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TELEWORKING AGREEMENT FORM

PART A Teleworker and Managers Agreement


The following agreement must be signed by the employee, the employee's direct line manager, HR BP and Department Director, before the teleworking arrangement can commence. Once completed, this Agreement is to be sent to Human Resources and filed in the employees personnel file. EMPLOYEE DETAILS Surname: Nicoara HR ID (UPI): FF 0003548 Given Names: Sergiu

Business Unit: NSI - System & Application Integration Location Code: RO Address: Str. Timis, nr. 1, Sc. C, ap 4, Timisoara, Timis Home work area phone number (List any alternative contact numbers) +40-742941517 E Mail Address: sergiu.nicoara@alcatel-lucent.com

Employee Requirements 1) Detail the benefits of a teleworking arrangement for the employee, their work and the company. The benefits for the employee: transport savings, a better working schedule, more confortable, relaxed and quiet environment. The benefits for the company: savings in terms of electrical power, paper, parking tickets, quieter environment for the employees working in the office (being fewer people present) The benefits for the work: more efficency resulting from a better level of concentration.

2) A schedule (either weekly or monthly) indicating how the employee proposes to arrange their work around their home and office time. This schedule should be specific indicating actual days in and out of the office. The weekly schedule can mention maximum 2 days working from home, not Monday or Friday. Mon Tue Wed Thur Fri working at the Alcatel-Lucent Romania Office working at the Alcatel-Lucent Romania Office working at the Alcatel-Lucent Romania Office working from home (8.00 to 17.00 or 9.00 to 18.00 including 1 hour lunch break) working at the Alcatel-Lucent Romania Office

Example: 8.00 to 17.00 or 9.00 to 18.00 including 1 hour lunch break. Mon working at the Alcatel-Lucent Romania Office Tue working at the Alcatel-Lucent Romania Office Wed working from home Thur working from home Fri working at the Alcatel-Lucent Romania Office

SC Alcatel-Lucent Romania SRL Gh. Lazar, 9, 300881 Timisoara, Romania

TELEWORKING AGREEMENT FORM


3) Show how the arrangement will be communicated to customers and work colleagues so as not to disadvantage them in any way. The arrangement will be communicated via e-mail.

4) Please identify the business expenses to be reimbursed by Alcatel-Lucent. 10 Euros/ month the internet subscription fee

5) Has Part B EH&S Home Office Setup and Assessment Checklist been completed indicating a positive result? YES NO 6) Has Part C IS Home Office Setup and Assessment Checklist been completed indicating a positive result? YES NO 7) Has Part D Assets List been completed indicating the equipment owned and registered by Alcatel-Lucent and the Teleworker? YES NO Terms and Conditions of Agreement This agreement pertains to the practice of working at home in a designated work area for a set period of time. All other terms and conditions of employment remain unchanged. This agreement is to be read in conjunction with the Teleworking Policy, and all areas of employee responsibility must be met otherwise this agreement is null and void. Alcatel-Lucent Romania retains the right to terminate the Teleworking Agreement at any time with one weeks notice. Employees wanting to terminate a teleworking agreement must give 10 days notice of intent to their immediate supervisor. The teleworking agreement is to be reviwed regulary, all 3 months at the most. Dates agreed to assess the Teleworking arrangement In One month ___________________________________ In Two months __________________________________ In Three months ________________X________________

SC Alcatel-Lucent Romania SRL Gh. Lazar, 9, 300881 Timisoara, Romania

TELEWORKING AGREEMENT FORM


Proposed Teleworker I have read the Human Resource Teleworking Policy and the Teleworking Agreement and agree to abide by the terms and conditions specified. I had understood that during the teleworking activity I shall respect Alcatel-Lucent Internal Rules of Conduct and all procedures and policies related to the EHS and IT & Security

Name:_____Sergiu Nicoara__________________ Signature:________________________________

Date:_______ __________________

Supervisor Requirements I have read the above proposal and am satisfied that ________Sergiu Nicoara__________ has met all the requirements necessary to undertake a teleworking arrangement. In addition I believe the arrangement would be beneficial to the individual and to the company. I have reviewed/inspected the designated work area and am satisfied that the area is a safe work environment and that the necessary security procedures are in place. I have read the Teleworking Policy and the Teleworking Agreement and have satisfied all my requirements. Name: Ovidiu Dobrean Title: Software Integration Team Leader Location: Timisoara Date:______________________

Business Unit/Function:NSI - System & Application Integration Signature:___________________________________

HR BP Name: Claudia Bivolaru Signature:___________________________ Date:_______________________________

Department Director Name: Ramona Burea

Signature:_________________________ Date:____________________________

SC Alcatel-Lucent Romania SRL Gh. Lazar, 9, 300881 Timisoara, Romania

TELEWORKING AGREEMENT FORM


PART B EH&S Home Office Setup & Assessment Checklist
This checklist must be completed prior to commencing working from home. It must also be completed by the home-based worker annually and retained by the Manager. Employees Name:____Sergiu Nicoara_____________________________ Date of assessment:_ _______ Business Unit or Function: NSI - System & Application Integration DELIVERY - Direct Cost Centre: 64010 GLOBAL SERVICES

Employees Home Address: _ Str. Timis, nr. 1, Sc. C, ap 4, Timisoara, Timis __________________________ Home Phone ____N/A_________________________________ Mobile Phone: _+40-742941517_______

