Short Duration Worker HSE Orientation Checklist

  • Short Duration Worker HSE Orientation Checklist

  • Date*
     - -

  • Have the following been reviewed with the short duration worker:

  • 1. Working safely is a condition of access, and of the disciplinary procedures associated with failure to adhere to this or other project site requirements?*
  • 2. Legislative jurisdictional HSE requirements?*
  • 3. An overview of PCL's policies, practices and procedure?*
  • 4. The Project Site Plot Plan?*
  • 5. Regular hours of work, lunch breaks, and coffee breaks?*
  • 6. The Pre-Job Safety Instruction (PSI) program and the following steps been explained and reviewed?*
  • 7. The proper selection, care and use of the following PPE?*
  • 8. HSE signs and compliance?*
  • 9. Housekeeping requirements?*
  • 10. Have the following site specific job hazards been reviewed?*
  • 11. Scaffold requirements?*
  • 12. Ladder requirements?*
  • 13. Guardrail requirements?*
  • 14. Project fall protection plan requirements?*
  • 15. Intoxicating beverages and drugs prohibited on the worksite?*
  • 16. Have the following items been reviewed? Workers Right to Refuse Work, Workplace Violence/Harrassment Policies*
  • 17. The emergency response/evacuation procedures*
  • 18. The incident reporting procedures?*

  • This form will be retained on file at the project work site location.

  • *STOP - Give phone/tablet to PCL management to complete below:

  • Legend: N/A = Not Applicable CL = Client

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  • Should be Empty: