Title Page
Contractor Induction Record
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Contractor/Company Name
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Name
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Date
Contractor Sign-off
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I have read, understood and will adhere to the conditions as detailed in the Contractor HSE Induction
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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)
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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 park in designated parking places and never obstruct any exit or route required by emergency services
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I have the necessary qualifications, experience and knowledge to undertake my job safely
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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 will report all site or other associated work based hazards, accidents, incidents and near misses immediately
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Any chemicals I use on site will be applied as per the manufacturer's instructions. 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 agree to keep my working area clean and tidy on a daily basis.
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I shall adhere to the Permit to Work System when it applies to the task I'm undertaking
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Signed By
