Marquise Safety checklist for site induction

• Document No.

• Title Marquise safety checklist for site induction

• Client / Site Marquise

• Conducted on

  Date

• Prepared by

• Location 635 st Kilda rd Melbourne Vic 3004
  Address

• Personnel

Worker

• Date start

  Date

• Name of worker

• Position

• Contact number:

• Picture of worker

  Media

Purpose

• To assist employers (including sub-contractors) familiarise workers with the OHS rules and procedures of the site BEFORE they commence work

competencies

• 1. Employer or person performing duties has provided you sufficient evidence of competencies and or qualifications (including trade qualifications) to complete work

  Yes

  No

  N/A

• 2. Established proof of the persons safety induction?

  Yes

  No

  N/A

• 3. Have you ensured that the person has been taken through relevant safe work method statements for the task to be performed onsite?

  Yes

  No

  N/A

• Other documentation

  Media

PPE

• 4. Does the person have the correct PPE available for the work to be completed?

  Yes

  No

  N/A

• a. Hat (for out side UV protection)

  Yes

  No

  N/A

• b. Safety glasses

  Yes

  No

  N/A

• b. Safety footwear to carry out their tasks

  Yes

  No

  N/A

• c. Long sleeved shirt

  Yes

  No

  N/A

• d. High visibility vest

  Yes

  No

  N/A

• e. Appropriate ear protection when required (no music headphones allowed)

  Yes

  No

  N/A

• Other

Exits / First aid / emergency

• 5. Have you shown the person what to do in an emergency and identified the location of the

• a. Assembly point ?

  Yes

  No

  N/A

• b. Closest medical facility ?

  Yes

  No

  N/A

• c. Contact details of emergency services ?

  Yes

  No

  N/A

• D. Provisions for emergency communications ?

  Yes

  No

  N/A

• e. Other

• 6. Have you shown the person:

• a. The location of the first aid facilities / kits ?

  Yes

  No

  N/A

• b. Who the first aiders are and how to obtain treatment ?

  Yes

  No

  N/A

• 7. Have you shown the person where the relevant fire fighting equipment is located ? For example, fire extinguishers, hose reels etc.

  Yes

  No

  N/A

Amenities

• 8. Have you shown the person where the amenities ( including toilets and drinking water) are located ?

  Yes

  No

  N/A

Reporting

• 9. Have you explained the procedures for reporting incidents, injuries and hazards ?

  Yes

  No

  N/A

Equipment training

• 10. Has the person been trained to use any specialised equipment ?

  Yes

  No

  N/A

Other specialised equipment the cleaner has been shown how to use/operate safely

• Push puller (for moving rubbish bins)

  Select Yes No

  • Yes
  • No

• Sweeper car park

  Select Yes No

  • Yes
  • No

• Scrubber car park

  Select Yes No

  • Yes
  • No

Security

• 11. Have you explained the site security procedures ?

  Yes

  No

  N/A

Health and safety

• 12. Have you explained the site health and safety rules ?

  Yes

  No

  N/A

• 13. Have you given the person an opportunity to ask questions about their responsibilities and any issues clarified ?

  Yes

  No

  N/A

• 14. Have you explained that under no circumstances are they to change any lights on sight

  Yes

  No

  N/A

• 15. Have you explained that under no circumstances are they to jump into any waste / rubbish bins ?

  Yes

  No

  N/A

Procedures

• 16. Have you explained that, it is their duty to report any incidents or hazards they have identified during their working hours to the Building Manager in writing (logbook)

  Yes

  No

  N/A

• 17. Have you explained Failure to follow procedure that increases the Risk

  Yes

  No

  N/A

• 18. Have you explained Failure to follow instruction will result in a letter of warning and or request to leave the site

  Yes

  No

  N/A

Note

• 1. Where there are a number of employees, the employer who has management and control of the site must provide sufficent to information to enable contractors to fulfil their site induction obligations

• 2. Where the person does not clearly understand English, use an interpreter to assist in translation

Signature

• Workers signs that all the above has been explained & that they understand their responsibilities to carry out their tasks safely as per OH&S & work safe

• Signature of worker

  Sign

• Date

  Date

Employer / Site Manager

• Name:

• Signature

  Sign

• Date:

  Date