SAFETY ORIENTATION CHECKLIST FOR
UNPAID POST-SECONDARY PLACEMENTS
A safety orientation must be completed with all unpaid post-secondary placement students prior to the student
performing any work at a Waterloo Region District School Board (WRDSB) site. Use this checklist to document and
create a record of the orientation provided.
For more information and resources visit:
completed by placement student)
Training and Records Check
Worker Health and Safety Awareness
Covid-19 (2020 Pandemic) Modules
Kevin Mitnick Security Awareness
Violence and Harassment in the Workplace
(dated within the past 6 months
Site Specific Policies and Procedures
Provide the name and contact of immediate supervisor
a list of names and phone numbers of the
person(s) who must be contacted in case of
Show and explain how to use emergency eyewashes and showers,
and fire alarm pull stations
Review the “Tornado Procedures” and “In Case of Emergency” posters.
Review the site’s Emergency Evacuation Plan and explain
the evacuation signals and procedures,
point out proper exit routes and the designated assembly area for your site.
Develop an Individual Emergency Response Plan or Safety Plan if required.
Identify the location of the
oard. Explain how the employee
can participate in the health and safety process (e.g., reporting hazards
, raising safety concerns
Identify the name and location of their
Joint Health and Safety Committee (JHSC) Representative.
Occupational Health and Safety P
olicy (Board Policy 1002), Violence in the
Workplace Policy (Board Policy 1009), and the Harassment Policy (Board Policy 1004).
rights and workplace parties’ responsibilities under the
Act (MOL Prevention Starts Here poster).
Review the WSIB “1234” Injury reporting poster
and Employment Standards Act (ESA) poster
Notice of Collection: Personal information contained on this form is collected under the authority of the current Education Act of the Province of Ontario, and in accordance with the Municipal
Freedom of Information and Protection of Privacy Act. It will be securely stored in your employee file and used for administrative purposes. Questions about your employee file should be directed
to the Human Resource Services Department. Questions about this notice of collection should be directed to the Freedom of Information, Privacy and Records Information Management Officer,
Waterloo Region District School Board, Education Centre, 51 Ardelt Avenue, Kitchener, ON N2C 2R5 or firstname.lastname@example.org
Waterloo Region District School Board