Telework Plan June 2009

By Steve Johnson,2014-06-17 18:14
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Telework Plan June 2009 ...


This Telework Work Plan is intended to clearly define work expectations each time an

    employee works at a remote work site. Teleworkers who fail to complete this Work Plan

    and/or telework assignments to the satisfaction of the supervisor will not be permitted to

    continue to telework, and failure to complete work assignments may negatively affect the

    employee’s performance rating, and/or result in disciplinary action.

    1. A Work Plan must be completed by both the teleworker and the supervisor

    before each telework day.

    2. The teleworker must complete Part I of this Work Plan to acknowledge an

    understanding of the general telework requirements before teleworking.

    3. The supervisor must complete Part II of this Work Plan to identify the specific

    assignments to be performed during the telework day and the specific

    deliverables associated with those assignments.

    4. During the telework day, the teleworker must complete Part III of this Work Plan,

    detailing the work performed during each hour of the telework day.

    5. After the telework day, the teleworker must provide the Work Plan and

    associated deliverables to the supervisor.

    6. The supervisor must submit the completed Work Plan to the Agency Personnel

    Office within one week of the telework day.

    Teleworker’s Name: _________ Telework Date: ______________

Supervisor’s Name:

PART I: General telework requirements:

By initialing next to each item, I (teleworker) certify that I understand and agree to

    adhere to each of the following requirements:

_____ I agree to provide a home or remote work site telephone number where I may be

    reached at all times (cell phone numbers may not be substituted for a home or

    remote work site number unless Employee certifies that there is no land line

    within the home or remote work site.) Phone number: _____

_____ I agree to respond to phone messages and emails at least hourly during each

    telework occasion.

_____ I agree to call my supervisor at least twice during each telework occasion.

_____ I agree to respond to calls from the main office within 15 minutes of the call.

_____ I agree to provide the specific deliverables, as detailed below, to my supervisor

    on my next regularly scheduled workday in the office.

_____ I agree to comply with all provisions of this Work Plan and acknowledge that

    failure to comply with these provisions will result in the termination of my

    participation in a teleworking arrangement, may negatively affect my

    performance rating, and may result in disciplinary action.

PART II: Assignments and Deliverables (To be completed by the Supervisor)



PART III: Hourly Work Log


7:00 a.m. 8:00 a.m.

8:00 a.m. 9:00 a.m.

9:00 a.m. 10:00 a.m.

10:00 a.m. 11:00 a.m.

11:00 a.m. 12:00 p.m.

12:00 p.m. 1:00 p.m.

1:00 p.m. 2:00 p.m.

2:00 p.m. 3:00 p.m.

3:00 p.m. 4:00 p.m.

4:00 p.m. 5:00 p.m.

5:00 p.m. 6:00 p.m.

Teleworker’s Signature Date

Supervisor’s Signature Date

Agency Personnel Officer’s Signature Date

    Telework Work Plan DBM-OPSB April 2009

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