Department:
Document:
The University of Maine System
Department Annual Safety Training Checklist
Page 1 of 3
09/21/15
Department Annual Safety Training Checklist
Sample General Office Space
The area supervisor or their designee must conduct the required training on the following items on an annual basis. This form will be
maintained by the supervisor as documentation of training.
Employee Name (print):
Employee (signature)
Supervisor (or Designee) Name (print)
Supervisor or Designee (signature)
Department
Date
Employee Training Items
1.
Discuss the Hazards of the Job.
Review all potential hazards including, but are not
limited to:
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Physical (noise, moving machinery, hot surfaces, electrical, working
from heights, ladders, slipping, falling, moving vehicles/equipment,
sharp objects);
Chemical (gases, liquids, flammables, toxics, corrosives, poisons);
Ergonomics (repetitive motion, extreme heat/cold, lifting, vibrations,
awkward positions);
Biological (blood, bacteria, viruses);
Hidden hazards: (i.e. asbestos, lead, underground utilities)
Does the employee use any special equipment / tools /
vehicles? If so, discuss any hazards and required
additional training.
2.
If employee uses Personal Protective Equipment (PPE)
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Discuss the job tasks that require the use of PPE
Location and availability of PPE and PPE assessment forms
Is the PPE adequate and serviceable?
Supervisor’s Notes
You should discuss:
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Lifting hazards and proper lifting techniques
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Ladders – use of portable step ladders, inspection, training.
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Walking surfaces (winter)
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Slips, trips, and falls
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General office equipment
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Physical - Occasionally our office space contains boxes,
extra chairs and other materials in common spaces, please
take note, removed them and place them in the proper
storage spaces. Bring the hazards to my attention.
Remember not to leave file cabinet drawers open.
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Chemical – Administrative/Office workers are usually not
exposed to chemicals that we might use in our office space.
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Ergonomics – Employees that use a computer more than
four hours a day must take on-line workstation training.
Go to the UMaine SEM web site.
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Biological – We should not have any biological hazards in
our workplace. If someone gets sick, do not attempt to
clean it up. Call for a custodian who has been properly
training to perform this work.
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Hidden Hazards – The most common is indoor air quality.
If you have concerns or see areas where there might be
moisture present please contact Facilities Management
Employees are not routinely exposed to any hazards that require the
use of PPE. However, PPE may be required while visiting other
campus work areas. Before entering, ensure that you request PPE
from the supervisor of that work area.
However you should be prepared for winter. During winter
months, wear the appropriate footwear for the conditions, wear a
hat and gloves when it gets colder
Department:
Document:
3.
The University of Maine System
Department Annual Safety Training Checklist
Emergency Action Plans
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Location of the Emergency Action Plan
Evacuation procedures, fire alarms, and rally point information
Indicate who is designated and trained to use a fire extinguisher
Indicate who is designated and trained to be the emergency evacuation
coordinator
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This office has smoke alarms, it does not have sprinklers (Verify), if
you hear the alarm, calmly evacuate the building, and do not take
time to turn off your computer or other devices.
Our emergency action plan is simple, you hear an alarm you leave
the building. Stop at you designated mustering area to be accounted
for. If you require assistance leaving the building contact your
supervisor to develop an action plan.
Our designated emergency evacuation coordinators are
_____________________________
4.
If employee uses Chemicals
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5.
Location and availability of Material Safety Data Sheets (MSDS) within
the work area
Discuss any changes in the chemicals used or precautions required
since previous training
Ensure that hazardous chemical training has been completed for all
hazardous chemicals unless covered by a current Chemical Hygiene
Plan (CHP)
Discuss any changes to the Chemical Hygiene Plan, for chemicals
covered by a CHP
Indicate who is designated and trained to clean up hazardous chemical
spills
Discuss Satellite Accumulation Area (SAA) and Universal Hazardous
Waste storage and training requirements. Administrative office workers
are not occupationally exposed to hazardous chemicals, but HAZCOM
program and SDS’s must be explained. Please take this training on-line
by visiting the SEM website.
Review any additional safety training requirements they
may require (review next page with the employee)
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A complete listing is located on SEM web page at:
http://www2.umaine.edu/SEM/training.htm
Usually, administrative office workers are not occupationally
exposed to hazardous chemicals, but HAZCOM program and
SDS’s must be explained.
Employees that are occupationally exposed to hazardous chemicals
must take the HAZCOM training found on the SEM Training
webpage at: http://sem.umaine.edu/safety-training/
There may be some unique things that you are involved with as
employees or volunteers. It is critical that you received specialized
training before performing the job tasks.
Discuss required additional specialized safety training (e.g.,
computer workstations, or fire extinguisher training).
Department:
Document:
The University of Maine System
Department Annual Safety Training Checklist
Page 3 of 3
09/21/15
The following common tasks require additional specialized safety training. Information regarding the
frequency of the required training and how to obtain the training is available on the SEM web site at
http://www2.umaine.edu/SEM/training.htm
Operating a computer terminal for more than four (4) consecutive hours on a daily basis
Remaining behind and assisting persons in orderly evacuation in an emergency
Using a fire extinguisher in an emergency
Working in areas with exposure to elevated surfaces and fall hazards
Using ladders
Working on scaffolds
Using vehicle mounted elevating work surfaces (telescoping and/or articulating)
Operating a forklift, walker-stacker, or other industrial truck (other than Registered Motor Vehicles)
Using a crane or hoist
Performing service or maintenance on machines or equipment with stored/potential energy (lockout / tagout)
Working with or around electricity
Welding / soldering / brazing
Entering (or overseeing entry into) a confined space
Working in or around trenches/excavations
Using farming/agricultural machines or equipment
Applying pesticides or working in an area that uses pesticides (i.e. farms, greenhouses, nurseries, or forests)
Working in remote areas where there is an absence of prompt medical care (clinic, hospital, etc.)
Operating a watercraft or vessel (either motorized or man-powered)
Conducting tree work (trimming trees) or logging operation
Wearing Personal Protective Equipment (PPE)
Wearing a full body harness
Working around excessive noise levels
Using class 3b or 4 lasers
Handling or using radioactive materials or radiation producing equipment
Performing tasks with exposure to human blood or other regulated bodily fluids (clean up, handle, perform first aid, etc.)
Performing tasks with exposure to respiratory/inhalation hazards such as chemicals, nuisance dusts, asbestos, silica, etc
Using hazardous chemical or cleaning up chemical spills
Working with or around hazardous waste
Handle / store / inspect / ship Universal Waste (such as fluorescent and HID lamps, batteries, mercury containing devices, cathode
ray tube televisions and monitors, etc.)
Work with or around Satellite Accumulation Areas (hazardous wastes that are initially generated and tend to accumulate at or near
the point of waste generation).
Transporting, packaging, shipping or receiving hazardous materials
It is that simple - review all of the special comments and answer questions, then meet privately with each of your employees and ask who
wants to be more involved and more responsibility?
For a more information about Specialized Training Requirements visit the University of Maine Safety and Environmental Management
(SEM) web page at: http://www2.umaine.edu/SEM/training.htm or contact SEM at 581-4055.