New Employee Safety Orientation Checklist
New Employee Safety Orientation Checklist
Name: ___________________________________
Job Assigned: ___________________________________
Training Performed by
Topic HR Manager Supervisor
Yes No Yes No
General Safety Rules & Policies
General safety rules & policies specific to location or project
Hazard Communication & Chemical Safety Procedures including how to read & locate
information on an MSDS form
Site specific MSDS location & uses
Hearing Conservation including how to insert & care for hearing protection
Areas or departments where hearing protection is to be utilized, where to obtain hearing
protection & who to contact with questions
Control of blood borne pathogens including how to clean up spills
Control of blood borne pathogens including how to clean up spills, where supplies are located,
& who to contact should a spill need to be cleaned
Electrical Safety & Lockout/Tagout
Electrical Safety & Lockout/Tagout including machine specific instructions, where supplies are
located & who to contact should assistance be needed
Forklift safety & proof of prior certification
Forklift safety including review of controls, training, & proof of prior training
Fall protection basics
Fall protection including where equipment is located, training, identification of areas that fall
protection use is mandated
Ergonomics & how to reduce injury using correct ergonomic placement of all work items
Workstation that will be utilized, assistance with setting up workstation correctly for user
Basic Emergency Plans & when they are used
Emergency plan specific to location or department including routes & assembly locations, & how
to report emergencies.
Procedures for safety violations, accidents, near-misses
Procedures for safety violations, accidents & near misses specific to company, location or dpt
Proper lifting & ergonomic techniques
Where lifting equipment is located, what jobs will require manual exertion exceeding 25 pounds,
who to contact for assistance, & company specific requirements regarding policies on lifting.
Tool & Equipment Safety including use & care
Tool & equipment safety including where to obtain tools, who will be responsible for
maintenance & purchasing tools
Safety Signs & their meanings
Tour of facility & discussion of all safety signs encountered including eyewash stations &
showers.
I have received training on all checked items & agree to comply with all rules, regulations, & guidelines placed into effect by my
employer & their clients.