Safety Orientation Checklist

Employee Name: ______________________________________Position: _____________________

Department:_________________________________ Supervisor: ___________________________

Employee is:

 New employee

 Rehire

 Full time

 Part time

 Temporary

Orientation Agenda:

 Purpose of orientation

 Report accidents to supervisor immediately

 Report unsafe conditions to supervisor immediately

First-aid

 Obtaining treatment

 Location of facilities

 Location and names of first aid/CPR certified employees

Potential hazards on the job – what they are

 How to avoid hazards

 Required personal protective equipment

 Care and use of personal protective equipment

 Review of hazard communication program and location of MSDS

What to do in an emergency

 Exit locations and evacuation routes

 Use of firefighting equipment (extinguisher, hoses)

 Specific procedures for medical, chemical, fire emergencies

 How and who to notify

Total safety program

 Function of safety committee and meetings

 Introduction of safety committee representatives

 Safety policy and rules (handout)

 Accident review board and its purpose

Personal work habits

 Proper lifting techniques

 Horseplay, good housekeeping, smoking policy and locations

 Safe work procedures

 Vehicle and equipment safety

Employee signature: _________________________________________________Date: ___/___/___

I have instructed this employee on the items checked and believe he/she understands the importance of safe job performance.

Supervisor signature: ________________________________________________Date: ___/___/___