Title Page

  • Client / Site

  • Project Name

  • Project Number

  • Contractor Supervisor's Name

  • Conducted on (Date and Time)

  • Prepared by

  • Location

Work Overview

  • Number of contractors

  • Description of work

Contractor Documents Reviewed

  • Contractor certification & licenses

  • Public liability insurance

  • Professional indemnity insurance

  • Workers compensation/ personal accident insurance

  • Plant / equipment certification / registration

  • Safe work methods, procedures, instructions for work

  • Safety Data Sheets (SDS) for all hazardous chemicals to be used

  • Completed Permits to Work (PTW)

  • Lockout/tag out procedures

  • Traffic/ environmental/ site management plan

  • Site plans and services reviewed where digging / trenching will be completed

  • Communication procedures in place for remote/rural/ in isolation work

  • Are there any other documents reviewed?

  • Please specify

Induction Checklist

  • WHS Policy

  • Site rules (Mandatory PPE, drugs, alcohol, smoking, etc.)

  • Site emergency evacuation procedures

  • Site first aid/ medical emergency procedures

  • Incident reporting and investigation process

  • Site sign-in / sign-out register

  • Overview of general access and restricted access areas

  • Overview of site hazards including those from work on site

  • Risk control requirements (Hazardous chemicals, plant, equipment, excavation, confined space work, etc.)

  • Site amenities and facilities

  • Site parking arrangements

  • Sub-contractor management processes


  • Recommendations

  • I have been provided with and understand the information (as indicated above) and will comply with the safety instructions listed.

  • Contractor (Name and Signature)

  • Click + to add sub-contractor

  • Sub-contractor
  • Name and Signature of sub-contructor

  • Role

  • Company Name

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.