Employers have a responsibility to provide safe and
healthful workplaces for their employees. To achieve this, it is important for
each employer to ensure that each employee, upon arriving in the workplace, is
fully briefed on the safety and health practices, hazards applicable to the
workplace, and means of protection against exposure to those hazards. You are
not required to complete or submit this voluntary checklist, but we believe you
will find it helpful in achieving workplace safety.
| Requirements |
Training Received |
Comments |
| Yes |
No |
N/A |
Do any Fair Labor Standards Act (FLSA) provisions on youth
employment apply?**
Are work hours age appropriate?
Are tasks age appropriate? |
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| Have activities that the worker is prohibited from
performing (due to age, insufficient skill/training, lack of qualification,
etc.) been clearly identified? |
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| Have workplace safety policy, rules and values been
explained? |
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Have emergency evacuation procedures been reviewed,
including: Exit Routes?
Assembly/Meeting locations?
Shelter in Place procedures? |
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If any personal protective equipment will be used, has the
following been reviewed:
Where to obtain the PPE?
When to use it?
How to use it?
How to maintain it? |
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Has how to report an accident/incident been reviewed,
including:
What must be reported?
Whom to report it to?
When to report it? |
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| Has the importance of workplace cleanliness, (good
housekeeping) been explained? |
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| Have proper lifting/carrying techniques been demonstrated? |
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| Has the
location of the area where notices to employees are customarily posted (e.g.
equal opportunity protection) been identified? |
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| Have safe
transportation guidelines for driving to and from work been explained? |
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| Has a person been identified as a contact for responding to
questions regarding the appropriate manner to perform work tasks (and other
workplace issues)? |
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Supervisor signature |
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Date |
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Employee signature |
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Date |
* EMPLOYERS, this is a voluntary generic checklist that contains examples of issues that should be addressed before young workers begin to
work: Employers should supplement this list as necessary to address the specifics of their particular workplaces.
**See http://www.youthrules.dol.gov/brochures.htm Employer’s Pocket Guide on Youth Employment
A FedNet product, produced in cooperation with the departments of Education, Employment Standards Admin., National Institute for Occupational Safety and Health and Occupational Safety and Health Admin.
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