Staff Member’s Name:
Staff Member’s Signature: / Manger’s Name:
Manager’s Signature:
Staff Member’s Team & Directorate:
Date:
All points on the checklist should be covered and explained by the workplace manager, the new staff member must sign to confirm they have received and understood each of the points.
Please find further information in blue.
PART A. LOCAL INDUCTION CHECKLIST
For all Healthcare Support Workers (inc AHP Assistants) only / COMPLETED
OR N/A
Has the Care Certificate Self-Assessment been completed?
Has a Care Certificate Workbook been issued?
COVER THE FOLLOWING ORGANISATIONAL INFORMATION / COMPLETED
OR N/A
Introduction to work colleagues, mentor, clinical supervisor etc.
Orientation to service areas & management structures
Name badge. I.D. badge issued
Issue and discuss Job Description, expectations of post and limitations of role
Confirmation of hours of work, shifts, rotas, timekeeping standards etc.
Explanation of uniform requirements, personal hygiene & dress code standards and facilities
Confirm mandatory training dates have been organised and time is allocated for e-learning. Previous learning exemptions
Agree date for first Personal Development Review meeting. Appraisal takes place annually but objectives should be set after commencement to review at appraisal
Annual leave entitlements and arrangements - erostering
Car parking facilities
Issue of keys and security arrangements for use of them
Location of facilities, i.e. toilets, locker and eating
Familiarisation & instruction on use of specific equipment and procedures
Team Briefing & communication processes including bleep system
Staff Carers Network & Child Care Facilities
Occupational Health facility –Team Prevent
Trade Union information
Complaints – Patient Advice and Liaison Service (PALS)
Standards/Codes of conduct and behavior - Living Our Values
Availability of information about the Trust:
Annual Report and Business Plan
Staff Handbook
Discussed requirement to declare any secondary employment as per contract of employment (refer to HR Advisor if there is a potential conflict)
Confirmation on method of pay and query point -Esr and Pay Services
Shown how to access Electronic Payslips – more information
Lease car & mileage claims – more information
Standing financial instructions/Fraud –
Staff benefits/discounts
Be aware of the location of Local and Trust Policies and Procedures,responsibility for reviewing and advice available. As a minimum please be aware of the following:
- Departmental risks and Health and Safety responsibilities, including accident reporting, first aid and security arrangements.
- Sickness reporting procedure
- Observation Standards and Procedures
- Health record keeping procedures and standards
- Confidentiality
- Local protocols for Medicines Management & Pharmacy including prescription, administration and incident reporting & Patient Group Directives
PART B. FIRE SAFETY CHECKLIST
COVER THE FOLLOWING ORGANISATIONAL INFORMATION
*F&E Nominated Staff Only / COMPLETED
OR N/A
I have read and understood the principals of the Fire Strategy and Procedure for this particular building/workplace.
I have had explained the Action to be taken on Discovery of a Fire
I have had explained the Action to be taken on hearing the alarm
I have had explained any Fire Bleep system, the location of pagers and the procedures to be carried out
I have been shown the location of fire call points for my area of work & had the method of operation explained
I have been made aware of the location and shown the key for the operation of the key operated call points.
Enter location here:
I have been made aware of the fire exits and escape routes in my area of work.
I have been made aware of the location of Fire Doors and their purpose explained
I have been instructed on the Trust’s No Smoking Policy
I have been informed of the Location of fire appliances.
I have been briefed on basic fire prevention and hazards for my area of work.
I have been made aware of the location and identification number of any specific Fire Service Emergency entry points (EAP`s) or Rendezvous points (RP) / *
I have been shown and taken to the Fire Panel/ repeater panel and received basic instruction on how to interpret the panels information
Enter locations here: / *
I have been shown and informed how to operate the following isolation points:
Delete as required:
- Electricity
- Gas
- Piped Medical Gases
- Water
I confirm I have carried out this local induction and that both parties have received and understood the information detailed in the local induction checklist.
NB: ORIGINAL TO BE RETAINED ON TEAM RECORDS Page 1 of 2
To update on Electronic Staff Record please scan and email a copy to:
Or post to: Learning and Development Team, Trust HQ, Corporation Street, Stafford, ST16 3SR