Information
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Document No.:
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Document Name:
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Conducted on
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Project Name:
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Location
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Name of Inductee:
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Name of Person Conducting Induction:
Details of Inductee
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Name of Inductee:
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Company working for directly:
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Mobile Phone Number:
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Industry Induction Card (White Card/Red Card) Number:
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Name of Person to Contact in Emergency:
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Phone Number of Person to Contact in Emergency:
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Relationship to Person to Contact in Emergency:
Items Covered in the Induction by Conducting Person
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Does the Inductee have an Industry Induction Card (White Card/Red Card)?
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Photos (front & back) of Industry Induction Card (White Card/Red Card):
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Does the Inductee have a form of photo ID (e.g. Drivers Licence)?<br>Please attached front and back photos of photo ID.
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Photos (front & back) of photo ID:
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Does the Inductee require any licences/tickets (e.g. drivers license, boat license, ticket to operate machinery, welding)) for the tasks they are undertaking on site?
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Photos (front & back) of licences, tickets, certifcates etc.:
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Have you explained to the Inductee the project briefly?
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Have you explained to the Inductee that he/she is required to participate and sign in on to the Pre-Start Meeting Record and relevant SWMS when on site but prior to commencement of work?
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Have you explained to the Inductee what to do in an emergency and have you shown the employee the location of the Emergency Assembly Point &Evacuation Route/s?
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Have you explained to the Inductee how an emergency is raised?
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Have you explained to the Inductee how to get help on site?
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Have you shown/explained to the Inductee the location of the First Aid Facilities/Kits and how to obtain treatment/assistance for/with an injury?
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Have you shown and explained to the Inductee the traffic management plan for the site?
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Does the Inductee understand that the mandatory Personal Protecting Epuipment (PPE) (Clothing) on site which includes hard hat, safety glasses, steel cap boots, long sleeve shirts, long pants, and high visibility shirt/vest and that it must be worn on site at all times while on site and is not required to be worn while in office, lunchroom, or toilet?
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Does the Inductee have the mandatory PPE and other required PPE relevant to his/her works activity (e.g. Personal Floatation Device PFD, gloves, double eye protection etc.) and knows how to wear the PPE properly?
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Have you explained to the Inductee the noise and language restrictions on site?
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Have you explained to the Inductee the hygiene requirements on site?
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Have you explained to the Inductee the alcohol and drugs requirements for this site?
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Have you explained to the Inductee the quality and environmental requirements for the project?
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Have you explained to the Inductee the Verification of Competency (VOC) requirements for this site?
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Have you explained to the Inductee the Community/Stakeholder requirements for the project?
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Have you explained to the Inductee EIG's Site Safety Rules and Disciplinary Action Policy?
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Have you asked the Inductee if he/she has any further questions or need clarification on any point?
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Have you responsed to the Inductee's questions/clarification requests to a reasonable extent?
Questionanaire for Person being Inducted
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What are the manadatory PPE requirements for the project?
- Steel cap boots, safety glasses, hard hat, and shorts
- Steel cap boots, hard hat, long sleeve shirt, long pants, safety glasses, and high visibility shirt/vest
- Hard hat, sun glasses, high visibility vest, shorts, and t-shirt
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What is the acceptable Blood Alcohol Limit for the project?
- 0.00
- more than 0.05
- 0.05
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What number do you dial to call Emergency Services?
- 912
- 122
- 000
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Can you work on a road without traffic controller present?
- Yes
- No
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Can you operate any marine craft, vehicle, plant at the project without relevant licenses/tickets and authoriations from EIG?
- Yes
- No
Agreement
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I, the Inductee, have participated in the employee induction and understand the Engineered Infrastructure Group Pty Ltd and Project Requirements. I have been given the opportunity to ask questions which were answered by the EIG representative. I agree to accept the direction from EIG's representatives in the pursuit of a hazard free and safe working environment. I also acknowledge that this site has a zero level alcohol tolerance.
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Inductee:
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Person Conducting Induction:
