2. Site specific induction

• Document No.

• Client

• Site/ Job #

• Conducted on

  Date

• Prepared by

• Location
  Address

• Name

• D.O.B

  Date
• Address
  Address

• Phone

• Mobile

• Company name

• Contact details of next of kin

• Known allergies or medical conditions

• Certificates of competency

Items specific to this site

• I am aware that appropriate PPE is to be worn with the relevant task at hand

  Yes

  No

  N/A

• I have advised on whom I have contact in the occurrence of an incident

  Yes

  No

  N/A

• I have been advised on who to contact if I find plant (I.e scaffolding etc ) that has been altered or has anything wrong with it

  Yes

  No

  N/A

• I am aware of where to obtain first aid

  Yes

  No

  N/A

• I understand the emergency evacuation procedures

  Yes

  No

  N/A

• I am aware that only licensed tradesmen are to undertake their specific tasks

  Yes

  No

  N/A

• Yes

  No

  N/A

• Name

  Sign

• Site specific given by

  Sign

• Ohs card sighted CG101121139SEQ1

• Picture of OH&S card

  Media