Title Page
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Site Name
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Site Location (address)
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Zone (i.e. Eastgate North Building/Operations Yard/Etc...)
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Induction Date
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Inductee (Name)
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Contractor/Organisation
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Contact name for Contractor/Organsation
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Contact number for Contractor/Organisation
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Role of contact person
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Knox Contract Manager Name
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Work commencement Date
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Work completion Date
Untitled Page
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Who is your Site Contact for these works?
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Have you made contact with your site contact?
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Have you 'signed in' at reception/other?
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Do you have the required access to complete your scope of works?
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Have you familiarised yourself with the Emergency Evacuation Map?
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Do you know where the Assembly Area is?
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Do you understand, that in the event of an emergency, you are evacuate and assemble until formally counted as safe and instructed to leave?
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Have you confirmed where the major hazards are at this site, or where 'no-go' zones are at this location?
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Do you know where the facilities are?
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Do you understand the procedures for reporting a hazard, near miss or incident?
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What is the general Scope of Works?
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Are you qualified and competent to carry out the works to be undertaken?
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Do you have your current SWMS, JSA or Safe Work Procedure on hand to refer to?
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Have you previously submitted these control documents to your KCC Contract Manager for consultation?
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Do you understand your Safety Controls?
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Do you have the relevant equipment you need to undertake the scope of works?
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Do you have access to the relevant PPE required to safely undertake the scope of works?
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Are there any hot works, confined space works or works being carried out at heights over 2m? (Permit may be required)
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Do you have any safety concerns, access requirements or clarification questions? (If YES is selected, our Safety Partner will be notified and will contact you on completion of this induction)
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Sign on completion