Site-Specific Safety Orientation Checklist
General Information
| Site Name |
|
Date |
|
| Project/Location |
|
Supervisor |
|
| Employee Name |
|
Job Title |
|
Orientation Topics
| Topic |
Discussed |
Initials |
| Site Access/Emergency Exits |
|
|
| Emergency Contacts & Procedures |
|
|
| First Aid Station/Equipment |
|
|
| Hazardous Materials/WHMIS |
|
|
| Personal Protective Equipment (PPE) |
|
|
| Incident Reporting |
|
|
| Site Rules/Policies |
|
|
| Restricted Areas |
|
|
| Tool and Equipment Use |
|
|
| Hazard Identification & Reporting |
|
|
Additional Site-Specific Topics
Signatures
Supervisor Signature
Date