Contractors Induction Checklist

• Contractors name and signature if required:

  Sign

• Company Name:

• Site Location:
  Address

• Date Conducted:

  Date

• Who is responsible for the health and safety in your business:

• Contact Details:

WORKPLACE INTRODUCTION

• I have been introducted to:
  

• 1. Key personnel and contact person for this site

  Yes

  No

  N/A

• 2. Key jobs, tasks and responsibilities

  Yes

  No

  N/A

• 3. Work areas, toilets, eating and drinking facilities

  Yes

  No

  N/A

HEALTH AND SAFETY

• I have been shown..

• The health and safety policy

  Yes

  No

  N/A

• How to do the job safely

  Yes

  No

  N/A

• The safety signs and what they mean

  Yes

  No

  N/A

• The restricted access areas on the site

  Yes

  No

  N/A

• I know...

• 1. My responsibilities as a contractor

  Yes

  No

  N/A

• 2. How to use and maintain PPE and safety equipment for this job

  Yes

  No

  N/A

• 3. That all of my employees (if any) are appropriately qualified, competent or will be fully supervised

  Yes

  No

  N/A

HAZARDS

• I know...

• 1. The Harards and controls for these on the site

  Yes

  No

  N/A

• 2. That I must advise of any hazards that I bring to this site

  Yes

  No

  N/A

• 3. How to report hazards and where the reports are kept

  Yes

  No

  N/A

• 4. The work safe procedures

  Yes

  No

  N/A

• 5. The required safety equipment for the job

  Yes

  No

  N/A

• 6. About any work permit procedures that need to be notified to WorkSafe NZ

  Yes

  No

  N/A

EMERGENCIES

• I have been shown :

• 1. The emergency exits

  Yes

  No

  N/A

• 2. The fire extinguishers and their location

  Yes

  No

  N/A

• 3. The first aid kits and their location

  Yes

  No

  N/A

• 4. The evacuation procedures in the event of an emergency

  Yes

  No

  N/A

• 5. The assembly area

  Yes

  No

  N/A

INCIDENTS AND INJURIES

• I know...

• 1. How to report incidents and accidents

  Yes

  No

  N/A

• 2. How to report near hits/near misses

  Yes

  No

  N/A

• 3. Where the accident forms are kept

  Yes

  No

  N/A

• 4. My responsibilities for notifying WorkSafe NZ of any serious harm incidents

  Yes

  No

  N/A

CONTRACTOR DOCUMENTS

• I have been made aware of the site safety rules shown below -

  Yes

  No

  N/A

• The following rules have been prepared to inform workers about accepted working practices:
  
  - Permission must be obtained from the team leader prior to commencing any work on site.
  - All personal shall undergo safety induction training.
  - Appropriate PPE shall be worn at all times.
  - Every accident or near miss event must be reported to the team leader immediately.
  - notify the team leader or person in control of the workplace immediately if you think hazards are not adequately controlled.
  - Any person found to be interfering with or misusing fixtures, fittings or equipment provided in the interest of health , safety and welfare shall be excluded from site.
  - Smoking will only be permitted in designated areas.
  - Vehicle drivers must wear the appropriate PPE (when outside the vehicle).
  - All electrical tools and leads are to be inspected and tagged every 3 months
  - Do not approach any machinery, plant or equipment unless the driver or operator expressly indicated to you that he has seen you and it is safe to do so.
  - Wear seat belts at all times when driving or operating vehicles or equipment If there is seat belts fitted.
  - Vehicle drivers must secure loads for pick up and delivery, not to be overloaded.
  - Safety signs and notices must be followed.
  - The public must be protected from hazards associated with this work.
  - No person who is under the influence of alcohol or drugs is allowed on site.
  - Offensive or inappropriate language and provocative gestures are not allowed.
  - No personnel shall indulge in horseplay or practical jokes within the site or it's perimeter.
  - Toilets and washrooms must be kept in a clean and huge ethic state after use.
  - Refuse must not be allowed to accumulate and work areas are to be kept tidy.
  - Combustible materials are to be removed on a regular basis and disposed of in an appropriate manner as per the safety data sheet.
  - Ensure are register is completed and Safety Data Sheets available.
  - Ensure to remove all the hazardous substances from site at the end of the day.
  - All site personnel for their own safety and for the safety of others are required to fully comply with their employers statement of safe working method.
  - Site fire and emergency alarms, equipments and instructions are designed to protect life, they must be followed.
  - No radios unless authorized by the team leader, they must be tested and tagged and not excessively loud.
  - All contractors must obtain work permits for any notifiable works prior to commencing work.
  - Cell phones shall only be used for the work related calls, personal cell phones and calls to be used in scheduled breaks.
  
  

• CONTRACTORS SIGNATURE -

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