SITE SPECIFIC SAFETY
ORIENTATION CHECKLIST
PART 2. COMPLETE ALL SECTIONS ONCE PART 1: NEW WORKER HEALTH
AND SAEFTY ONLINE ORIENTATION HAS BEEN COMPLETED.
Name of Worker:
Job Title: Department:
Start Date at Location: Date of Safety Orientation:
Name of Direct Supervisor/Manager: Name of Orientation Provider:
Reason for Orientation:
HEALTH
& SAFETY
TOPIC YES
a NAME AND CONTACT INFORMATION FOR SUPERVISOR
I have been advised of my Supervisor’s name and contact information.
b JOINT OCCUPATIONAL HEALTH AND SAFETY COMMITTEE ( JOHS COMMITTEE)
I have been advised on how to contact the committee, and have been made aware of a local worker representative on the
committee. https://my.selkirk.ca/sta/dept/safety/jointoccupationalhealthsafetycommittee/
c WORKPLACE HEALTH AND SAFETY RULES
I have been trained on the specic workplace safety rules related to my work/work area.
d WORKER’S RIGHTS AND RESPONSIBILITIES
I have been advised on my rights and responsibilities as a worker.
e POTENTIAL HAZARDS OF A WORKPLACE
I have been advised about the hazards that may be encountered while performing my work tasks.
f PERSONAL PROTECTIVE EQUIPMENT (PPE) (IF APPLICABLE)
I have received the appropriate orientation and training in the use and care of any PPE or clothing that is required to safely
perform my work. Required PPE has been provided.
g EMERGENCY PROCEDURES
I have been advised of the emergencies that could occur and the procedures to follow.
h FIRST AID
I know the number for rst aid at my campus.
i ACCIDENT INCIDENT REPORTING AND INVESTIGATION
I am aware of the incident reporting procedures.
j VIOLENCE IN THE WORKPLACE
I have been advised of any potential risk for violence in the workplace.
k WORKING ALONE OR IN ISOLATION (IF APPLICABLE)
I have been trained on the policies and procedures to be followed for working alone or in isolation.
Notes:
New Hire Restart after Absence Change of job within Selkirk College or Relocation to new workplace
