FMS Ltd Subcontractor Induction

• Prepared by

• Forest:

• Contractor business name:

• Service Description:

• Location: (optional)
  Address

• Conducted on:

  Date

• Inductee Name

• Good

  Fair

  Poor

  N/A

• Contact Phone Number

Inductee information

• Inductee Requirements Outlined & Checked

  Yes

  No

  N/A

• Specific Hazards Outlined

  Yes

  No

  N/A

• First Aid Officer Outlined

  Yes

  No

  N/A

• Emergency Procedures

  Yes

  No

  N/A

• Location of First Aid Kits / Fire Extinguishers

  Yes

  No

  N/A

• Accident / Incident Reporting Requirements

  Yes

  No

  N/A

• NO GO areas Outlined

  Yes

  No

  N/A

• Radio Channels / Communications onsite explained?

  Yes

  No

  N/A
Additional info if carrying out work onsite

• Task to be carried out - please briefly explain

• Emergency Contact Name & Number

• Allergies

  Safe

  At Risk

  N/A

• Do you agree to abide by onsite Drug & Alcohol Policy?

  Yes

  No

  N/A

• Are you bringing HSNO onsite? Do you have appropriate SDS?

  Yes

  No

  N/A

• List of Plant & Safety Gear

• Is all your Plant & Equipment you are bringing to site in good working order and fit for purpose?

  Safe

  At Risk

  N/A

• Are all employees ticketed / licenced for task?

  Yes

  No

  N/A

• List Hazards related to your work activity & controls in place to reduce the risks.

• Appropriate Insurances?

  Yes

  No

  N/A

• Appropriate PPE?

  Yes

  No

  N/A

• Comments

• Inductee Signature:

  Sign

• YS(2016)L Signature:

  Sign