6601083 - Visitor Site Orientation Checklist

Visitor Site Orientation Checklist
HSE Orientation and Training Standard HSE-03-04
Company*
Orientation Date*

YearMonthDay
Date
Project Number*
Project Name*
Visitor's Name*
YesNoN/A
YesNoN/A
YesNoN/A
YesNoN/A
YesNoN/A
Safety GlassesGlovesHearing ProtectionSafety FootwearDust MaskRespiratory EquipmentHard HatsFace ShieldsMono-GogglesFall ProtectionVestsOther
Part 2: Orientation Acknowledgment

This form will be retained on file at the project worksite location
Visitor's Signature*

Clear
STOP. Please hand phone/tablet to Nordic PCL employee for completion.
Escort's Name*
Escort's Signature*

Clear
Facilitator's Name*
Facilitator's Signature*

Clear
Should be Empty:

Visitor Site Orientation Checklist