Information
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Host Employer Induction Form for Candidates
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Document No.
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Client / Site
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Conducted on
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Supervisors Name
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Candidates Name
Site Specific Information
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Fire Exits / Evacuation Procedures / Fire Fighting Equipment
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First Aid Kit & Trained First Aiders (Location / Names / Contacts)
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Amenities (Tea Room / Toilets / Drinking Water / Closest Shop ETC)
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Reporting Process: Injury / Incident / Near Miss
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Location Of MSDS / SDS (If Hazardous Substances are handled during role or stored on site)
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Is any Extra PPE Required - Apart from standard Steel Caps & Hi Vis that candidate should be wearing (If Yes please list below)
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Forklift Safety (If Role Requires): EG Pre Start Checklists / Site Rules / Speed Limits / Traffic Flow
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Order Picker Safety L.O (If Role Requires): EG Harnesses / Gates / Pre Start Checklists ETC
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Manual Handling Procedures & Site Policy (Max lifting weights etc)
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Repetitive Procedure - Rotation Cycle / Break Cycles ETC
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Does the role require additional Task Specific Training? (If YES please list Task Description & Training given below )
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Does the role involve Machine Operation? (If YES please list machine type / make & training given below)
Agreement & Signatures
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I have received the above training and induction and feel confident that I have the necessary skills to complete my work safely. We agree if there any changes to the tasks that are to be completed by the on-hired worker or within the workplace in which the on-hired worker will be working in, including a change of on-site supervisor, we will notify Exact Recruitment immediately. This includes the on-hired worker’s participation in activities sponsored or promoted by your organisation not directly related to their position description such as sporting activities or social events.
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Name & Signature of On-Hired Employee
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Name & Signature of Host Employer or Exact Representative