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Form to record a health and safety discussion with a homeworker during the coronavirus outbreak

Author: Bar Huberman

When to use this model coronavirus/homeworking form

Use this model form to enable a line manager to record a health and safety conversation with an employee who is working from home during the coronavirus (COVID-19) outbreak.

This form is suitable for homeworkers who are performing desk-based work, and is based in part on the Display screen equipment workstation checklist from the Health and Safety Executive (HSE).