Title Page
Contractor Safety Induction Form
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Document No.
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Company Name
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Manager's Name
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Conducted on
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Name of person being inducted
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I will sign in and out when arriving or leaving site
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I agree to refrain from smoking on site (unless in dedicated smoking area specified by the site manager)
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I will not enter the site or work under the influence of drugs or drink alcohol
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I will only work in areas where I have been given permission. All other areas are out-of-bounds unless escorted by the site manager
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I will only park in designated parking places and never obstruct any exit or route required by emergency services
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Where possible I will reverse into a parking space and drive out of it
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I have the necessary qualifications, experience and knowledge to undertake my job safely
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I will report all site or other associated work based hazards, accidents, incidents and near misses immediately to the site manager
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I have been shown the site emergency procedures and the location of the assembly point(s)
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All plant and equipment I use will be in good order, regularly maintained and where applicable have guards fitted. All portable electrical equipment will be tested and tagged on a minimum 3 monthly basis
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Any chemicals I use on site will be applied as per the manufacturer's instructions and with the appropriate personal protective equipment.<br>I will keep a copy of the safety data sheets in a folder on site for use in a medical emergency
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I am aware of the precautions required to do my job safely and what personal protective equipment to wear (if applicable)
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I agree to keep my working area clean and tidy on a daily basis
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I have been shown the location of the workplace amenities (toilets, wash areas, staff room etc)
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If hurt myself and require first aid, I know where to go, who to contact and the procedure to follow
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I agree to disclose any health condition I have, which could have an impact on my own safety, or that of other people I come into contact with on company business
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I hereby notify that I have completed this form to the best of my ability and all of the questions have been answered truthfully
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Signed By
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Photo of Inductee
