job_contractor_id36849-36848
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Aldrich
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Employee Orientation Check List – Safety

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Tab 16G

Employee NameAndrew Owen
Date of Hire03/23/2023
CompanyAldrich + Associates
ProjectNA
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This Check list is a guideline for conducting employee safety orientations for employees new to this Aldrich + Associates’ project. Once signed by both the Safety Representative and the Employee, it serves as documentation that the orientation has taken place.

Place a check in the box to indicate that the subject was discussed:

Explain the company safety program including:
  • Overview of the Site Specific Safety Manual
  • Safety Meetings
  • Safety Committees (if required)
  • Substance Abuse Policy
  • Review General Safety Rules
  • Disciplinary Procedures
Discuss Personal Protective Equipment Required
  • Proper attire
  • Hard Hats and Safety Glasses
  • Orange Vests or Bright Colored Clothing
Lines of Communication and Responsibility for Immediately Reporting Accidents
  • When to report an injury
  • To whom an injury should be reported
  • Filing of accident report forms
First Aid Supplies, Equipment and Training
  • Location of all First Aid Stations
  • Obtaining Treatment
Proper Lifting Techniques
  • Proper Lifting Techniques
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By placing a signature below, the employee acknowledges that they will abide by the Guidelines contained within the Site Specific Safety Plan and report any condition or activity perceived to be unsafe to my immediate supervisor or the Site Safety Representative.

Employee Signature:
Safety Supervisor Signature:
Date03/23/2023