5225-P – Telecommuting Evaluation Checklist/Procedure
The employee and his/her supervisor will jointly complete the following procedural questions to determine whether completion of Form 5225-F1 is appropriate.
Determine if the Employee’s duties are consistent with telecommuting.
Yes
No
Are the Employee’s job description(s) and duties of a type that may be performed in an alternative location?
Yes
No
Do these duties constitute a significant portion of the Employee’s work?
Yes
No
Will the Employee’s duties allow the Employee to work at least one entire shift at the alternative location?
Yes
No
Can the duties be performed without ongoing supervisory oversight or with only predictable, periodic oversight?
Yes
No
Can the confidentiality requirements of the Employee’s position be met in an alternative location?
Yes
No
Can the quality of the Employee’s performance remain equal, or be superior to, the Employee’s quality of performance at his or her regular work site?
Yes
No
Can the quantity of the Employee’s performance remain equal, or be superior to, the quantity of performance at his or her regular work site?
Yes
No
Determine if the Employee is an appropriate candidate for telecommuting.
Yes
No
Does the Employee have consistently high levels of productivity?
Yes
No
Is the Employee’s performance consistently of high quality?
Yes
No
Does the Employee work well without supervision or with only limited supervision?
Yes
No
Has the Employee completed their (6) month probationary period and demonstrated consistent attendance?
Yes
No
Is the Employee’s record clear of undue disciplinary actions or concerns?
Yes
No
Does the Employee communicate well with supervisors regarding work duties?
Yes
No
Does the Employee have appropriate dependent-care arrangements in place?
Yes
No
Determine if the proposed Telecommuting Site is appropriate.
Yes
No
Does the proposed Telecommuting Site have adequate space to permit completion of the Employee’s assigned duties?
Yes
No
Is the proposed Telecommuting Site safe and ergonomically suitable given the Employee’s physical limitations or requirements?
Yes
No
Does the Employee currently have equipment (e.g., updated computer equipment and software) sufficient to allow the Employee to complete assigned duties at the required productivity levels and consistent with confidentiality and security requirements?
Yes
No
Does the Employee currently have equipment (e.g., computer, software, telephone, and internet bandwidth) sufficient to allow the Employee to regularly communicate with supervisors, co-workers and clients in multiple formats including video conferencing?
Yes
No
Has telecommuter’s computing environment been configured to support a dedicated, password-protected desktop and login?
Yes
No
Determined the number of telecommuting days appropriate for the Employee (not normally to exceed sixty percent (60%) of the scheduled work days, unless an exception is approved by the Superintendent).
Yes
No
Determined the work hours of each telecommuting day making sure that non-exempt employees do not go into overtime status and include their required lunch and other breaks.
Yes
No
Determined appropriate productivity expectations and measurements for the Employee’s duties.
Yes
No
Created a plan of supervision, including times and means of communication between the Employee and his or her supervisor.
Yes
No
Discussed the Employee Telecommuting Agreement (Form 5225-F) with the Employee.
Yes
No
Completed and sign Telecommuting Agreement (Form 5225-F).
Yes
No
Included the signed telecommuting agreement form 5225-F in the Employee’s electronic file.
Yes
No
Revised: 06/23/2021
Date Revised: 06/23/2021