Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Contractor Name
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Company Name
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Reason on Site
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TDI Host / Escort
Untitled Page
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Have you verified the Contractor has signed in?
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Have you verified with the Health & Safety Advisor that Risk Assessments and Method Statements have been received and reviewed (if applicable)?
Are any of the following activities being carried out, that have not already been notified?
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Hot Work
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Work on Live Electrical Equipment
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Work on / with Asbestos
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Roof Access
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Work at Height
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Work involving Machine Guarding
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Work on Fire Alarm System
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Work on Air Compressors
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Entry into Confined Spaces
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Demolition Works
Fire Precautions
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Actions to be taken on discovering a fire
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Action to be taken on hearing the fire alarm (Alarm tested at 09:30am every Friday)
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Knowledge of Escape Routes
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Evacuation Procedure, Assembly Points and Roll Call
Health
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Advise who the First Aiders are
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Accident and Near Miss Reporting
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Issue and Use of Personal Protective Equipment (as applicable)
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Use of Hazardous Substances
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Welfare Facilities and Personal Hygiene
Environmental
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Advise where Spill Kits are located
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Advise not to dispose of products down drains / watercourses
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All contractors must ensure all waste is removed from the TDI site
Statement by Contractor - I Confirm I have received the Health, Safety and Environment Induction as described above. I fully understand its content and will fully comply and co-operate with all site rules and instructions
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Contractor Signature
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Inductor's Signature