Please attach photo of home office set-up and environment to last page. Working From Home Requirements If you have marked No to any requirement please refer to Alcatel Ergonomic Guidelines for adjusting your workstation and fix the problem. OFFICE REQUIREMENTS Office Space 1. Office to be situated away from the activities or other household members? 2. Is the workspace large enough to carry out work duties? 3. Is the workspace clean and well maintained? 4. Is there adequate storage for folders and work related resources? 5. Does the layout of the work site allow for easy access to furniture and computer workstation? 6. Is there enough lighting? 7. Is the electronic equipment ventilated? (Is there provided sufficient air space around electronic components?). 8. Is the area clear of trip and slip hazards? Is there a one meter square clearance at the entrance and the exit to the home office and building? 9. Are electrical /cable connections in good order and repair? 10. Are there sufficient power points? Desk Organisation 11. Desk organised to prevent undue twisting of the neck or trunk? 12. Frequently used items within easy reach (including the mouse) to avoid stretching? 13. Is there a copy holder or an area between the keyboard and monitor to place hard copy reference material? (NB// only when entering data into PC from hard copy). Monitor 14. When sitting tall and looking at your monitor, is your head in a straight and balanced position (your chin is not tucked down, or raised up)? If you wear multifocal glasses, is your monitor low enough so your head is straight and balanced when reading the screen? 15. Screen at a comfortable reading distance? (Normally positioned at arms length distance). SC Alcatel-Lucent Romania SRL Gh. Lazar, 9, 300881 Timisoara, Romania

YES YES YES YES YES YES YES YES YES YES YES YES YES

NO NO NO NO NO NO NO NO NO NO NO NO NO

YES

NO

YES

NO

TELEWORKING AGREEMENT FORM


Phone Use 16. Telephone within easy reach? 17. Are you frequently on the phone and are required use your computer at the same time? 18. Able to use a hands free telephone option? Remote Access Technology 19. Internet access available and functioning? 20. Access to Alcatel-Lucent systems, intranet and email? Emergency Procedures 21. Are there clear exits? 22. Are there contact numbers clearly visible for police, ambulance, fire, nearest hospital and doctor? Other Facilities 23. Drinking water available? 24. Environment is clean and free of trip hazards? 25. Environment is clean and free of trip hazards? 26. Home office is free of air pollutants, chemicals and cigarette smoke or paint fumes? 27. Worker is not exposed to passive smoking? 28. No construction or renovation work taking place in the home office? 29. No construction or renovation work around home office that can affect or impact on employee (noise, dust etc.)? YES YES NO NO YES YES YES YES YES NO NO NO NO NO

YES YES YES YES YES YES YES

NO NO NO NO NO NO NO

Instructions to Managers. If No marked for any section supervisors and employees will discuss remedial action if necessary. (If remedial actions are necessary, the Action Plan will be filled out). All actions to be addressed within one month of initial assessment otherwise the agreement for working from a home office will be revoked. Review recommended to occur at least once a year. ACTIONS TO BE TAKEN By When By Whom

Employees Signature_______________________

Managers Signature_____________________

SC Alcatel-Lucent Romania SRL Gh. Lazar, 9, 300881 Timisoara, Romania

TELEWORKING AGREEMENT FORM

PART C Information Systems Home Office Setup and Assessment Checklist


Refer to the Alcatel-Lucent IS Teleworking document for all the requirements and methods for setting up a Teleworking environment. COMPLIES 1. Internet access Cost supported by the company: internet subscription fee paid at cost capped at 10 EUR/ Month /employee reimbursed via XMS 2. RAS Token or Secure Token and IP SEC client installed 3. Netmeeting 4. Microsoft Office Communicator Client Configuration 5. Configuring the Live Meeting Component 6. Standard Alcatel Lucent software image 7. Security Policies 8. Anti Virus protection 9. Soft-phone installed? YES NO

YES YES YES YES YES YES YES YES

NO NO NO NO NO NO NO NO

9. Identify the equipment to be used. Desktop Computer Printer Monitor 15" ____pppoe_______ ____50Mbps_________ ________________ ____________RDS______________ Fix line: Provider________________________Subscription type________ 17" Laptop Computer Description 21" __________________________________

Specific headphones

Internet connection type & speed Internet access provider Telephone

Costs supported by the company: Fix line telephony services fee paid at cost, capped at 10 EUR/month/employee reimbursed via XMS Toll free availability 0800895095 for services provided by Romtelecom 0741800501 for services provided by Orange Call international via 0256 250333 audio conf Employees Signature: ___________________________ Assessment Date: Managers Signature_____________________

August 2011

SC Alcatel-Lucent Romania SRL Gh. Lazar, 9, 300881 Timisoara, Romania

TELEWORKING AGREEMENT FORM


PART D Assets list
Please provide a list of the office equipment you will be utilising at home that are owned by Alcatel-Lucent (notebook, RAS, phone, monitor, etc) Alcatel-Lucent Owned Notebook RAS Asset Number S/N: L3-V3183 08/04 Type:1871- 4AG A962292

SC Alcatel-Lucent Romania SRL Gh. Lazar, 9, 300881 Timisoara, Romania

TELEWORKING AGREEMENT FORM

SC Alcatel-Lucent Romania SRL Gh. Lazar, 9, 300881 Timisoara, Romania

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