Site Induction Checksheet - duplicate

• Document No.

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Worksite layout

• Shown general Site Layout

• Shown "NO GO" or Restricted Areas

• Shown location of rest facilities e.g. Toilet / Washroom

• No smoking policy explained

Emergency Procedures

• Shown and discussed Emergency Exit points

• Shown and discussed Evacuation point

• Shown location of first aid kits

• Shown location of fire fighting equipment

• Telephone usage / Communications discussed

Personal Protective Equipment (PPE) and Clothing

• PPE and Clothing requirements discussed and issued, where required.

Hazard Identification

• Hazard identification and Control Procedures discussed

• Reviewed and discussed current Worksite Hazards

• Proximity to nearest live points discussed.

Other items discussed

• Enter other items discussed below.

Other item

• Other item discussed

We, the undersigned acknowledge that we have been INFORMED of the above Health and Safety aspects in the workplace and are AWARE OF OUR RESPONSIBILITIES and AGREE TO ABIDE by the instructs and procedures outlined above.

• Sign to indicate your understanding of this induction

Person inducted

• Add signature

  Sign