Site Orientation Acknowledgement Form
Please complete this form to confirm your participation in and understanding of the site orientation process.
Participant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Job Title or Role on Site
*
Company or Organization (if applicable)
Site Location Name or Address
*
Date of Orientation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please confirm you have been informed about the following topics during orientation:
*
Site rules and regulations
Emergency procedures and evacuation routes
Personal Protective Equipment (PPE) requirements
Hazard identification and reporting
Restricted areas and access control
First aid and medical assistance locations
Other
Who conducted your site orientation?
*
Please list any questions or comments you have regarding the site orientation.
Signature (Please sign below to confirm your acknowledgement)
*
Submit Acknowledgement
Submit Acknowledgement
Should be Empty: