Sample Health And Safety Program Orientation Checklist:
New Or Transferred Employee

Employee's Name: ___________________________ Assigned Department:_______________

                     

Position: ________________________ Supervisor: ___________________________________

                      

The following items should be reviewed and discussed with the new or transferred employee by the employee's immediate supervisor to assure the employee has a comprehensive understanding of their roles and responsibilities within the company's health and safety program.

                   

Items - Circle YES when complete

                        

 

  1. Provided copy of Health and Safety Policy and Safety Rules.

YES

  1. Overview of legal responsibilities for all workers under the OHS Act.       

YES

  1. Discussion of company Health and Safety Policy.        

YES

  1. Discussion of Safety Rules.  

YES

  1. Reporting of potentially unsafe/unhealthy conditions or practices.           

YES

  1. Reporting of injuries and first aid procedures.           

YES

  1. Review of Emergency Procedures, exits and fire extinguishers.        

YES

  1. Review Safety Committee–purpose and members.                                                         

YES

  1. Review specific hazards of assigned position.  Note items:

    _______________________________________________________________

YES

  1. Review Employee Training Program and relationship to Health and Safety.    

YES

  1. Does employee have functional responsibilities under "Program
    Responsibilities" section of Health and Safety Program Manual? 
    If yes:
    1. Provide current copy of H&S Program Manual.
    2. Review applicable "Program Responsiblities".
    3. Review applicable procedures and standards.
    4. Review Management and Committee H&S Training Program.


YES           NO

YES
YES
YES
YES

  1. Other: ________________________________________________________

YES




NOTE: Samples used in these guidelines are for illustrative purposes only and while representative of those commonly used,  are not
            intended to be  ideal in specific organizational applications.



WorkSafeNB Occupational Health Section: 07/99