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1001 Workplace Induction

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WORKPLACE INDUCTION

YOUR LOGO HERE


Form: 1001

PROJECT: DATE:

1. I have read the WHSMP and will follow the documented procedures.

2. I have read and understand the Workplace Emergency Procedures and Evacuation Plan.

3. I know the location of the First Aid Station.

4. I am aware of who has first aid training and how to contact them.

5. I have read & understand the Workplace Safety Rules.

6. I have had explained the location of facilities ( amenities, telephone, first aid kits).

7. I will wear safety vests, steel capped boots, hard hats and other relavent PPE as directed.

8. I will report all accidents and incidents

9. I will attend all Safety Meetings & raise any safety issues.

10. I will report any unsafe machinery and ensure all guards are fitted.

11. I understand that there is to be no smoking, drinking or drugs in the workplace.

12. Only tagged electrical equipment is to be used.

13. I will notify the appropriate parties in relation to environmental issues.

14. I have read and understand the organization's safe lifting procedures.

15. I have had explained workplace hours and will comply with them.

16. I have read and will comply with the Quality Plan.

17. I have read and will comply with the Environmental Plan.

18. I understand the requirement to sign in & out of the workplace on EVERY occasion.

19. I will only engage in work that I have skills & training in.

20. I will carry with me at all times any safety training certificates and licences.
21. My "Skills and Competency" form has been filled out for this project.

22. I have been given the necessary PPE and have signed off on it.
23. I have read and signed the Safe Work Method Statements for this project.

COMMENTS: Employee Name


Name:
Signature:
Date:

Person Conducting Induction:________________________ Emergency Contact Details


Signature:_______________________________ Name:
Phone No:

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