New Employee Safety Orientation Checklist


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New Employee Safety Orientation Checklist



File this form in the employees personnel record

Name

     

Department

     

Title

     


Safety Topics presented during General New Employee Orientation

  1. General Safety Rules & Policies

  2. Hazard Communication & Chemical Safety Procedures

  3. Hearing Conservation

  4. Control of blood borne pathogens

  5. Electrical Safety & Lockout/Tagout

  6. Emergency Plans: Routes & Assembly Locations

  7. Procedures for safety violations, accidents, near-miss

  8. Proper lifting & ergonomic techniques

  9. Job hardening/warm-up exercises

  10. Tool & Equipment Safety

  11. Safety Signs and their meanings

  12. Process Safety Management Overview


HAZARD COMMUNICATION TRAINING STATEMENT
I have received training on the Hazard Communication OSHA Standard 1910.1200, specifically:

  • I am aware of the Company Written Hazard Communication Plan and it's location and I know that I may see the written plan by asking my supervisor.

  • I am aware of the list of hazardous chemicals used in my workplace and that I may see the list and any Safety Data Sheet (SDS) by asking my supervisor.

  • I am aware that is responsible for the overall conduct of the Hazard Communication Program.

  • I am aware that I have the right to have any SDS shown and explained to me for all hazardous materials that I work with.

  • I understand the difference between routine and Non-routine hazards.

  • I understand that I am to report any spill of any hazardous material to my supervisor.

  • I understand that I am to report any unlabeled containers to my supervisor

  • I understand that I am to take all proper precautions with chemicals, including proper use of Personal Protective Equipment, storage, transfer, use, and disposal.

  • I understand the labeling system used to identify hazardous material




Employee’s Signature

     

Date

     

Trainer’s Signature

     

Date

     




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

www.workforcesafety.com Revised 2/2016

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