Culligan Contractor Induction

• Site conducted

  Select

• Competent on-site Person Conducting Induction

• Contractor Name

• Contractor Company

• Date of Induction

  Date

• Frequency of return visits

  Select Regular (Min several visits per year) Infrequent (Specific, return greater than Once a year)

  • Regular (Min several visits per year)
  • Infrequent (Specific, return greater than Once a year)

• A refresher induction will be required after 24 months for business policy/process updates

• If no visit after no return for 12 months. An induction refresher is required

• Trade/Profession

  Select Air Conditioning Engineer/Installer Builder Cleaner Drainage Specialist Dock Leveler/Shutter Door Engineer Electrician Fire Extinguisher Installer/Service Eng Fire/Security Detection Engineers FLT/PPT Engineer/Tech Gardener Gas Heating Engineer HGV/Trailer Fitters Joiner Passenger Lift Engineer Painter & Decorator Pest Control Plumber Racking/Storage Installer/Maint. Service Engineer (Equipment) Roofer Waste/Recycling Contractor Water Test Engineer Other

  • Air Conditioning Engineer/Installer
  • Builder
  • Cleaner
  • Drainage Specialist
  • Dock Leveler/Shutter Door Engineer
  • Electrician
  • Fire Extinguisher Installer/Service Eng
  • Fire/Security Detection Engineers
  • FLT/PPT Engineer/Tech
  • Gardener
  • Gas Heating Engineer
  • HGV/Trailer Fitters
  • Joiner
  • Passenger Lift Engineer
  • Painter & Decorator
  • Pest Control
  • Plumber
  • Racking/Storage Installer/Maint.
  • Service Engineer (Equipment)
  • Roofer
  • Waste/Recycling Contractor
  • Water Test Engineer
  • Other

• Evidence of F-Gas Qualification/Competence.

  Media

• Evidence of Mechanical/Electrical Engineering (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of NICEIC/JIB Grade 18th Ed. (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of City and Guild (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of Fire Industry Association/Electrician (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of Mechanical Engineering (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of City & Guild (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of Mechanical (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• As part of your role, are you required to drive LGV/HGV's independently or hitched to a trailer?

  Yes

  No

• Evidence of LGV/HGV Licence is required

  Media

• Evidence of City and Guild (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of Mechanical/Electrical Engineering (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of City and Guilds (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of Pest Control (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of City and Guilds (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of a SEMA based (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Does your task require you to work in a MEWP (Cherry Picker/Genie Boom/Scissor Lift)

  Yes

  No

• Provide IPAF 3a3b Certificate/Card evidencing competency to operate equipment

  Media

• Evidence of Mechanical/Electrical Engineering (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of City and Guilds (or Similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of Waste Management (or Similar) Qualification if applicable/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of City and Guilds (Or similar) Qualification/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of City and Guilds (Or Similar) Evidence/Competence

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of water testing(or similar) qualification/competence.

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Evidence of Gas Safe Qualification or similar.

  Select Evidence of Skills card (Photo/Certificate) Received & Uploaded

  • Evidence of Skills card (Photo/Certificate) Received & Uploaded

• Please enter Trade or Profession and provide evidence of qualifications/competency.

Permits to Work

• For certain high-risk tasks (Electrical/Hot work/Working at Height/ confined space).

  

• Does your task involve any of the If your task requires you to perform any of the following, you will need a permit to work and follow the instructions and requirements of that process.

  Select Electrical work (Installation/Modification/Removal) Generation of Flame/Heat/Sparks Working at height using (Ladders/MEWP's/Platforms) Confined Space Not applicable Other

  • Electrical work (Installation/Modification/Removal)
  • Generation of Flame/Heat/Sparks
  • Working at height using (Ladders/MEWP's/Platforms)
  • Confined Space
  • Not applicable
  • Other

• Please specify high risk being carried out

Fire Safety

• If you discover a fire you must raise the alarm by activating the nearest call point then leaving the building by the nearest exit. Prominent escape signage will be throughout the facility.

  
• In the Event of an alarm, report to the nearest assembly point. (As per map)
  Address

• Your nearest assembly point is located?

• As part of our emergency preparedness programs on site, we test our alarm weekly. The scheduled tests are planned for?

• When working on our sites, you must sign in at RECEPTION (Drivers reception if collection/delivery driver)upon arrival and sign out when you LEAVE. This applies for each day you are working.

