SafeWorks
Workspace toolkit form

Volunteer orientation acknowledgement

Organization
Location / project
Volunteer name
Orientation date
Facilitator
Supervisor / contact

Orientation topics reviewed

  • Emergency exits, assembly point, and emergency contacts
  • First aid location and incident response
  • Required personal protective equipment
  • Site-specific hazards and restricted areas
  • Safe lifting, tools, equipment, and vehicle boundaries
  • How to report a hazard, incident, or near miss
  • Stop-work authority and how to raise a concern
I confirm that I received the orientation above, had an opportunity to ask questions, understand how to report a safety concern, and will follow the organization and location safety requirements communicated to me.
Volunteer signature
Facilitator signature
Date
Follow-up required