetrically between user and monitor?:

Monitor is positioned to avoid glare?:

Safety Practices

Safe, upright or slightly reclined sitting posture with lower back supported is adopted?:

Any lifting, pushing or carrying is well within physical capacity?:

Wrists are kept straight and not rested on any surface while typing?:

An incident reporting process is available and has been explained?:

Long periods of continuous activity are broken by changing position, standing up and stretching?:

Repetitive actions are not continued for long periods without suitable breaks?:

Emergency contact numbers and details are known?: