Appendix F — New-Hire Safety Orientation Checklist
New-Hire Safety Orientation Checklist
3F Construction LLC • 202 N. Justine Street, Chicago, IL 60607 • (312) 296-4855
Employee __________________________________ Start date ________________
Position / crew ____________________________ Project ______________________
Initial each item as covered:
☐ Safety policy statement, this program, and where to find it
☐ Hazard reporting, near-miss reporting, and stop-work authority
☐ Injury reporting: report immediately; first-aid locations and designated responders
☐ Disciplinary procedure and general safety rules (Section 23)
☐ PPE issued, fit verified (hard hat, glasses, footwear, hi-vis, gloves, hearing)
☐ Fall protection requirements; harness fit and inspection (if exposed)
☐ HazCom: labels, pictograms, SDS access, site chemical inventory
☐ Silica: Table 1 tasks, wet/vacuum methods, respirator requirements (if applicable)
☐ Heat/cold illness prevention: water, rest, shade, buddy system, emergency response
☐ Emergency action plan: alarms, exit routes, muster point, severe weather
☐ Ladders, scaffolds, electrical/GFCI, housekeeping expectations
☐ Tool and equipment authorization; what this employee may and may not operate
☐ OSHA 10 status verified / scheduled; card on file ☐
☐ Assigned experienced mentor for first weeks (short-service employee)
Employee signature __________________________________ Date ________________
Trainer / supervisor signature ____________________________ Date ________________