Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Contractor Name

  • Company Name

  • Reason on Site

  • TDI Host / Escort

Untitled Page

  • Have you verified the Contractor has signed in?

  • 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?

  • Hot Work

  • Work on Live Electrical Equipment

  • Work on / with Asbestos

  • Roof Access

  • Work at Height

  • Work involving Machine Guarding

  • Work on Fire Alarm System

  • Work on Air Compressors

  • Entry into Confined Spaces

  • Demolition Works

Fire Precautions

  • Actions to be taken on discovering a fire

  • Action to be taken on hearing the fire alarm (Alarm tested at 09:30am every Friday)

  • Knowledge of Escape Routes

  • Evacuation Procedure, Assembly Points and Roll Call

Health

  • Advise who the First Aiders are

  • Accident and Near Miss Reporting

  • Issue and Use of Personal Protective Equipment (as applicable)

  • Use of Hazardous Substances

  • Welfare Facilities and Personal Hygiene

Environmental

  • Advise where Spill Kits are located

  • Advise not to dispose of products down drains / watercourses

  • 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

  • Contractor Signature

  • Inductor's Signature

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