Employee Safety Orientation Form


An employee safety orientation form is filled up by the new employees at their workplace where they have to answer questions regarding safety procedures and precautions to be followed while working or in case of any emergency. A supervisor explains to them about the company safety programme and also gives them a safety manual. He also answers any queries the new employees may have about this. By training them and asking them about safety measures, one can make the employees more aware of the safety procedures that they need to know in case there is an accident, natural disaster, terrorist attack, fire, or health emergency.

You can Download the Free Employee Safety Orientation Form, customize it according to your needs and Print. Employee Safety Orientation Form is either in MS Word, Excel or in PDF.

Sample Employee Safety Orientation form

Employee Safety Orientation Form

Download Employee Safety Orientation Form

Employee details

Name of employee:                                                 Employee code:

Designation:                                                            Email address:

Date of joining:                                                       Name of supervisor:

Designation of supervisor:                                     Email address:

Safety orientation

Please select the categories you have been told about during the safety orientation.
Written safety programme Copy of employee safety manual
Name of safety committee representative Place where safety meetings are held
Place where first aid supplies are located How to report injuries
Emergency number Location of exits in case of a fire or emergency
Location of fire alarm What to do during any emergency
How to operate fire extinguisher Basics about chemical hazards
Any personal protection and training Safety precautions directly related to job
I have attended the employee safety orientation programme and have been trained on the various safety procedures described above.

Signature of employee:

Date:

The employee has shown understanding of the safety procedures and has successfully participated in the safety orientation programme.

Signature of supervisor:

Date:


Category: HR Forms

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