HS02 - Health and Safety Induction Checklist

• Document Number

• Staff Name

• Group

  Select

• Department

  Select

• Conducted on

  Date

• Prepared by

• Work Location

  Select

• Received and read a copy of the Health, Safety and Welfare Policy

  Yes

  No

  N/A

• Received and read a copy of the Health, Safety and Welfare Policy Statement?

  Yes

  No

  N/A

• Provided with names of individuals with safety responsibilities

  Yes

  No

  N/A

• Understand personal responsibilities with regard to the health & safety policies

  Yes

  No

  N/A

• Action in the event of a fire including fire exits, fire evacuation route and assembly points and any alternative routes

  Yes

  No

  N/A

• Correct method for calling the Fire Brigade.

  Yes

  No

  N/A

• Location of fire alarm call points and how to activate them

  Yes

  No

  N/A

• Day and time of weekly fire alarm test

  Yes

  No

  N/A

• Location of fire extinguishers

  Yes

  No

  N/A

• Understand which fire extinguishers can be used with different types of fire

  Yes

  No

  N/A

• Shown basics in how to use fire extinguishers

  Yes

  No

  N/A

• Understand reasons for maintaining tidy work areas?

  Yes

  No

  N/A

• Understand reasons for safe practices in office environments

  Yes

  No

  N/A

• Understand reasons for maintaining clear access including hazards caused by obstructing gangways, using fire extinguishers as door stops, etc

  Yes

  No

  N/A

• Shown procedures for dealing with common causes of accidents, e.g. trips, slips, etc.

  Yes

  No

  N/A

• Shown how to report building defects or maintenance issues (SharePoint)

  Yes

  No

  N/A

• Accident reporting procedure and its importance.

  Yes

  No

  N/A

• Location of the nearest first aid kit and contact details for first aiders

  Yes

  No

  N/A

• Action in case of injury to self or others

  Yes

  No

  N/A

• Procedure in the event of a dangerous occurrence.

  Yes

  No

  N/A

• Explain procedure for reporting and dealing with 'near misses', and any other occurrence which could have resulted in injury or illness

  Yes

  No

  N/A

• Company Smoking Policy including the '5 metre rule'

  Yes

  No

  N/A

• Read and Understood the Risk Assessments provided?

  Yes

  No

  N/A

• Explained general requirements for risk assessment in the workplace.

  Yes

  No

  N/A

• Understand procedures for assessing manual handling work

  Yes

  No

  N/A

• Watched Health & Safety Training Video?

  Yes

  No

  N/A

• Quiz completed at required pass rate?

  Yes

  No

  N/A

• Watched Manual Handling Training Video?

  Yes

  No

  N/A

• Quiz completed at required pass rate?

  Yes

  No

  N/A

• Watched Fire Safety Training Video?

  Yes

  No

  N/A

• Quiz completed at required pass rate?

  Yes

  No

  N/A

• Will PPE be required for this role?

  Yes

  No

  N/A

• Identification of where PPE is needed in the workplace.

  Yes

  No

  N/A

• Assessment procedures for protective equipment

  Yes

  No

  N/A

• How to wear and take care of PPE.

  Yes

  No

  N/A

• Issuing, storing, maintaining and replacing procedures

  Yes

  No

  N/A

• Use of eye protection and areas where such use is mandatory

  Yes

  No

  N/A

• Arrangements for obtaining eye protection

  Yes

  No

  N/A

• Procedures for assessment of loud noise.

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Limitations of PPE.

  Yes

  No

  N/A

• Explain concept of a display screen equipment user

  Yes

  No

  N/A

• Arrangements for carrying out a workplace self-assessment and follow-up procedure.

  Yes

  No

  N/A

• Explain need for regular breaks from using the computer

  Yes

  No

  N/A

• Explain arrangements for eye tests

  Yes

  No

  N/A

• Understand checks required before use.

  Yes

  No

  N/A

• Required actions if faults found.

  Yes

  No

  N/A

• Will the role require handling of COSHH substances?

  Yes

  No

  N/A

• Safe handling and storage methods for compressed gases, including asphyxiants

  Yes

  No

  N/A

• Safe handling and storage methods for corrosive liquids

  Yes

  No

  N/A

• Safe handling and storage methods for flammable solvents

  Yes

  No

  N/A

Waste Disposal

• General waste/rubbish disposal systems

  Yes

  No

  N/A

• Understand actions required in the event of a spillage?

  Yes

  No

  N/A

• Will you be working in a Workshop / Site?

  Yes

  No

  N/A

• Explanation of site traffic system (as applicable)

  Yes

  No

  N/A

• Machine hazards explained?

  Yes

  No

  N/A

• Correct guarding in place?

  Yes

  No

  N/A

• Methods and hazards of internal transport

  Yes

  No

  N/A

• Training Plan in place for Equipment prior to use

  Yes

  No

  N/A

• Access arrangements for other buildings

  Yes

  No

  N/A

• Precautions to be taken when using gas cylinders

  Yes

  No

  N/A

• Use of regulators for gas cylinders and restrictions on interchangeability

  Yes

  No

  N/A

• Use of lasers including particular precautions for Class 3b and 4 lasers

  Yes

  No

  N/A

• Arrangements for equipment left running overnight including any permit systems

  Yes

  No

  N/A

• Any other equipment (please list below)

• Are there any other matters identified as important in your particular department

  Yes

  No

  N/A

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