Induction Check List New Employee Workplace V2 2023

• Site conducted

  Select
• Location
  Address

Details

• Employee Name:

• Employment Start Date

  Date

• Position:

• Supervisor/Manager:

EMPLOYMENT CONDITIONS

• Anti-Bullying Policy?

• EAP

• Sick leave and who to call if sick

• I have received, read and full understood my terms and conditions of employment which is inclusive of my Employee Handbook

Health & Stafety

• I have been issued with a copy of the Company’s Health and Safety Statement which I have read and understood.

• I have been informed of the location of the Health & Safety Statement

• I understand the hazards and controls for my job

• All safety signs and what they mean

• How to safely use/store and maintain safety equipment

• How to safely perform my job and have been shown what Personal Protective Equipment (PPE) I must wear in the course of my work and how to use it

• To use/store and maintain equipment, machinery, tools and hazardous substances in my workplace

• I Know:

• My responsibilities as an Employee & who I need to talk to about health & safety issues

• I have been shown how to raise the alarm in the event of fire and informed of the procedure to be followed.

• I have been informed when the fire alarm is tested.

• I have been shown the location of fire extinguishers

• I have been shown the exits from the building and the assembly point location.

• I have been informed that there is a no smoking policy in all Company buildings.

Licences and Certifications

• Employment Type

  Agency Staff

  Full Time Employee

• I have the following:

• Valid Manual Handling Cert

  Yes

  No

  N/A

• WARNING!!! This Agency Worker Cannot Commence Work Without a Valid Manual Handling Cert.

• Valid until

  Date

• Valid Forklift Licence

  Yes

  No

  N/A

• WARNING!!! This person cannot use any MHE until they are trained and hold a valid licence

• What Licence for Fork Lists do You Hold?

  Select Powered Pallet Truck Counter Balance Reach Truck Isle Master

  • Powered Pallet Truck
  • Counter Balance
  • Reach Truck
  • Isle Master

• PPT Licence Valid until

  Date

• Reach Truck Licence Valid until

  Date

• Isle Master Licence Valid until

  Date

• Complete a Fire Awareness Course

  Yes

  No

  N/A

• Notice - Request Fire Awareness Training from Health and Safety

• Valid until

  Date

• I have the following:

• Valid Manual Handling Cert

  Yes

  No

  N/A

• WARNING!!! Manual Handling must be arrange with Heath and Safety ASAP.

• Valid until

  Date

• Valid Forklift Licence

  Yes

  No

  N/A

• WARNING!!! This person cannot use any MHE until they are trained and hold a valid licence

• What Licence for Fork Lists do You Hold?

  Select Powered Pallet Truck Counter Balance Reach Truck Isle Master

  • Powered Pallet Truck
  • Counter Balance
  • Reach Truck
  • Isle Master

• PPT Licence Valid until

  Date

• Counter Balance Licence Valid until

  Date

• Reach Truck Licence Valid until

  Date

• Isle Master Licence Valid until

  Date

• Complete a Fire Awareness Course

  Yes

  No

  N/A

• Notice - Request Fire Awareness Training from Health and Safety

• Valid until

  Date

• Yes

  No

  N/A

• Counter Balance Licence Valid until

  Date

INCIDENTS AND INJURIES

• I know how to report:

• Injuries/ near misses/near hits and signs of early discomfort

• I know reports will be investigated and I will be kept informed of the results

SICK OR INJURED

• I understand I will:

• Immediately contact my Supervisor/Manager

• Maintain communication with my Supervisor/Manager throughout time off with injury/illness

• See a preferred Company Doctor if requested

• Provide medical certificates in a timely manner

• Actively participate in any rehabilitation and support provided by the employer

• Work together with the employer to enable a safe and sustainable return to work

Sign Off

• Any Further Training Required

• Outline Training Required

• Employee Name

• Employee Signature

  Sign

• Health and Safety Representative

  Sign

• I consider this worker

  Is Fit to Start Work

  Is Not Fit to Start Work

• Comments