6601084_QMC_Short Duration Worker Orientation

Short Duration Worker Orientation
HSE Orientation and Training Standard HSE-03-03
This short duration worker orientation must be completed if you will be working on the jobsite for a period of two business days or less. Mahalo!
Company:
Worker's First and Last Name:
Orientation Date:

YearMonthDay
Date
Project:
Part One: The General HSE Orientation

Please check an answer as the following items are reviewed with you:
1. Working safely is a condition of access. There are disciplinary procedures associated with failure to adhere to this or other project site requirements.
2. Legislative/jurisdictional HSE requirements.
3. Overview of NPCL’s policies, practices, and procedures.
4. Project Site Plot Plan.
5. Regular hours of work, lunch breaks, and coffee breaks.
6. The Pre-Job Safety Instruction (PSI) program and PSI task steps.
7. The proper selection, care, and use of personal protective equipment (PPE).

Other
8. HSE signs and compliance.
9. Housekeeping requirements.
10. Site-specific job hazards. Onsite, you may be subject to, but not limited to:

Other
11. Scaffold requirements.
12. Ladder requirements.
13. Guardrail requirements.
14. Project fall protection plan requirements.
15. Drug/Alcohol zero tolerance policy.
16. Worker rights.
17. Emergency response/evacuation procedures.
18. Incident reporting procedures.
Worker's First and Last Name:
Worker's Signature:
STOP. Please hand the phone/tablet to the NPCL employee facilitating this orientation for signature.
Facilitator's First and Last Name:
Facilitator's Signature:
Should be Empty:

Short Duration Worker Orientation

STOP. Please hand the phone/tablet to the NPCL employee facilitating this orientation for signature.