Fuel Shortage WFH Assessment

Employee Details

Transport Impact

Role Suitability

Support Needs

Recommendation

Complete basic employee and employer information. This will appear on the exported PDF.

Employee Full Name

Employee Number

Job Title / Role

Department

Manager / Assessing Person

Assessment Date

Company / Organisation

Assess how the current fuel shortage affects this employee's ability to travel to work.

Q1 — How have fuel price increases/shortages affected your ability to travel to work?

Severely — cannot reliably travel Significantly — major disruption Moderately — manageable with effort Minimally — little to no impact

Q2 — What alternative transport options are available? (Select all that apply)

Q3 — Are there specific days/times when transport is harder?

Q4 — Estimated additional daily travel cost impact (compared to before shortage)

More than R150/day extra R80–R150/day extra R20–R80/day extra Minimal/no extra cost

Q5 — Distance from home to workplace

More than 40km 20–40km 10–20km Less than 10km

Assess whether this role can be performed effectively from home.

Q6 — What type of role does this employee have?

Operations / Production / Warehouse Field / Client-facing / Site-based Office / Administrative Mixed / Hybrid role

Q7 — Can this employee's core duties be performed remotely?

Fully — all duties performable remotely Mostly — 70–90% can be remote Partially — 30–70% remote possible Not at all — physical presence required

Q8 — Does this role require access to physical equipment, machinery, or on-site systems?

Yes — critical physical access required Somewhat — limited physical requirements Mostly no — mostly digital No — fully digital/cloud-based

Q9 — Does the employee supervise or lead others on-site?

Yes — on-site supervision is critical Partially — some on-site oversight needed Rarely — most oversight is virtual No — does not supervise on-site

Q10 — Impact on production/service delivery if this employee works remotely

Severe — operations cannot continue Significant — noticeable disruption Minor — slight adjustments needed None — no impact expected

Q11 — Additional role suitability notes

Understand what the employee needs to work effectively from home, and any fairness considerations.

Q12 — Does the employee have a suitable home working environment?

Yes — quiet space, reliable internet, suitable setup Partial — some limitations (shared space, loadshedding, etc.) No — unsuitable home environment

Q13 — What tools/equipment does the employee need to WFH? (Select all that apply)

Q14 — What would make the organisation's response feel fair? (Employee input)

Q15 — Short-term and long-term measures recommended by employee

Q16 — Manager / HR additional comments or considerations

⛽ Fuel Shortage — Work-From-Home Assessment Tool