Nikkis OSHbox Cambrilea Induction Form

• Induction performed by:

• Name of person being inducted:

• Capacity/Role:

  Employee

  Visitor

  Contractor

• Purpose of the visit:

• Contact phone number of visitor

• What is the contractor on site to do?

• Has contractor filled in a Contractor Application Form?

  Yes

  No

  N/A

• Name of Company:

• Date:

  Date

Emergency Procedures

• Alarm system explained

  Yes

  No

  N/A

• Assembly area

  Yes

  No

  N/A

Location of emergency equipment

• Fire extinguishers

  Yes

  No

  N/A

• First aid kit

  Yes

  No

  N/A

Location of amenities

• Bathrooms, toilets

  Yes

  No

  N/A

• Tea rooms, Drinking water

  Yes

  No

  N/A

Site rules explained

• Speed limit, parking, Smoking areas

  Yes

  No

  N/A

• Drug & alcohol policy

  Yes

  No

  N/A

Acknowledge

• By signing, you are acknowledging that you have been inducted and show understanding of the topics discussed

• Name and signature of Inductee

  Sign

• If inductee is a visitor or contractor, the induction is complete and you can skip to the end and COMPLETE INDUCTION If you are inducting an employee, please continue through checklist.

General

• Has the Employment Agreement been signed and returned to Cambrilea BEFORE the new employee started work?

• Has the Employment Application Form (in the envelope containing Kiwi Saver IRD etc) has been signed and returned?

• Welcome, our History and our Future

Hazards/Risks explained

• Hazards and risks

• Hazardous Substances

Incident/Injury/Illness and Near Misses

• Requirement to report and record all incidents and near misses

Location of and understand the use of safe work procedures (SOP/JSA)

• Safe Operating Procedures

• Job Safety Analysis Book

• Driver Spray Diary procedures

• Health & Safety Manual

  Yes

  No

  N/A

• Toolbox Meetings/communication

Rubbish disposal

• Clean as you go

• Place rubbish in bins provided

Familiarisation

• Site walk around

• Introductions to all staff

  Yes

  No

  N/A

Security/site access

• Keys issued

  Yes

  No

  N/A

• Site access policy

Employment Conditions

• Hours of work discussed

  Yes

  No

  N/A

• Sick leave and annual leave discussed

  Yes

  No

  N/A

Vehicles

• Fitting and using chains

  Yes

  No

  N/A

• Correct operation of 4wd

  Yes

  No

  N/A

Knapsack

• Correct method of wearing knapsack

  Yes

  No

  N/A

• Correct use of application of spray

  Yes

  No

  N/A

Power and hand tools

• Maintenance and use of hand tools

  Yes

  No

  N/A

• Use of motorised equipment (fuelling)

  Yes

  No

  N/A

Chemicals

• What PPE is required to be worn

• Mixing, storage, & correct application

  Yes

  No

  N/A

• Correct spray tank filling process

  Yes

  No

  N/A

• Personal Protection Equipment

  Yes

  No

  N/A

Acknowledge

• By signing, you are acknowledging that you have been inducted and show understanding of the topics discussed

• Name of Inductee

• Signature of Inductee

  Sign

• Name of Inductor

• Signature

  Sign

Allocate and demonstrate PPE

• Red Band Gumboots

• Size

• Quantity

• Steel Cap Boots

• Size

• Quantity

• Beanie

• Sunhat

• Polo Shirt

• Size

  Select XS S M L XL XXL XXXL 4XL 5XL 6XL

  • XS
  • S
  • M
  • L
  • XL
  • XXL
  • XXXL
  • 4XL
  • 5XL
  • 6XL

• Quantity

• Singlet

• Size

  Select XS S M L XL XXL XXXL 4XL 5XL 6XL

  • XS
  • S
  • M
  • L
  • XL
  • XXL
  • XXXL
  • 4XL
  • 5XL
  • 6XL

• Quantity

• Trousers

• Select 86 88 92 97 102 104 108 112

  • 86
  • 88
  • 92
  • 97
  • 102
  • 104
  • 108
  • 112

• Quantity

• Sunglasses

• Gloves

• Size

  Select XS S M L XL XXL XXXL 4XL 5XL 6XL

  • XS
  • S
  • M
  • L
  • XL
  • XXL
  • XXXL
  • 4XL
  • 5XL
  • 6XL

• Quantity

• Belt

• Wet Weather Gear

• Size

  Select XS S M L XL XXL XXXL 4XL 5XL 6XL

  • XS
  • S
  • M
  • L
  • XL
  • XXL
  • XXXL
  • 4XL
  • 5XL
  • 6XL

• After the INDUCTION, demonstrate the practical aspects of our business

Vehicles

• Driving

• Refuelling

• 4 Wheel Drive

• Chains

Chemicals

• Chemical Shed

• Chemical Manifest

• Daily Spray Diary

• Recycling

• Filling and mixing chemicals

• Spray Procedures

  

• Spray Procedures Explained

Acknowledge

• By signing, you are acknowledging that you have had a demonstration and understand the use of the vehicles and chemicals etc

• Name of Inductee

• Signature of Inductee

  Sign

• Name of Inductor

• Signature

  Sign