REQUIRED INFORMATION for both General and Site Specific
This is a:
Worker Name
Attach sign in sheet for group orientation GENERAL ORIENTATION
Position SITE SPECIFIC ORIENTATION
Orientation Date General Orientations and Site Specific orientations
must be completed whenever a worker begins work
for the first time on your production (day calls). For
returning workers (show calls) where a general
orientation has already been completed, use page 2
and only conduct a site specific orientation.
Orienter
Production Name
GENERAL ORIENTATION
TOPIC
ORIENTER
initials
WORKER
initials
Comments/Notes
1 - Supervisory Information - To be completed on worker’s first day of work.
1a Supervisor name
1b Contact Info
2 - Rights & Responsibilities - To be completed on worker’s first day of work.
General Duties of employers, supervisors and
workers
2a
Has the worker completed Actsafe’s General Safety
Awareness Course? (MPGSA 101 or PASA*)
IF NO, review material HERE then acknowledge
2b
2c
Does the worker know about the Right to Refuse
Unsafe Work procedure?
IF NO, review material then acknowledge
Does the worker know about the production’s
hazard reporting procedure?
IF NO, review employer material then acknowledge
3 - General Orientation Topics - To be completed on worker’s first day of work.
3 of 4
3a Does the worker know the basic contents of the
production’s health & safety program?
3b Does the worker know about the production’s
working alone policy and procedures?
IF NO, review material then acknowledge
IF NO, review material then acknowledge
3c Does the worker know about the production’s
violence in the workplace policy and procedures?
3d Does the worker know about the production’s
bullying and harassment policy and procedures?
IF NO, review material then acknowledge
IF NO, review material then acknowledge
3e Review contact information for the joint health and
safety committee
3f Worker WHMIS 2015 Training Verified?
*MPGSA 101 is Motion Picture Safety Awareness 101, PASA is Performing Arts Safety Awareness. Both courses cover the rights of workers including
the procedures workers must follow when exercising their right to refuse unsafe work, as well as the responsibilities of employers, supervisors and
Summer 2019 Edition: Orientation
Safety Scene 11
workers.