ORIENTATION CHECKLIST CONTRACTOR/SERVICE...

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Orientation Checklist Contractor/Service Provider – Reviewed November 2017 – Page 1 of 1 Copyright Hardi Nursing Home Management Pty Ltd – created 01/01/2007 ORIENTATION CHECKLIST CONTRACTOR/SERVICE PROVIDER Contractor Name: Date: Name of Company: Service Provided: Facility: General Work Health & Safety Sign in/out Computer system WHS Policy Wearing of Identification WHS Responsibilities Person you must report to First Aid Kit & First Aid Staff Signed Agreement Safety Data Sheets (SDS) Public Liability Insurance Protective clothing/gloves/footwear Workers Compensation Insurance/Professional Indemnity Insurance Emergency Procedures/Manual/Assembly Areas Registration/Licence Evacuation Plan Safe Work Procedures Fire Safety Equipment Police Certificate (as appropriate) Manual Handling/Equipment Documentation Adverse Events/Incidents Improvements Maintenance Events Hazards and Risks Duty of care to residents Elder Abuse Infection Control and Food Safety Privacy and Non-Disclosure Harrassment and Discrimination Improvements Physical Walk Around Facility Emergency Exits Parking Fire Extinguishers/Fire Blankets Staff Room/Smoking Area Emergency Assembly Area Visitors Toilet We, the undersigned, hereby agree that all of the above areas listed have been discussed. Contractor Signature: Date: Supervisor Signature: Date: Supervisor Name:

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Orientation Checklist Contractor/Service Provider – Reviewed November 2017 – Page 1 of 1 Copyright Hardi Nursing Home Management Pty Ltd – created 01/01/2007

ORIENTATION CHECKLIST CONTRACTOR/SERVICE PROVIDER

Contractor Name: Date:

Name of Company:

Service Provided: Facility:

General Work Health & Safety

Sign in/out Computer system WHS Policy

Wearing of Identification WHS Responsibilities

Person you must report to First Aid Kit & First Aid Staff

Signed Agreement Safety Data Sheets (SDS)

Public Liability Insurance Protective clothing/gloves/footwear

Workers Compensation Insurance/Professional Indemnity Insurance

Emergency Procedures/Manual/Assembly Areas

Registration/Licence Evacuation Plan

Safe Work Procedures Fire Safety Equipment

Police Certificate (as appropriate) Manual Handling/Equipment

Documentation

Adverse Events/Incidents Improvements

Maintenance Events Hazards and Risks

Duty of care to residents Elder Abuse

Infection Control and Food Safety Privacy and Non-Disclosure

Harrassment and Discrimination Improvements

Physical Walk Around Facility

Emergency Exits Parking

Fire Extinguishers/Fire Blankets Staff Room/Smoking Area

Emergency Assembly Area Visitors Toilet

We, the undersigned, hereby agree that all of the above areas listed have been discussed.

Contractor Signature: Date:

Supervisor Signature: Date:

Supervisor Name: