WASHINGTON STATE UNIVERSITY
SAFETY ORIENTATION CHECKLIST
EMPLOYEE NAME DATE HIRED ORIENTATION DATE
POSITION/JOB ASSIGNMENT
Check one:
New Employee Transfer Rehire Part-time Temporary
Check items discussed:
Purpose of orientation
Reporting accidents to supervisor immediately
First Aid
• Obtaining treatment
• Location and operation of emergency equipment ( rst aid kits, eyewashes, deluge showers)
• Location and names of rst aid trained employees
Potential hazards on the job
• What they are
• How to deal with them safely
• Required personal protective equipment and care and use of it
What to do in the event of emergencies
• Exit locations and evacuation routes
• Location and operation of re alarms and extinguishers
• Speci c procedures for medical, chemical, re emergencies, and use of 911
• Emergency Noti cation System registration:
Log onto http://my.wsu.edu; then
Under “My Pro le,” select the Emergency Noti cation link.
The total safety program
• Function of safety committee and meetings
• Introduction to safety committee representative
• Safety policies and rules and their value
• Safety division resources (Police, re, safety services, Environmental Health and Safety)
• Campus Safety Plan:
http://safetyplan.wsu.edu/
Personal work habits
• Proper lifting techniques, avoiding slips and falls
• Good housekeeping, smoking policy
• Safe work procedures
Specific training (Enter record of the training received regarding specific machines or hazard
situations. See SPPM 2.18.)
On-the-job training
• Employee skill level and quali cations assessment
• General training for assigned tasks
• Speci c training required by the Department of Labor and Industries
I have instructed this employee on the items checked.
SUPERVISOR SIGNATURE DATE
I have received orientation on the items checked.
EMPLOYEE SIGNATURE DATE
WSU1249-SAFA006-0113
File in the employee’s departmental personnel le.
To be completed on the first day of employment. See SPPM 2.16.
Retraining WSU ID #
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