Document Code:

BIPI-ADF-QF-047-00

ORIENTATION CHECKLIST
Effectivity Date:
April 01, 2015

NAME: _______________________________________________________

POSITION: _______________________________________________________

DEPARTMENT: _______________________________________________________

DATE HIRED: _______________________________________________________

Date Conducted
No. Item Remarks
Undertaken By

Page 1 of 10
 Document Code:
BIPI-ADF-QF-047-00

ORIENTATION CHECKLIST
Effectivity Date:
April 01, 2015

1 Company Profile

2 Code of Personnel Conduct & Behavior

General Employee Benefits

3

Company Vision, Mission, Objectives, Targets and

4
Programs

5 Company System Policies and Procedures

Page 2 of 10
 Document Code:
BIPI-ADF-QF-047-00

ORIENTATION CHECKLIST
Effectivity Date:
April 01, 2015

ISO Awareness
6

Overall Safety Rules and Accident Prevention

7
Programs
Specific Hazards in the employees Department and
8
Safety Operating Procedures to Offset those Hazards

9 Application of Personal Protective Equipment System

10 Emergency Response and Preparedness Program

Page 3 of 10
 Document Code:
BIPI-ADF-QF-047-00

ORIENTATION CHECKLIST
Effectivity Date:
April 01, 2015

11 Standard First Aid

Policies & Programs on Occupational Safety and

12
Health

13
Others:

Page 4 of 10
 Document Code:
BIPI-ADF-QF-047-00

ORIENTATION CHECKLIST
Effectivity Date:
April 01, 2015

Page 5 of 10
 Document Code:
BIPI-ADF-QF-047-00

ORIENTATION CHECKLIST
Effectivity Date:
April 01, 2015

NAME: _______________________________________________________

POSITION: _______________________________________________________

DEPARTMENT: _______________________________________________________

DATE HIRED: _______________________________________________________

Note: All items in this checklist should be accomplished for each employee on the first day of work. When all
items below have been covered and checked off, the Supervisor and the Employee should both sign the form at
the bottom to be filed at 201 file.
No Item Check Remarks

Page 6 of 10
 Document Code:
BIPI-ADF-QF-047-00

ORIENTATION CHECKLIST
Effectivity Date:
April 01, 2015

1 Welcome and introduce employee to fellow workers

Explain the and show department/site lay-out
2
Location of work area, notice boards, toilets, pantry area, etc.
Explain procedure regarding the following:
Time Card/Itinerary/DTR, Overtime, Work Permit System,
3
Use of Telephone or Cellphone, Petty Cash Requisition
Voucher, Liquidation, Reimbursement, Job Order, etc.
4 Introduce worker to task or work procedure
Explain department organization and who will answer
5
employee’s questions or complaints
6 Explain the following:
Job Title, Job Description and provide a copy to Employee,

Page 7 of 10
 Document Code:
BIPI-ADF-QF-047-00

ORIENTATION CHECKLIST
Effectivity Date:
April 01, 2015

Job Duties and Responsibilities, and Goal Setting

7 Working hours and Break Times
8 Attendance, Lates and Absences, Leave Requests
9 Work Permit System
10 Accident/Incident Reporting
11 Emergency Plan Procedures
12 Discuss where and how tools/materials are procured for use
Explain PPE requirements and instruct proper, maintenance
13
and storage
14 Questions/Comments:

Page 8 of 10
 Document Code:
BIPI-ADF-QF-047-00

ORIENTATION CHECKLIST
Effectivity Date:
April 01, 2015

Date Checklist is Completed:_________________

Page 9 of 10
 Document Code:
BIPI-ADF-QF-047-00

ORIENTATION CHECKLIST
Effectivity Date:
April 01, 2015

__________________________________ __________________________________
Employee’s Signature over Printed Name Supervisor’s Signature over Printed Name

Page 10 of 10