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    D3 Workplace Safety Orientation Checklist

    Uploaded by

    Ahmed
    This document outlines the safety orientation checklist for workspace members. It covers general safety responsibilities, emergency response procedures, first aid, hazards, chemical safety, personal protective equipment, reporting requirements, and statements for both the trainee and trainer to sign acknowledging review of safety policies. Key points include the responsibilities to work safely, be trained before hazardous tasks, have permission for unsafe work, and right to refuse unsafe work. Emergency procedures, first aid locations, hazards, and protective equipment are also reviewed.

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    D3 Workplace Safety Orientation Checklist

    Uploaded by

    Ahmed
    54 views2 pages
    This document outlines the safety orientation checklist for workspace members. It covers general safety responsibilities, emergency response procedures, first aid, hazards, chemical safety, personal protective equipment, reporting requirements, and statements for both the trainee and trainer to sign acknowledging review of safety policies. Key points include the responsibilities to work safely, be trained before hazardous tasks, have permission for unsafe work, and right to refuse unsafe work. Emergency procedures, first aid locations, hazards, and protective equipment are also reviewed.

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    This document outlines the safety orientation checklist for workspace members. It covers general safety responsibilities, emergency response procedures, first aid, hazards, chemical safety, personal protective equipment, reporting requirements, and statements for both the trainee and trainer to sign acknowledging review of safety policies. Key points include the responsibilities to work safely, be trained before hazardous tasks, have permission for unsafe work, and right to refuse unsafe work. Emergency procedures, first aid locations, hazards, and protective equipment are also reviewed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    54 views2 pages

    D3 Workplace Safety Orientation Checklist

    Uploaded by

    Ahmed
    This document outlines the safety orientation checklist for workspace members. It covers general safety responsibilities, emergency response procedures, first aid, hazards, chemical safety, personal protective equipment, reporting requirements, and statements for both the trainee and trainer to sign acknowledging review of safety policies. Key points include the responsibilities to work safely, be trained before hazardous tasks, have permission for unsafe work, and right to refuse unsafe work. Emergency procedures, first aid locations, hazards, and protective equipment are also reviewed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Workspace Safety Orientation Checklist

    Member Name (print) ___________________________ Date ___________________________


    Member Student Number ___________________________ Workspace ___________________________
    Phone Number ___________________________ Safety Officer ___________________________
    Email Address ___________________________

    General Safety
    ☐ Working Safely is a fundamental responsibility of every team member
    ☐ I must have a design lead’s permission before attempting any task that could be unsafe
    ☐ I must be trained before undertaking any task that could be dangerous
    ☐ I have to right to refuse to do any task that I feel is unsafe. This is the law!
    ☐ I am responsible for doing my best to maintain this area as a clean and safe environment
    ☐ I have passed the WHMIS Training course, Engineering Design Team Safety Orientation, and
    Preventing and Addressing Workplace Bullying and Harassment Training Course
    ☐ I know where to view the Risk Management and Safe Procedures Manual
    ☐ I am aware that other teams also use this workspace and know to not use any tool/material that is
    not shared as to not introduce new hazards to the workspace

    Emergency Response
     Where are the emergency procedures located? ________________________________________________
     Where are the emergency contact phone numbers? ________________________________________________
     Where are the nearest fire extinguishers? ________________________________________________
     Where are the nearest fire exits? ________________________________________________
     Where are the nearest manual pull stations? ________________________________________________
     Where is the evacuation assembly area? ________________________________________________
     Who is the local fire warden for this area? ________________________________________________
    ☐ I have been informed of the types of emergencies that could occur and the appropriate procedures

    First Aid
     What are the numbers I can call to directly reach emergency first aid assistance on UBC campus?
    ____________________________________________ ________________________________________________
     Where is the nearest first aid kit? ________________________________________________
     Where is the nearest eyewash station ________________________________________________

    Hazards
    ☐ I am aware of the local hazards present in the lab area
    ☐ I am aware of the specific hazards associate with my work

    Chemical Safety
    ☐ I know the proper handling and disposal procedures for the hazardous materials in the lab.
     Is there a MSDS binder, and if so, where is it located? ________________________________________________
     How do I access MSDS information online? ________________________________________________
    ☐ I know the proper procedures regarding MSDS for all new chemicals I introduce to the lab
     Where is the nearest spill kit? ________________________________________________
    ☐ I know how to use a spill kit to clean up chemical spills
    ☐ I know the lab policy regarding food and drinks in the presence of hazardous materials
    Personal Protective Equipment (PPE)
    ☐ I am aware that I must wear appropriate PPE for all application tasks
     Will I need to wear steel-toe footwear in the lab? ________________________________________________
     If there is a need for PPE to conduct my work safely where can I access the following?
     Safety eyewear ________________________________________________
     Protective clothing ________________________________________________
     Protective Gloves ________________________________________________
     Hearing protection ________________________________________________
     Breathing protection ________________________________________________
     If there is a step-ladder available for reaching high overhead items, where is it located? ________________
    ☐ I understand the lockout procedures for the machines present in the workspace

    Reporting and documention


    ☐ I am aware that I need to report all safety concerns to the Safety Officer. If a reported situation is
    not handled to my satisfaction, I need to contact the faculty advisor
    ☐ I am aware that I need to report all minor injuries to the Safety Officer
    ☐ I am aware that I need to report all accidents, near accidents, or incidents to the Safety Officer

    Trainee’s Statement
    I understand all the items that were discussed on this checklist, the basics of working safely, and the
    specific safety requirements that must be followed in this workspace

    ______________________________ ______________________________ ______________________________


    Trainee (print) Signature Date

    Trainer’s Statement
    The trainee and I have discussed general safety and all of the checklist items. They understand the basics
    of working safely and the specific safety requirements that must be followed in this workspace

    ______________________________ ______________________________ ______________________________


    Trainer (print) Signature Date

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