Work From Home Safety Checklist Template – A practical and editable compliance form for evaluating the safety and ergonomics of a remote workspace. Designed for HR departments, team leaders, and companies implementing hybrid or fully remote work policies.
This checklist helps identify risks and ensure the employee’s home office meets basic safety, health, and confidentiality standards. It includes sections for the physical setup, electrical conditions, internet stability, and employee acknowledgment of responsibility.
Sections Covered:
- Employee Identification & Work Location
- Work Environment & Ergonomic Conditions
- Electrical and Fire Safety Checks
- Internet & Equipment Readiness
- Employee Declaration of Compliance
- Optional Supervisor Review and Sign-off
Format: Editable Word (.docx) – Ready to print or fill digitally.
Disclaimer: Adapt this template according to your internal HR policy and workplace safety standards.
English
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