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The COVID-19 Orientation Checklist is completed with required employees by their supervisor or designate prior to implementing Step 2 of the restart and repopulation process.
 
The orientation informs employees of the COVID-19 hazard, how to protocol the COVID-19 hazard and any other changes to how hazards are protocolled in the workplace. This is required by WorkSafeBC’s Occupational Health and Safety Regulation.
 
This form should be completed during by either the employee or supervisor (not both) during the pre-work telephone meeting between the employee and supervisor.
 

Employee Number
Employee will receive a copy of this form.
Supervisor will recieve a copy of this form.

Work Location
Proposed Work Schedule
To help with planning for maximum occupancy, please indicate the employee's proposed work schedule.
 
00:00 - 00:00
00:00 - 00:00
00:00 - 00:00
00:00 - 00:00
00:00 - 00:00
Example: "Alternating weeks with John Doe."

Pre-work telephone meeting between employee and supervisor.
 
Note: If the employee has taken the BC Public Service COVID-19 All Staff Orientation webinar (search "COVID" in the Learning System), items 1, 2 and 3 have been covered.
See the Safe Work Procedures document General Procedures for the Office Environment on MyHR.
See the Safe Work Procedures document General Procedures for the Office Environment on MyHR.
  • Cough and sneeze etiquette
  • Hand washing
  • Physical distancing
  • Staying home when sick
Specific procedures can be found on the COVID-19 Safe Work Procedures for the BC Public Service page.
Example: If employee is working remotely either full or part time.
Date of telephone meeting
Or date all six (6) reviews have been completed, if more than one meeting.
Form prepared and submitted by:
Next Step:
 
Individual preparing this form can press "Submit". A copy of this form, including a checklist of items to be completed on the work site, will be sent to both the employee and supervisor. A copy can be printed by either for the onsite orientation.
 
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