Job-specific safety orientation checklist Page 1 of 3 Last Revised: October 2019

SFU Safety Orientation (part 2 of 2)

Job-Specific Safety Orientation Checklist

Use this checklist to document training to be completed by all workers with their supervisors.

This document applies to:

new and young workers,

workers returning after a lengthy absence,

workers who are relocated and require training on the hazards of the new work location, &

workers who require additional training when a change in their current workplace createsnew hazards.

At SFU, a worker includes all SFU personnel including faculty, staff, research assistants, teaching assistants, student workers, etc. Visitors and volunteers are not considered workers, but their supervisors are still responsible for their health and safety while engaging in SFU-related activities.

The SFU Safety Orientation consists of 2 parts:

Part 1. Completion of the online SFU Safety Orientation module and associated survey. This module outlines the general health & safety requirements at SFU.

Part 2. Completion of this Job-Specific Safety Orientation document and training to be completed by all workers with their supervisors.

Employees who work in a laboratory setting must also complete Appendix A:Laboratory Safety Orientation Checklist.

Employee Information

Employee Name: Job Title:

Direct Supervisor Name & Job Title:

Direct Supervisor’s Department / Faculty:

Work Location: Start Date at Location:

Reason for Orientation:

New hire Restart after absence

Change in hazards Relocation to new workplacewith different hazards

Supervisor’s Name: __________________________ Date Safety Orientation provided: _____________

Supervisor’s Signature(The information and corresponding education/training below was provided to the worker above.)

Worker’s Signature (The information and corresponding education/training below was provided to me.)

Job-specific safety orientation checklist Page 2 of 3 Last Revised: October 2019

Training Requirements

EHS offers an online SFU Safety orientation as well as several other general safety training

courses (some online, some in-person) for SFU employees. In addition, EHS offers online and in-

person safety training for laboratory workers.

Refer to the complete list of available training at: https://www.sfu.ca/srs/work-research-

safety/training.html

Employees must complete all training sessions that are relevant to their positions. Use the table

below to document general safety training to be completed by the employee. For lab safety

training, use Appendix A.

Training Subjects & Courses Required for Work

Yes No Date Completed

SFU Safety Orientation √

SFU Workplace Bullying & Harassment Program √

Workplace Hazardous Materials Information System (WHMIS) √

SFU Supervisor Safety Training

Respirator Use and Fit Testing

Safe Lifting Training

Transportation of Dangerous Goods (TDG)

Other job-specific training subjects and procedures (list here):

E.g. SOP lock out / tag out procedures

*Continue on next page, if necessary

Job-specific safety orientation checklist Page 3 of 3 Last Revised: October 2019

If the topic is not applicable mark “N/A” in the “Yes” column

Topic Yes Notes

a Direct supervisor I have been advised of my Supervisor’s name and contact information.

b Workplace health and safety rules I have been trained on the specific workplace safety rules specific to my work and have demonstrated to the trainer that I can perform the tasks safely.

c

Hazards to which the worker may be exposed I have been advised about the hazards that may be encountered while performing my work tasks and how to protect myself from those hazards. Hazards from materials, the work environment, equipment and work processes including ergonomics risks were addressed.

d

Reporting incidents and near-misses and First Aid I have been advised of the procedure to report an incident or near-miss including the requirement to report any injuries as soon as possible. I understand that the University will report any injury or illness to WorkSafeBC. I have also been advised how to summon first aid by contacting Campus Safety & Security Services.

e Workplace Bullying & Harassment (B&H) Program I been advised of SFU’s Workplace Bullying & Harassment Program and I have completed the required online course.

f

Emergency procedures I have been advised of the emergency situations that could occur in my work location and the procedures to follow in the event of an emergency evacuation. I know the location of the assembly area for my building, the closest fire pull station and fire extinguisher, emergency eye wash and shower and exit routes.

g Safety program and procedures I have been oriented to SFU’s Occupational Health & Safety Policy and the departmental safety program elements and procedures.

h Local Safety Committee Members or Worker Safety Representative I have been advised of the local joint health & safety committee that covers my work area and how to contact them.

i

Working alone or in isolation (if applicable) I have been trained on the policies and procedures to be followed for working alone or in isolation. If I am required to work alone or in isolation then the procedures for monitoring and summoning assistance were fully explained to me and documented.

j

Prevention of Violence in the workplace (if applicable) I have been advised of the potential risk for violence or threat of violence in the workplace (e.g., from clients or the public). I have been trained on the procedures to follow in minimizing or eliminating the risk and in responding to an incident. I was informed of the University services available to reduce the risks such as the Safe Walk program and emergency blue light phones.

k Personal protective equipment (PPE) (if applicable) I have received the appropriate training in the use and care of any PPE or protective clothing that is required to safely perform my work.

l

Workplace Hazardous Material Information System (WHMIS) (if applicable) I have been orientated to the hazardous materials in my workplace and trained on the procedures to work safely with these products and can respond appropriately in case of an emergency or spill. I have completed the online WHMIS training module.

Documented training records must be retained for all employees.