Induction Checklist UFB

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

All persons in the induction are aware of Downers commitment to preventing injury harm, and providing a safe and healthy workplace.

• Discussed the zero harm value?

  Yes

  No

  N/A

• Discussed the non negotiable s of the UFB project?

  Yes

  No

  N/A

• Discussed the cardinal rules of Downer?

  Yes

  No

  N/A

• Discussed safe digging operations and close consent requirements?

  Yes

  No

  N/A

Hazard management requirements and identification

• Discussed the need for person health and safety responsibility

  Yes

  No

  N/A

• Reviewed the need to perform hazard identification<br>- Daily<br>- when the process changes<br>- to set the site rules<br>- discussed the 3 w's

  Yes

  No

  N/A

• Understands they must also abide by their own company health and safety policy and procedures.

  Yes

  No

  N/A

• Understands the minimum PPE requirements for the UFB.

  Yes

  No

  N/A

• Have reviewed a number of the hazards associated with this project?<br>Underground services<br>Overhead services<br>Traffic<br>Moving plant and machinery<br>Pedestrians<br>Other contractors<br>Weather including heat and cold stress.

  Yes

  No

  N/A

Reviewed the requirements for incident reporting.

• Have explained that if they are injured, no matter how minor, they need to report it immediately to their supervisor and to Downer.

  Yes

  No

  N/A

• Have you explained that if they see something unsafe they should fix it immediately if they can or report it to their supervisor?

  Yes

  No

  N/A

• Near misses can be reported via the O.S.H.I.T.R number ( 0800 NEAR MISS)

  Yes

  No

  N/A

• All teams must maintain a first aid on site at all times?

  Yes

  No

  N/A

• Emergency assembly points and plans must be known by all persons on site each day.

  Yes

  No

  N/A

• Yes

  No

  N/A

Environmental protection

• Sediment control has been discussed

  Yes

  No

  N/A

• Waste disposal has been discussed

  Yes

  No

  N/A

Inspections and checks

• Discussed the requirements to ensure all equipment is inspected and current

  Yes

  No

  N/A

Traffic management

• STMS requirements covered

  Yes

  No

  N/A

• Correct signage

  Yes

  No

  N/A

• Safe pedestrian access

  Yes

  No

  N/A

• Ensure CARS are on site

  Yes

  No

  N/A

In signing this document you acknowledge you have attended this induction, and understand the requirement to follow all procedures both your own company's and that of Downer to ensure the safety of yourself, other people on the project, and the community.

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