Moran Ag Ventures

• Name of Person Doing Orientation:

• Date of Orientation:

  Date

• Location of Training:

Rights of Workers

• Right to Know About Hazards in Your Workplace

• Right to Participate in Safety and Health Activities

• Right to Refuse Unsafe Work

• Right to not be Discriminated Against

Obligations of Workers

• Take Reasonable Care to Protect Themselves and Others at the WorkplaceC

• Consult and Cooperate with the Safety and Health Committee

• Use all Devices / PPE Required by the Employer or the Regulations

• Take Initiative to Resolve Unsafe Conditions in their Work Area

• Immediately Report ALL Incidents, Dangerous Occurrences, Injuries and Illnesses to your Supervisor

Obligations of Employers

• Ensure the Safety and Welfare of Workers in their Workplace

• Maintain the Workplace Tools and Equipment

• Ensure Workers and Supervisors are Well Trained

• Ensure Workers / Supervisors are Made Aware of Hazards and are Familiar with Devices / PPE

Obligations of Supervisors

• Protect their Workers

• Ensure Workers Follow Procedures and use Devices / PPE Required

• Advise Workers of Known or Foreseeable Risks to Safety and Health in the Work Area

Supervisor's Name and Contact Information

• Supervisors's Name:

• Contact Information:

Procedure for Reporting Unsafe Conditions

• Report the Condition to your Manager / Supervisor

• If Manager / Supervisor does not correct Unsafe Condition report to the Safety Committee or the Human Resource/Safety Manager

• If Unsafe Condition is still not rectified, report the condition to Workplace Safety and Health

Procedure for Exercising the Right to Refuse Unsafe Work

• Tell your Manager that you are Refusing to do a Certain Job because it is Unsafe

• Tell your Manager what about the Job is Unsafe

• If the Manager Addresses your Safety Concern to your Satisfaction, Resume Working

• If the Manager is unable to Address your Safety Concerns, Report your Concern to the Safety Committee or HR/Safety Manager

Contact Information for Safety Committee Members

• Contact Information for Safety Committee Members

Safe Work Procedures that Apply to the Worker's Position

• Safe Work Procedures that Apply to the Worker's Position:

Hazards and Control Measures at the Worksite where the Worker will be Working

• Hazards and Control Measures at the Worksite where the Worker will be Working

Locations of First Aid Kits

• Locations of First Aid Kits:

Emergency ProceduresR

• Rescue those in Danger; If Safe to do so, Assist those who are Injured or in need of Assistance; Render Aid to those who require First Aid

• Report the Emergency to your Manager and the Appropriate Emergency Contact

• Know the Location of all Emergency Exits in your Worksite

• Report to the "Evacuation Assembly Point" so that all Personnel can be accounted for

• For further information, consult the Emergency Procedures Manual

• If you need Help, call your Manager or it is a Medical Emergency, call 911

• If you get Injured or Ill, you must report your Injury / Illness to your Manager or Supervisor

Prohibited / Restricted Zones

• Prohibited / Restricted Zones:

Workers Who Completed the Safety Orientation Training

• By signing this page, the undersigned employee(s) acknowledge that they have understood the training they have received and agree that they will adhere to the training and policies that have been reviewed with them. The employee(s) understand that if they violate the rules, procedures and policies in which they were trained, they may face disciplinary action, up to and including termination of employment.

• Name(s) of Worker(s) Who Completed the Training:

Person

• Name of Worker who completed the Training:

• Signature of Worker who completed the Training:

  Sign