School District No

SCHOOL DISTRICT NO. 48 (SEA TO SKY) HEALTH & SAFETY ORIENTATION CHECKLIST

Each new staff member and their immediate supervisor are to complete the Health & Safety Orientation checklist within one (1) month of hire to ensure all topics have been reviewed and are clearly understood by the employee.

Employee:______Job Title:______Facility:______Date of Hire: ______Employee Status:______(Full, Part-time or Casual) (Please Check) Yes No N/A OCCUPATIONAL HEALTH & SAFETY TOPICS

1.   Know where to access the Occupational Health & Safety Program Manual?

2.   Understand the need to review safe work procedures specific to job? (ie., when working with chemicals, machinery, handling sharps, etc.)

3.   Have received instruction and know how to obtain first aid services?

4.   Have received instruction and understand what to do in the event of a hazardous spill?

5.   Know how to report hazardous conditions and practices?

6.   Know procedures to follow to report a work-related injury and/or exposure?

7.   Know what to do in the event of a fire? (Escape plan, location of fire extinguisher, etc.)

8.    Have completed the Workplace Hazardous Material Information System (WHMIS) education and training, if applicable.

9.    Know how to access MSDS to obtain information, if applicable.

10.    Have received instruction on management of blood borne pathogen exposures (needle stick and splashes)? (If applicable)

11.    Know proper use and location of personal protective equipment? (ie., eye protection, respiratory protection, gloves, hearing protective devices, etc.) (If applicable)

12.    Have received instruction and clearly understand “point of use” sharps disposal? (If applicable)

13.    Have received specialized training and clearly understand all lock-out procedures, confined space entry procedures? (If applicable)

14.    Know proper procedure for the safe disposal of bio-hazardous waste? (If applicable)

Administrative Officer/Supervisor: ______Signature:______Date:______(Please Print) Employee: ______Signature: ______Date: ______(Please Print) Note: If you answer “no” to any of the above questions please contact your supervisor for the appropriate training.

SCHOOL DISTRICT NO. 48 (SEA TO SKY)

Your School/Facility Name

LOCAL HEALTH & SAFETY ORIENTATION

As a new employee at your school/facility name, the following is intended to provide you with a basic safety orientation to your school/facility name. In addition to understanding this information, you are required to complete the Health and Safety Orientation Checklist with your immediate supervisor within 1 month of hire with School District No. 48 (Sea to Sky)

Please READ the following, ask questions and familiarize yourself with these safety fundamentals PRIOR TO proceeding to class/work.

 The Health and Safety Program Manual is located identify location

 The Violence Prevention Manual is located identify location

 The Health and Safety Bulletin Board is located identify location

 The First Aid Room and supplies are located identify location

 Summon a first aid attendant by contacting the office or phone number or?

 Report work-related injuries to School Administrator’s Name or?

 Report general hazards observed to School Administrator’s Name or?

 Report concerns over Indoor Air Quality to School Administrator Name or?

 In the event of an evacuation/fire alarm, evacuate and assemble identify locations, ie., North wing to go X, South to go U

 Report a hazardous spill to School Administrator’s Name or?

 MSDS’s are kept in Identify location

 If you are trained in their safe handling, hazardous waste, bio-hazardous waste and sharps are to be disposed of in marked containers located at identify location SCHOOL DISTRICT NO. 48 (SEA TO SKY)

HEALTH & SAFETY ORIENTATION

As a new employee at ______, the following is intended to provide you with a basic safety orientation to ______. In addition to understanding this information, you are required to complete the Health and Safety Orientation Checklist with your immediate supervisor within 1 month of hire with School District No. 48 (Sea to Sky).

Please READ the following, ask questions and familiarize yourself with these safety fundamentals PRIOR TO proceeding to class/work.

 The Health and Safety Program Manual is located

 The Violence Prevention Manual is located

 The Health and Safety Bulletin Board is located

 The First Aid Room and supplies are located

 Summon a first aid attendant by

 Report work-related injuries to

 Report general hazards observed to

 Report concerns over Air Quality to

 In the event of an evacuation/fire alarm, evacuate and assemble

 Report a hazardous spill to

 MSDS’s are kept in

 If you are trained in their safe handling, hazardous waste, bio-hazardous waste and sharps are to be disposed of in marked containers locate at