SD57 Career Pathways - SD 57 Safety Checklist

Program/Course Name: *

Work Experience 12A Work Experience 12B Youth Work in Trades Other

Respondent

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First name *

Last name *

Email *

Mobile

School

1. I was given an orientation regarding workplace safety and general risks of this job *

Yes No

2. Hazards and risks specific to this workplace were identified during this orientation (physical, chemical, biological, etc.) *

Yes No

Identify hazards below:

3. I have reviewed the emergency procedures (fire, earthquake) with my employer. *

Yes No

The muster station (designated meeting place) is

4. I know the location of the fire extinguisher and fire alarm. *

Yes No Not applicable

Describe location

5. I am working with a skilled worker abiding by safe-work practices. *

Yes No

6. I have been informed of the WHMIS procedures at my worksite *

Yes No Not applicable

7. I know where the incident report forms are stored. *

Yes No

Describe the location

8. I have been informed that Personal Protective Equipment (PPE) IS/ IS NOT required *

Yes No

List equipment if applicable

9. I have reviewed worksite policies on dealing with robberies and/or shoplifting (if applicable) *

Yes No Not applicable

10. I have requested that I will be trained on any machinery or equipment prior to use. *

Yes No Not applicable

11. I have been taught proper techniques for working from heights (if applicable) *

Yes No Not applicable

12. I am aware of any potential safety issues, such as air quality, noise levels, tripping hazards etc. *

Yes No

They are:

13. I have discussed the Worksafe BC accident injury procedure with my supervisor. *

Yes No

The WorkSafe BC number is:

14. I know who I should report workplace hazards/injuries to. *

Yes No

Their name is:

15. I know where the First Aid Station is located. *

Yes No

Describe the location

16. I have been informed of who the health and safety committee members are. *

Yes No

They are:

Electronic signature*

Please sign your name inside the box