31 Sample worker orientation checklist

Sample Worker Orientation Checklist (Word)

Sample Worker Orientation Checklist (PDF)

In the case of an injury on the work experience placement, each institution may have specific policies and procedures in addition to those outlined in the box above. KPU’s are posted below for reference:


Procedures for Submitting WorkSafe BC Claims for Injured Practicum or Apprenticeship Students at eligible public post-secondary institutions and at ITA-designated public or private post-secondary institutions

Reporting Procedure

  • Student reports injury to supervisor (i.e. Instructor, Program Supervisor) and First Aid (if required).
  • Instructor reports incident to Dean’s office.
  • If Student requires medical attention, physician completes WorkSafe BC forms and sends directly to WorkSafe BC.
  • First Aid completes incident report and forwards to Human Resource Services.
  • Dean’s office completes Report of Injury document (request form from Health & Benefits Consultant) within 1 day of injury forwards to Health & Benefits Consultant.
  • Dean’s office/Instructor advises Student to report incident to WorkSafe BC.


Completion Guidelines

  • Institution (Human Resource Services) completes Form 7.
  • Record the institution’s information in the Employers Information section.
  • Leave the WorkSafe BC account number, Classification Number and Operating Location Number blank (the Ministry will complete this information).
  • Record the injured student’s information in the Workers Information section.
  • Clearly indicate whether the injured student was on a practicum or attending apprenticeship technical training, and include the name of their program.
  • Complete the remainder of the form, as indicated, and sign the last page.
  • Encrypt the form and email the protected document to the Ministry contact information provided below.
  • Call the Ministry contact and provide the password to open the encrypted document.


  1. Institution – The Signature and Report Date (bottom of the third page) should be signed and dated by the institution’s Health & Benefits Consultant.
  2. Ministry – The Ministry must authorize the claim before it will be processed by WorkSafe BC (this authorization indicates that the student should be considered an employee of the Crown for this claim and that the Crown agrees to assume the liability for claim costs).


  1. Kwantlen Polytechnic University. (n.d.). Practical guidelines. Retrieved January 18, 2018, from Kwantlen Polytechnic University: http://www.kpu.ca/foipop/protection/guidelines


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Sample worker orientation checklist Copyright © 2021 by Nicola Soles is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

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