New Employee Orientation (Page 2 of 4) in pdf

New Employee Orientation Page 2

New Employee Orientation Checklist

Employee Name:

Position:

Hire Date:

Department:

Supervisor:

Date(s) of Orientation:

Supervisors

Orientation

Initials

1. Introduction to supervisor

2. Facility and operations familiarization

3. Review of safety program

4. Review of safety regulations

5. Review of performance appraisal policy

6. Review of general safety rules

7. Review of probationary policy

8. Review of disciplinary policy

9. Review of first aid and emergency medical procedures

10. Review of emergency response notification

11. Review of fire fighting and evacuation procedures

12. Review of accident reporting policy

13. Review of safe operating procedures

14. Review of specific equipment to be used

15. Review of specific operations

16. Review of safe lifting techniques

17. Required regulatory training conducted (see attachment)

18. Job-specific training provided, including high risk task descriptions

(see attachment)

19. Other:

Immediate Supervisor

Date

Safety Pledge: By my signature, I am declaring that I have completed the above orientation process

with my supervisor and that I understand my responsibilities toward the safety and health of myself

and my coworkers. I have received copies of ___

___ policies for my future reference.

I am agreeing to comply with all safety and health requirements and understand their importance to

the company.

Employee Signature

Date

Employee Copy

Company Copy

LNW-7006 (R 11/06)

New Employee Orientation Page 2