Sample Supervisor's Employee Checklist

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" bgproperties="fixed" background="064285a1erlcgo.png"> <div> <FONT SIZE="5" COLOR="#FFCC66" FACE="Arial" ><B>The Telework Coalition</B></FONT><B>    </B></div> <div> <B>Enabling Virtual, Mobile, and Distributed Work through Education, Technology, and Legislation</B></div> <div> </div> </td> </tr><tr> <td valign="top" width=150 BGCOLOR="#FFCC66" TEXT="#080000" background="063d4c00dkelyh.png"> <div> <A HREF="index.htm" TARGET="_top" TITLE="The Telework Coalition"><U>Home</U></A></div> <div> <A HREF="id296.htm" TARGET="_top" TITLE="Membership Sponsorship Opportunities"><U>Membership & Sponsorship Opportunities</U></A></div> <div> <A HREF="id208.htm" TARGET="_top" TITLE="Our Sponsors"><U>Our Sponsors</U></A></div> <div> <A HREF="id270.htm" TARGET="_top" TITLE="TelCoa in the News"><U>"TelCoa in the News"</U></A></div> <div> <A HREF="id17.htm" TARGET="_top" TITLE="Calendar"><U>Calendar</U></A></div> <div> <A HREF="id282.htm" TARGET="_top" TITLE="TelCoa / ACP Event"><U>TelCoa / ACP Event</U></A></div> <div> <A HREF="id19.htm" TARGET="_top" TITLE="Contact Us"><U>Contact Us</U></A></div> <div> <A HREF="id259.htm" TARGET="_top" TITLE="Strategic Alliances"><U>Strategic Alliances</U></A></div> <div> <A HREF="id278.htm" TARGET="_top" TITLE="Business Continuity Planning (COOP)"><U>Business Continuity Planning (COOP)</U></A></div> <div> <A HREF="id294.htm" TARGET="_top" TITLE="Avian Flu and Pandemic Information and A"><U>Avian Flu and Pandemic Information and Articles</U></A></div> <div> <A HREF="id156.htm" TARGET="_top" TITLE="Virtual Call Center Sponsors"><U>Virtual Call Center Sponsors</U></A></div> <div> <A HREF="id157.htm" TARGET="_top" TITLE="Virtual Call Centers "><U>Virtual Call Centers </U></A></div> <div> <A HREF="id20.htm" TARGET="_top" TITLE="Board of Directors and Advisory Board"><U>Board of Directors and Advisory Board</U></A></div> <div> <A HREF="id158.htm" TARGET="_top" TITLE="The Telecommuter Tax Fairness Act "><U>The Telecommuter Tax Fairness Act </U></A></div> <div> <A HREF="id223.htm" TARGET="_top" TITLE="TelCoa Awards"><U>TelCoa Awards</U></A></div> <div> <A HREF="id18.htm" TARGET="_top" TITLE="Our Vision and Mission"><U>Our Vision and Mission</U></A></div> <div> <A HREF="id40.htm" TARGET="_top" TITLE="Telework in the News"><U>Telework in the News</U></A></div> <div> <A HREF="id35.htm" TARGET="_top" TITLE="Federal, State, Regional News, Legislat"><U>Federal, State, & Regional News, Legislation, and Programs</U></A></div> <div> <A HREF="id263.htm" TARGET="_top" TITLE="Telework Tools "><U>Telework Tools </U></A></div> <div> <A HREF="id33.htm" TARGET="_top" TITLE="Telework Facts "><U>Telework Facts </U></A></div> <div> <A HREF="id42.htm" TARGET="_top" TITLE="You Should Know"><U>You Should Know</U></A></div> <div> <A HREF="id43.htm" TARGET="_top" TITLE="Broadband"><U>Broadband</U></A></div> <div> <A HREF="id27.htm" TARGET="_top" TITLE="Environmental Information and Fact Sheet"><U>Environmental Information and Fact Sheet</U></A></div> <div> <A HREF="id90.htm" TARGET="_top" TITLE="Health, Safety Telework"><U>Health, Safety & Telework</U></A></div> <div> <A HREF="id105.htm" TARGET="_top" TITLE="Telework Jobs and Opportunities"><U>Telework Jobs and Opportunities</U></A></div> <div> <A HREF="id337.htm" TARGET="_top" TITLE="Other Jobs"><U>Other Jobs</U></A></div> <div> <A HREF="id34.htm" TARGET="_top" TITLE="Contributing Partners"><U>Contributing Partners</U></A></div> <div> <A HREF="id41.htm" TARGET="_top" TITLE="Related Links "><U>Related Links </U></A></div> <div> <A HREF="id25.htm" TARGET="_top" TITLE="Reference"><U>Reference</U></A></div> <bR> <div>  </div> <bR> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Sample Supervisor's Employee Checklist</I></div> <bR> <bR> <div> The following checklist is designed to ensure that employees participating in the teleworking/telecommuting </div> <div> program are properly oriented to the policies and procedures of the project.</div> <bR> <div> 1. Employee has read guidelines outlining policies and procedures for teleworking/flexiplace participation.      Yes [__]                                          </div> <bR> <div> Date: _______________________ </div> <bR> <div> 2. Equipment has been issued to the employee and has been documented. </div> <div> <IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Computer                                                    Yes [__]</div> <div> <IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Modem                                                       Yes [__]</div> <div> <IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Fax machine                                               Yes [__]</div> <div> <IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Telephone                                                   Yes [__]</div> <div> <IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Desk                                                           Yes [__]</div> <div> <IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Chair                                                           Yes [__]</div> <div> <IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">Other ____________________________ __    Yes [__]</div> <div> <IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">          ______________________________    Yes [__]</div> <div> <IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">          ______________________________    Yes [__]</div> <div> <IMG BORDER="0" SRC="Symb075c00b700dc00000000.png" HEIGHT="15" WIDTH="24" ALIGN="bottom" HSPACE="0" VSPACE="0">          ______________________________    Yes [__]</div> <bR> <div> Issue Date: ____________________________ </div> <bR> <div> Document Completion Date: ____________________</div> <bR> <div> 3. Policies and procedures for care of equipment have been explained and are clearly understood. </div> <bR> <div> Date: _________________________ </div> <bR> <div> 4. Policies and procedures covering classified, secure, and privacy act data have been discussed and are clearly understood. </div> <bR> <div> Date: _________________________ </div> <bR> <div> 5. Requirements for an adequate and safe office space and/or area have been discussed and actioned. </div> <bR> <div> Date: _________________________</div> <bR> <div> 6. Performance expectations have been discussed and are clearly understood. </div> <bR> <div> Date: _________________________ </div> <bR> <div> 7. Employee understands that supervisor may terminate participation at any time. </div> <bR> <div> Date: _________________________ </div> <bR> <div> 8. Employee has participated in required telework/telecommuting training. </div> <bR> <bR> <div> Supervisor signature: ___________________________     <FONT SIZE="2" COLOR="#000000" FACE="Arial" >Date: __________________ </FONT></div> <bR> <div> Employee signature: ____________________________     <FONT SIZE="2" COLOR="#000000" FACE="Arial" >Date: __________________</FONT></div> <bR> </td> </tr></table></body>