• SHORT DURATION WORKER HSE ORIENTATION CHECKLIST

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  • Orientation Date*
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  • Rows
  • 6.a) PSI program the following have been explained and reviewed:*
  • 7. The proper selection, care and use of the following PPE?*
  • Rows
  • 10.a) Job hazards are subject to but not limited to:*
  • Rows
  • 16.a) Been reviewed?*

  • Part Two: Incident Management

  • 19. Does your work require you to wear a full body harness in travel restrain/fall arrest?*

  • If you answer "Yes" to the question above you must provide a copy of your fall protection training to the facilitator.

  • 20. Does your work involve connection or exposure to any building services?*
  • 20.a) If so select all that apply:
  • PSI Completed?*
  • Additional Safe Work Procedures Attached?*

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

    NOTE: ALL SHORT DURATION WORKERS MUST SIGN IN AND SIGN OUT AT THE PROJECT OFFICE EACH DAY

    Non-compliance to this site requirement will result in the use of PCL/ED's disciplinary policy

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  • Should be Empty: