New Employee Orientation Checklist Template - Ohio

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NEW EMPLOYEE ORIENTATION CHECKLIST
Employee Name: _______________________________________________________________
Name of Supervisor: ____________________________________________________________
Date of Hire: __________________________________________________________________
The following information will be covered during orientation and all paperwork will be included in your personnel
record:
Employment Application completed and placed in the personnel file.
Resume placed in personnel file.
References verified and documented.
Criminal background check
Substance Testing Consent and Results placed in file.
Notification of Hiring signed and placed in file.
Immigration and Naturalization Service form I-9 completed and placed in personnel file.
Department of Treasury Form W-4 completed and placed in personnel file.
State of Ohio Department of Taxation Form IT-4 completed and placed in personnel file.
State of Ohio New Hire Form 7048 (Child Support) completed and placed in personnel file.
Copies made of Diploma/Transcripts/Credentials and placed in personnel file if applicable.
Copies of all Licenses if applicable
Job Title and Description listing duties, responsibilities, minimum qualifications, and academic
requirements and positions to be supervised if applicable explained to, copied for employee, and
placed in personnel file.
Supervision requirements explained to employee. Verification placed in personnel file.
Log-in and User Profile Set Up by MIS Department ___ Int. Email, ___ External Email
___ Lookup, ___ Active Directory, ___ Webpage
Agency Equipment Issued Keys #____,_____,_____,____ Dictaphone #____________
Pager#____________ Other: _____________________________________________
Policies and Procedures reviewed with employee, including rules of client rights, grievance
procedures, and abuse and neglect and verification signed.
Records and Client Confidentiality Agreement Verification
Emergency Contact Form completed and filed.
New employee given tour of facility, shown work area and job duties and responsibilities
explained in detail.
Supervisor or trainer available during orientation period for questions and additional help if
needed.
Orange HR explained including Timesheets/Schedules and Leave Request
Computer Orientation
Mission, Vision, and Core Values Reviewed
Staff Peer Mentor Assigned
Additional Comments: __________________________________________________________
__________________________________________________
________________________
Signature of Employee
Date
__________________________________________________
________________________
Signature of Supervisor
Date
NEW EMPLOYEE ORIENTATION CHECKLIST
Employee Name: _______________________________________________________________
Name of Supervisor: ____________________________________________________________
Date of Hire: __________________________________________________________________
The following information will be covered during orientation and all paperwork will be included in your personnel
record:
Employment Application completed and placed in the personnel file.
Resume placed in personnel file.
References verified and documented.
Criminal background check
Substance Testing Consent and Results placed in file.
Notification of Hiring signed and placed in file.
Immigration and Naturalization Service form I-9 completed and placed in personnel file.
Department of Treasury Form W-4 completed and placed in personnel file.
State of Ohio Department of Taxation Form IT-4 completed and placed in personnel file.
State of Ohio New Hire Form 7048 (Child Support) completed and placed in personnel file.
Copies made of Diploma/Transcripts/Credentials and placed in personnel file if applicable.
Copies of all Licenses if applicable
Job Title and Description listing duties, responsibilities, minimum qualifications, and academic
requirements and positions to be supervised if applicable explained to, copied for employee, and
placed in personnel file.
Supervision requirements explained to employee. Verification placed in personnel file.
Log-in and User Profile Set Up by MIS Department ___ Int. Email, ___ External Email
___ Lookup, ___ Active Directory, ___ Webpage
Agency Equipment Issued Keys #____,_____,_____,____ Dictaphone #____________
Pager#____________ Other: _____________________________________________
Policies and Procedures reviewed with employee, including rules of client rights, grievance
procedures, and abuse and neglect and verification signed.
Records and Client Confidentiality Agreement Verification
Emergency Contact Form completed and filed.
New employee given tour of facility, shown work area and job duties and responsibilities
explained in detail.
Supervisor or trainer available during orientation period for questions and additional help if
needed.
Orange HR explained including Timesheets/Schedules and Leave Request
Computer Orientation
Mission, Vision, and Core Values Reviewed
Staff Peer Mentor Assigned
Additional Comments: __________________________________________________________
__________________________________________________
________________________
Signature of Employee
Date
__________________________________________________
________________________
Signature of Supervisor
Date

Download New Employee Orientation Checklist Template - Ohio

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