New Employee Checklist


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New Employee Checklist



Company

     

City

     

Date

     

Instructor

     

Company (if different than above)

     



Topics Covered in Orientation

Yes

No

N/A




Company safety policy

     

     

     

General safety rules

     

     

     

Claims management procedures

     

     

     

Ergonomics program (basic)

     

     

     

Safety operating procedures

     

     

     

Hazard communication

     

     

     

Bloodborne pathogens

     

     

     

Fire and evacuation

     

     

     

Accident/near miss reporting and forms

     

     

     

Designated medical provider/early reporting program

     

     

     

Substance abuse program

     

     

     

Other policies (list below)

     

     

     




     

     

     




     

     

     




     

     

     

Equipment training – if “Yes” list specific training below:

     

     

     




     

     

     




     

     

     




     

     

     




     

     

     


Identify Other Training Provided
















Employees Trained

Printed Name

Signature

Date



























































































Additional Comments








Customer Service: 800-777-5033 or 701-328-3800

www.workforcesafety.com Revised 2/2016

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