Title Page

  • Site conducted

  • Inducted By:

  • Date:

  • Status of Report (Systems Manager use only):

  • What issues are pending?

INDUCTION

  • What type of induction is the employee receiving?

  • Describe the procedure, process or work activity

  • Does the procedure, process or work activity have an associated documented WI, SWP, SOP or other?

  • Attach a copy of the associated document

  • Describe the type of Plant

  • If the plant is high risk as described by the WHS Act or Regulation Qld a formal risk management process must be used to identify and assess the hazards to ensure they are controlled to an acceptable safe standard

  • Describe the mobile plant

  • All mobile plant shall be formally risk assessed to identify the hazards and ensure they are controlled to an acceptable safe standard

  • ACKNOWLEDGEMENT
  • I acknowledge that I have been inducted in the above activities or use of plant and equipment and I am aware of my health and safety accountabilities and responsibilities. I understand how to use the plant or equipment safely and / or I understand how to do the work activity safely and will undertake work as directly by the person who inducted me

  • Signature:

  • Position:

Person Providing the Induction:

  • Signature:

  • Position:

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