Checklist for employees’ first instruction Page 1/2

Institute/organisation: _______________________________________________

Section: _______________________________________________

Instruction was performed by: _______________________________________________

Name of employee: _______________________________________________

Topic Not required Completed1. Building and workplace

Access to the workplace ☐ ☐

Escape plans, emergency routes and exits ☐ ☐

Locations for fire extinguishers and fire alarms (if applicable), fire hoses, fire alarm systems ☐ ☐

Technical and organisational protective measures such asemergency shut-off devices for gas, electricity or water, etc. ☐ ☐

Locations for first aid kits, first aid log books, defibrillators (if applicable), first aid stations ☐ ☐

Explaining the obligation to report accidents at work or while travelling to or from the workplace ☐ ☐

How to behave in an emergency, emergency telephone num-bers (see the emergency brochure) ☐ ☐

What to do in the event of a fire (see the emergency brochure, fire and alarm plans) ☐ ☐

Reporting faults ☐ ☐

Awareness of employment limitations (the German Maternity Protection Act (Mutterschutzgesetz), the German Youth Em-ployment Protection Law (Jugendarbeitsschutzgesetz)

☐ ☐

Safety and health protection labelling:signs for prohibition, warnings, mandatory information, escape routes and fire safety

☐ ☐

2. Contact

First aiders ☐ ☐

Safety officers ☐ ☐

Fire safety officers

Occupational Health and Safety Service ☐ ☐

Safety Engineering (occupational safety experts) ☐ ☐

Staff council ☐ ☐

3. Behaviour at the workplaceInstructions for the workplace: special features at the work-place, rules for the laboratory, other regulations ☐ ☐

All employees must correct or report safety-related defects (in terms of working equipment, materials, procedures or pro-cesses)

☐ ☐

Suitable clothing and shoes (lab coats, sturdy footwear, etc.) ☐ ☐

The use of personal safety equipment such as protective gloves, shoes, goggles, etc. ☐ ☐

Hand disinfection, skin protection measures, a skin protection plan ☐ ☐

Checklist for employees’ first instruction Page 2/2

4. Risks from biological agents

Information about the available biological agents ☐ ☐

Information about general behaviour when working with biolo-gical agents ☐ ☐

Using puncture-proof containers to dispose of hollow needles, scalpels, etc. ☐ ☐

Disposing of infectious waste in the available containers ☐ ☐

Disposing of work clothing in specially designated containers ☐ ☐

5. Handling hazardous substancesInformation about the types and quantities of the available hazardous substances ☐ ☐

Awareness of the effects of hazardous substances ☐ ☐

Awareness of storing the substances ☐ ☐

Awareness of protective measures (technical measures, per-sonal safety equipment, employment limitations) ☐ ☐

Awareness of proper disposal ☐ ☐

6. Working with tools and machinesInstruction on correct operation, including cleaning and main-tenance, how to handle the tools to be used, as well as safety devices such as emergency stops, two-hand control, etc. Prac-tical training exercises

☐ ☐

Awareness of how the equipment works ☐ ☐

Awareness of the risks involved when using the equipment ☐ ☐

7. Risks from particular physical agents

Noise: know noise zones and protective measures ☐ ☐

Ionising radiation:areas where radiation occurs,know who the representatives in the radiation safety area are,protective measures - personal safety equipment, dosage meters, etc.

☐ ☐

Lasers:know laser zones,protective measures, labelling/labels,know who the representatives in the laser safety area are.

☐ ☐

8. Handling waste

Awareness of waste disposal ☐ ☐

_____________________________

Date / Signature of instructor

I confirm that I have received and understood the first instruction:

_____________________________

Date / Signature of employee