SAFETY ORIENTATION TEST
ANSWER SHEET
This test encompasses material you just reviewed during the Safety Orientation. Please
take the time to complete this test. After completion, this test will be reviewed with you
and any incorrect answers or questions you may have will be answered. Following the
review, please sign the end of this document stating you have reviewed the test, have had
an opportunity to ask questions, and now fully understand the correct answers.
PRINT EMPLOYEE NAME: _____________________________________ DATE: __________________
1. I am required by company policy to report all accidents, injuries, incidents, and
hazardous conditions to my supervisor immediately.
A. True
B. False
2. The use, possession, sale, transfer, acceptance, or purchase of illegal drugs and/or
controlled substances at any time is strictly prohibited except prescription
medications as legally prescribed by a physician.
A. True
B. False
3. Material Safety Data Sheets are available for each product used in the workplace,
provide valuable information on safe usage, and are available for review upon
request..
A. True
B. False
4. Fall Protection is required whenever working at heights of ___ feet and above.
A. 4 feet
B. 2 feet
C. 6 feet
D. 8 feet
5. Guardrails or parapet walls must be 42” in height (plus or minus 3”) to serve as
adequate perimeter fall protection.
A. True
B. False
6. Cable guardrails are acceptable if they sag under 39” with force applied and are
flagged every 10 feet with highly visible material.
A. True
B. False
7. When using a personal fall arrest system, I must ensure my anchorage point is
acceptable and that should I fall my system will stop me prior to hitting the ground.
A. True
B. False
8. Warning lines when there are no mechanical equipment in use must be ___ feet
away from the roof edge, be flagged every 6’ with highly visible material and be no
less than 34” above the walking surface.
A. 2
B. 6
C. 8
D. 10
9. Warning lines when mechanical equipment is used must be ___ feet away from the
roof edge.
A. 2
B. 6
C. 8
D. 10
10. I am not allowed to work outside the warning lines unless I am under the
supervision of a safety monitor, or I am wearing and connected to a personal fall
arrest system.
A. True
B. False
11. When working around a skylight, each of the following is allowable as fall
protection except;
A. Personal Fall Arrest System
B. Warning Line & Safety Monitor
C. Hole cover supporting twice the intended load.
D. Guardrail System
12. Portable ladders must extend ___ feet above the roof edge AND be tied off and
secured.
A. 1
B. 2
C. 3
D. 4
13. Metal ladders should never be used around electricity.
A. True
B. False
14. I am not allowed to work off scaffolding unless I have first received User Training
by the company.
A. True
B. False
15. Always assume electrical is live and maintain a ____ foot distance from all
scaffolding, cranes, rigging, aerial lifts, ladders, and tools.
A. 3
B. 5
C. 10
D. 12
16. Open blade utility knifes should be placed inside leather pouches or sheaths so that
the blade is not exposed. Dull razor blades should be replaced.
A. True
B. False
17. When lifting material, I should never left too much for me to handle and should
always lift with the legs and avoid twisting at the waist.
A. True
B. False
18. All material thrown off a building in excess of 40 feet must be in an enclosed chute.
A. True
B. False (20’)
19. Housekeeping is everyone’s responsibility and I shall maintain a clean work site.
All material will be secured to prevent it from flying off the roof.
A. True
B. False
20. Fire extinguishers must be present at any project which hot works is performed or
flammable products are available.
A. True
B. False
After you have completed this test please turn it into the test facilitator for review and
corrections. Sign the document below AFTER the review process.
I have had an opportunity to review the test answers with the company performing this
orientation, and during that process I was given an opportunity to ask questions. I am fully
aware of the company’s expectations and agree to obey with all aspects of the safety and
health program.
Employee Signature: _____________________________
Training Facilitator Print Name: ____________________________________
Training Facilitator Sign Name: ____________________________________
**(Note: 14 correct answers equates to a score of 70%)**