New employee safety orientation Employee’s name: Position: Hire date: ________ Department: Supervisor: Company vision statement We believe all accidents are preventable and embrace a culture of zero accidents We believe in reporting unsafe conditions and acts We believe in reporting accidents and incidents We support the importance of a good return-to-work policy We expect everyone to go home just as they arrived every day – General work practices Alcohol/drug policies Clothing, hair, and grooming standards Horseplay/running Housekeeping Primary hazards in work area Ladder practices Lifting training back protection – Progressive discipline policy Safety committee Site- and equipment-specific training OSHA required topics Bloodborne pathogen exposure Fall protection Chemicals First aid/CPR Hazard communication Forklifts/powered industrial lifts Chemical spills clean-up Lockout-Tagout (energy control) Asbestos and lead awareness Personal protective equipment (PPE) Chemical waste disposal Respirators Compressed gas safety Noise/hearing protection Site-specific chemical training Eye and face protection Compactors and balers Head protection Confined space Hand protection Crane or hoist operation Leg and foot protection Emergency response Powered work platforms Emergency action plan Tool Use and Guarding Alarm systems Welding Fire extinguisher use Worksite Warning Signs and Labels Procedures for reporting emergencies Completed ergonomic review of work area ___________________________________ __________________________________ Employee signature Date Supervisor signature Date Completed form must be returned to Human Resources within five days of hire.
New employee safety orientation Employee’s name: Position: Hire date: ________ Department: Supervisor: Company vision statement We believe all accidents are preventable and embrace a culture of zero accidents We believe in reporting unsafe conditions and acts We believe in reporting accidents and incidents We support the importance of a good return-to-work policy We expect everyone to go home just as they arrived – every day General work practices Alcohol/drug policies Clothing, hair, and grooming standards Horseplay/running Housekeeping Primary hazards in work area Ladder practices Lifting training – back protection Progressive discipline policy Safety committee Site- and equipment-specific training OSHA required topics Bloodborne pathogen exposure Chemicals Hazard communication Chemical spills clean-up Asbestos and lead awareness Chemical waste disposal Compressed gas safety Site-specific chemical training Compactors and balers Confined space Crane or hoist operation Emergency response Emergency action plan Alarm systems Fire extinguisher use Procedures for reporting emergencies Fall protection First aid/CPR Forklifts/powered industrial lifts Lockout-Tagout (energy control) Personal protective equipment (PPE) Respirators Noise/hearing protection Eye and face protection Head protection Hand protection Leg and foot protection Powered work platforms Tool Use and Guarding Welding Worksite Warning Signs and Labels Completed ergonomic review of work area ___________________________________ __________________________________ Employee signature Date Supervisor signature Date Completed form must be returned to Human Resources within five days of hire.
new_employee_safety_orientation_checklist.docx