ࡱ> XZW qbjbjqq 4<ee@0nn8TQ49X<(PH4P 9 9 9 9 9 9 9$;>/9."P/9ED9000 90 900V46pxFQ58Z909i58(?r(?06(?6T0/9/909(?n w: ý鶹 Safety Orientation Checklist Employee Name Date of Hire Date of Orientation Time Started Time Completed  Position/Job Assignment  FORMCHECKBOX  Current Employee  FORMCHECKBOX  New Employee  FORMCHECKBOX  Transfer  FORMCHECKBOX  Rehire  FORMCHECKBOX  Irregular Help  FORMCHECKBOX  Volunteer  Check items completed and discussed:  FORMCHECKBOX  Purpose of orientation  FORMCHECKBOX  The on-line safety orientation course, Safety Matters, available through the Environmental Health and Safety learning center on the Universitys NetLearning@uidaho learning management system, has been assigned by the employees supervisor and completed by the employee. (Information on NetLearning@uidaho may be found at  HYPERLINK "http://www.uidaho.edu/pdl_portal/netlearninginformation" http://www.uidaho.edu/pdl_portal/netlearninginformation )  FORMCHECKBOX  Review unit-specific accident reporting procedures  FORMCHECKBOX  First-Aid Obtaining appropriate medical treatment Location and operation of emergency equipment (first-aid kits, eyewashes, showers) Location of phones and numbers to call when medical emergencies occur Location and names of employees trained and certified to provide first-aid.  FORMCHECKBOX  Potential hazards on the job What they are and how to deal with them safely (Review applicable Job Hazard Analysis (JHA) forms) Required personal protective equipment (PPE) and how to use it Location and purpose of Material Safety Data Sheets (MSDS)  FORMCHECKBOX  Review unit-specific emergency evacuation procedures, including the following: Location and content of units Emergency Response Plan. Exit locations, evacuation routes, designated gathering area (review evacuation maps if posted) Location and purpose of Areas of Evacuation Assistance (if applicable) Location and operation of fire alarms and fire extinguishers Location of phones and numbers that should be called in addition to 911  FORMCHECKBOX  Review unit safety program(s) and resources, including the following: Appropriate sections of units manual of standard operating procedures Location and content of unit-specific safety policies and/or resources University safety policies and procedures: see Chapter 35 of the Administrative Procedures Manual, accessible over the web at:  HYPERLINK "http://www.uihome.uidaho.edu/default.aspx?pid=84862" http://www.uihome.uidaho.edu/default.aspx?pid=84862  SEQ CHAPTER \h \r 1Function of unit safety committee and meetings Introduce to unit safety committee representative Advise of Environmental Health and Safetys phone number (885-6524) and website  HYPERLINK "http://www.uidaho.edu/ehs" http://www.uidaho.edu/ehs  FORMCHECKBOX  Review general safe work practices and how they apply to employees work environment Proper lifting techniques Avoiding slips, trips, and falls Good housekeeping, expectations Job-specific tools and equipment  FORMCHECKBOX   SEQ CHAPTER \h \r 1Safety training: A comprehensive safety training profile should be completed by the employees supervisor using the NetLearning@uidaho web-based learning management system located at  HYPERLINK "https://vandalweb.uidaho.edu/PROD/owa/ui_ehs_training.login" https://vandalweb.uidaho.edu/PROD/owa/ui_ehs_training.login and reviewed with the employee. A copy of the completed profile may be printed out and attached to this checklist. For additional information on NetLearning@uidaho, please call Environmental Health and Safety, (208) 885-6524.  FORMCHECKBOX  Unit / On-the-job training Assess employees skill level and qualifications for tasks assigned and tools used  SEQ CHAPTER \h \r 1List other unit specific / on-the-job training required/provided in the space provided below: NOTE: NetLearning@uidaho may also be used to track and record the completion of unit-specific / on-the-job training that is provided. For additional information, contact your unit NetLearning@uidaho Gatekeeper or call Environmental Health and Safety, (208) 885-6524.  SEQ CHAPTER \h \r 1Course name / Training Provided Presented by Date Completed I have instructed the undersigned employee on the items checked and noted: Supervisors signature Date I have received orientation and instruction on the items checked and noted: Employees signature Date This form should be filed in the employees unit personnel file and updated as necessary 11/2/10     Page  PAGE 1 of  NUMPAGES 2 013456789:;=>MY[nǾǾznbZH#jhbRhjCJUaJhbRCJaJjhbRCJUaJhbRhbR>*CJaJhbR>*CJaJhbRh!O>*CJaJh!Oh!OCJaJhbRCJaJh!OCJaJh!OhbR>*CJaJh!OCJaJh!O>*CJaJh!Oh!OCJaJhbR>*CJaJhbRCJaJh!OhbR5>*hbRhbR5>*hbRhbR5123>k m n ^gd+N # hp ,4 t"#@gdbR # hp ,4 t"#@gdC"gd q dl !!gd!OgdbR$a$gd!O$a$gdbR   $ % & . / = > ? O P ^ _ ` k l m n ti^ihbRhymPCJaJhbRh qCJaJhbRhbRCJaJ"jhbRCJUaJmHnHu#jLhbRhjCJUaJ#jhbRhjCJUaJ#j`hbRhjCJUaJ#jhbRhjCJUaJ#jthbRhjCJUaJhbRCJaJjhbRCJUaJ!     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