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: