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MICHIGAN TECH FUND
FLEXPLACE/TELEWORK WORK SPACE CHECKLIST
When setting up a flexplace work space, ergonomics and safety are of primary importance.
Work Station Set-Up – Work station and equipment are ergonomically appropriate
Yes
No
Item
1. Computer desk
2. Component desk (if applicable)
3. Keyboard
4. Chair
5. Computer screen
6. Lighting
For more detailed information on setting up an ergonomic computer workstation, visit
http://www.osha.gov/SLTC/etools/computerworkstations/pdffiles/checklist1.pdf.
Work Space Set-up
Yes
No
1.
2.
3.
4.
5.
6.
7.
Item
Work space is designated and devoted to work needs.
Work space is separate from major family activity areas.
Work space is away from noise and distractions.
Work space illumination is adequate and appropriate for tasks.
Work space and property are secured.
Work documents, data, and confidential information are secured.
Air quality and ventilation are adequate.
Safety
Yes
No
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Item
Work space area accommodates all equipment and related materials.
Sufficient electrical outlets are available.
All electrical plugs, cords, panels, and receptacles are in good condition.
Three-prong grounded outlets are used. Note: Two-prong outlets that require plug adapters do
not provide adequate protection for computers.
Equipment is fitted with surge protectors and overload fuses.
Equipment is placed close to electrical outlets. Electrical cords/wires are configured so there
are no tripping hazards. Note: Extension cords should not be used.
There is a working smoke detector in or near the work space.
A home multipurpose fire extinguisher is available. Employee is familiar with use.
Heating and ventilation systems are adequate and in good repair.
There is an established evacuation plan in the event of a fire.
Others in the Work Space
Yes
No
Item
1. A representative of the Tech Fund has the right to make periodic visits to the home office to
audit the safety of equipment and information. Reasonable efforts will be made to schedule
such visits in advance.
2. Face-to-face meetings with customers and co-workers are not to be held at the flexplace work
space.
3. Arrangements for dependent care have been secured (if appropriate).
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Flexplace/Telework Data Security
All employees must follow all University policies and procedures relating to the security and integrity of
sensitive data. For more information, please refer to the Michigan Tech’s Information Security Plan at
https://www.security.mtu.edu/ISP/docs/protected/ISP_Final.pdf.
and the Tech Fund’s information technology policy, Security – Computing Access – Local and Remote,
at http://www.mtu.edu/giving/information/faculty-staff/pdfs/manual.pdf.
Work done at the employee’s telecommuting site is regarded as official Tech Fund business.
Yes
No
Item
1. External computers used to administer Tech Fund and University resources or access sensitive
information must be properly configured and secured.
2. Secure remote access must be strictly controlled. Employees are required to connect to the
University’s network through the Virtual Private Network (VPN).
3. At no time will a remote user provide his or her password to anyone.
4. If remotely connected to the Michigan Tech network, remote users must ensure that their
computer is not connected to any other network at the same time, other than a private network
that is under the user’s control.
5. All computers connected to the University network must have personal firewall software
installed, use up-to-date anti-virus software, have up-to-date virus definitions, and have
regularly conducted scans.
Any items with a “No” checked must be rectified or require further clarification. Please list steps to be taken.
Please submit completed forms to:
Human Resources Coordinator
Michigan Tech Fund
Please send notice to:
WorkLife Connections Office
Michigan Technological University
All Michigan Tech Fund flexible work options forms and guidelines have been adapted from the forms developed by
Michigan Technological University, with thanks to Cleveland State University, George Washington University, Cornell
University, Lehigh University, University of Pennsylvania, University of Kentucky, University of Arizona, and MIT whose
WorkLife websites were especially helpful and are quoted in these forms and guidelines.
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