Abstract: A tool and method for installing and/or removing fasteners in areas where access is limited. In one embodiment, the tool has a fastener engagement portion toward a first end, a fastener removal portion toward a second end, and an impact surface positioned between the fastener engagement and fastener removal portions. The fastener engagement portion is configured to releasably engage a fastener, and is offset from the impact surface to facilitate positioning a fastener in a confirmed space. The impact surface is configured to remain accessible once the fastener has been properly positioned for installation. A user can strike the impact surface to drive the fastener into a workpiece. The fastener removal portion is configured to engage an installed fastener to extract the installed fastener from the workpiece.