Site Rules

• No Smoking On Site (Except in designated areas) This includes e-cigarette/vaping

  

• No reversing without a banksman. This applies to any vehicle where your view of what is around you (in any direction) is obscured and not clear. We have trained banksman who can help, please ask a staff member to assist.

  

• Site Speed Limit is typically 10mph. Do be mindful that some different areas within the site, a lower limit may apply, therefore you must observe the site speed limits signs and take advice offered by staff.

  

• Facilities are provided, please take advantage of these routinely cleaned facilities for all your welfare needs. Please be mindful of the next user, clean and tidy after yourself and leave the facility in a state you'd expect to find it.

  

• Within our warehouses and yard areas, fork lift trucks, other lifting equipment together with HGV's and other goods carrying vehicles are in operation. Be mindful of the maneuverability and stopping distances of these vehicles, it is easier for you to stop and avoid than vice versa. Stick to pedestrian walkways when walking from point to point in these areas.

  

• Be Mindful and respect the Unauthorised Person Access Areas. This may change during any work activity.

  

• You do not have permission to operate FLT's/PPT's and any other business-owned equipment (Exception applied if you are a dedicated service engineer for that type of equipment). If you need anything moving please ask a member of staff who will be able to assist.

Personal Protective Equipment (PPE)

• Our Sites with warehouse and yard areas have a site minimum requirement of Hi-Vis Coats/Tabards and Safety footwear

  

• In accordance with your Risk Assessment and Method Statement (RAMS) is there a requirement for additional PPE?

  Yes

  No

• Please list

  Select Face Shield Fabric/Paper Overalls Gloves Hearing Protection Safety Glasses/Goggles Other

  • Face Shield
  • Fabric/Paper Overalls
  • Gloves
  • Hearing Protection
  • Safety Glasses/Goggles
  • Other

• Is your additional PPE manufactured to EN standards?

  Yes

  No

• Advise standard and how this ensures your safety

Mobile Phones

• The use of mobile phones whilst driving or operating equipment is prohibited. Mobile phones are also a distraction at other times, only make/take your calls in safe environments such as an office, meal room or similar away from lifting equipment, operational plant and vehicles etc.

  

Environmental Considerations

• We consider nothing as waste until it is wasted, as part of our wider sustainability goals, in the 1st instance we prioritise reusing or finding an alternative use. If something must be disposed of, please ensure the correct waste stream is used. (We welcome any suggestions for alternative uses for our waste)

  

• Are you generating wastes as part of your task

  Yes

  No

• Who is providing your waste management

  Select Business waste management solution Your own waste management solution

  • Business waste management solution
  • Your own waste management solution

• Provide details of your waste carrier to ensure compliance to the regulations

• If during your task and any spillages of chemicals or controlled substances occurs, or you witness a spillage, please report this immediately to a member of staff. We have trained staff and equipment which we can use to safely and effectively to contain any spillages.

  

First Aid

• Trained first aiders are available across the site to assist you. Should you require first aid, please report to the nearest member of staff who will be able to assist and get you the help you require.

  

• As part of your work group are you using your own First Aid trained staff?

  Own trained staff

  Business First Aiders

Manual Handling

• Be mindful of the risks posed by manual handling. Please ask any of the team if we can assist with the movements of your equipment and other work materials.

  

Incident Reporting

• All accidents, incidents including those with an environmental impact, please report these to a member of staff to minimise your exposure.

  

Drugs and Alcohol

• We have a ZERO tolerance to being under the influence of drugs and alcohol and detailed in the Substance Misuse Process, if you are involved in an accident on site, part of the investigation may involve an alcohol and drugs test performed by our in-house trained managers/approved testers. Additionally, should anyone be suspected of being under the influence of alcohol/drugs and verified by 2 managers, this may result in a test. Failed tests will result in removal from site. Upon completion of this induction and commencement of your task you are agreeing to submit to a drugs and alcohol test if requested to do so.

  
Agreement

• We strive to exceed our customers expectations, keep our colleagues safe as well as our guests and visitors to our sites and this includes you! The way we manage this is by complying to the international standards ISO 9001:2015, ISO 14001:2015 and ISO 45001:2018 as well as our legal obligations under the Health and Safety at Work Act. We appreciate your assistance and by completing this induction and complying with the guidance detailed above, you are helping us achieve our aims. Our certificates are available for you to view together with our policy which has been approved by our CEO

• By signing this document, I confirm my understanding of all the site rules and arrangements.

• Name and signature of Contractor

  Sign