This form is intended for use as an example only. Training requirements and applicability vary based on the service setting. Topics, such as agency policies, may be added or deleted and required timeframes for completing the training may be modified based on provider and licensing agency training requirements. When using this form, consider timeframes for which certain topics should be covered, such as prioritizing training on emergency protocols, for example, within the first week of hire. New Staff Training Checklist Employee’s Name: _____ __________ Start Date:________ Employee’s Title: ______ Work Location: ___________
Trainer’s Printed Name
Training
Employee’s Signature
Date Completed
Tour of the program/facility Introduction to people receiving services Professional expectations Dress code Cell phone usage
Tobacco usage policy Fire evacuation plan Fire extinguisher locations First Aid Kits/PPE Call-in policy Process for requesting time off On-call supervisor process Program emergency contacts JC Code of Conduct Incident reporting Nursing/Medical plans Safety plans
Narcan training Behavior plans Supervision levels Dining Plans
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