Contractor OHS Induction Checklist - duplicate

• Workplace

• Company Name:

• Contractor’s Name:

• Conducted on (Date and Time)

  Date

• Prepared by

• Location
  Address

General Information

• Brief description of work to be performed

General Induction

• Department Health, Safety and Wellbeing (HSW) Policy

  ✔

  ✖

  N/A

• Required conduct/behaviour

  ✔

  ✖

  N/A

• High or extreme risk as identified in the OHS Risk Register related to the works to be undertaken

  ✔

  ✖

  N/A

• Security access arrangements / Traffic Management Plan

  ✔

  ✖

  N/A

• Emergency management

  ✔

  ✖

  N/A

• First aid and amenities

  ✔

  ✖

  N/A

• Hazardous Substances and Dangerous Goods stored on site

  ✔

  ✖

  N/A

• Hazard and incident reporting

  ✔

  ✖

  N/A

• Current Asbestos Management Plan and Division 5 Audit Report

  ✔

  ✖

  N/A

• Confined Space Entry Permit

  ✔

  ✖

  N/A

Information to be provided by the Contractor

• Licence details

  ✔

  ✖

  N/A

• A copy of the current contractors Public Liability Insurance Certificate of Currency (minimum ten million sum insured)

  ✔

  ✖

  N/A

• A copy of the current Workers Compensation Insurance Certificate of Currency

  ✔

  ✖

  N/A

• Current Working with Children Check

  ✔

  ✖

  N/A

• Safe Work Method Statements (SWMS)

  ✔

  ✖

  N/A

• Personal Protective Equipment (PPE)

  ✔

  ✖

  N/A

Completion

• Recommendations

• I have been provided with and understand the information (as indicated above) and will comply with the safety instructions listed in the Safe Work Method Statement (or equivalent).

• Contractor (Name and Signature)

  Sign

• I have provided the contractor with the relevant Department and site-specific information related to the works to be conducted.

• Workplace Representative (Name and Signature)

  Sign