Print this page or download the one-page sheet for handwritten notes.
Use this sheet during orientation to record the arrangements for your assignment. Ask the responsible person to explain unanswered items. This resource supports employer and site training; it does not establish that training or an assessment has been completed.
Site / project: ____________________ Date: ____________________
Worker / role: ____________________ Supervisor: ____________________
People and communication
- Who supervises my work, and who is the alternate contact?
- How do I report a hazard, injury, illness, or close call?
- What is the process for requesting a pause when I have a safety concern?
- How are changes to today’s work communicated?
The assignment
- What work am I assigned and authorized to perform?
- Which task-specific instruction or demonstration is needed?
- Which hazards and controls have been identified?
- What PPE is required, and who checks selection and fit?
The work area
- Which pedestrian routes and access points should I use?
- Which areas are restricted, and who explains changes?
- Where are drinking water and designated recovery facilities?
- What emergency instructions, contacts, and meeting points apply?
Follow-up
Question still open: __________________________________________________
Person responsible: ____________________ Follow-up date: ____________________
Answer / action: ______________________________________________________
These prompts are informed by OSHA’s education and training guidance. Read Your First Day on a Jobsite for more context.