TEMP/SEASONAL by G98gIP

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									                     TEMP/SEASONAL
          EMPLOYEE HEALTH & SAFETY ORIENTATION
EMPLOYEE NAME: ___________________________________________________________

As required by the Washington Industrial Safety and Health Act, an employee Health and Safety
Orientation briefing was given to the above named employee. The following topics were
covered:

[ ] How and when to report accidents or injuries, including instruction on the location of first-
       aid facilities and personnel.
[ ] How to report unsafe conditions and practices.
[ ] Unique rules that might apply to the job:
       [ ] Chemical Hazard Communication/Employee Right to Know
       [ ] Lifting/Ergonomics
       [ ] Bloodborne Pathogens/Infection Control
       [ ] Hearing Conservation
       [ ] Ladders
       [ ] Flagging/Traffic Control
       [ ] Lockout/Tagout
       [ ] Confined Space Entry
       [ ] Respiratory Protection
       [ ] Fall Protection
       [ ] Construction Equipment Machines
       [ ] Work Platforms; Elevation & Rotating
       [ ] Welding
       [ ] Lead
[ ] An on-the-job review of the practices necessary to perform assignments in a safe manner.
[ ] The proper action to take in the event of emergencies, including the routes for exiting the
        building.
[ ] The location of the nearest fire extinguisher, and instruction in how to use the extinguisher.
[ ] Name and location of the Safety Captain.
[ ] The location of the Safety Bulletin Board.
[ ] The use and care of personal protective equipment required on the job: _________________
       _______________________________________________________________________.
[ ] Location of nearest emergency shower and eyewash (if applicable).
[ ] City of Spokane Policies on (1) Sexual Harassment, (2) General Harassment, and (3)
Discrimination.



DATE COMPLETED: _______ EMPLOYEE SIGNATURE:___________________________

SUPERVISOR SIGNATURE: ____________________________________________________

DEPARTMENT: _________________________ DIVISION: ___________________________

Please keep one copy for your records and forward the original to Risk Management. For
additional information and training assistance, call Risk Management 625-6220.
10/07/97 wmt

								
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