Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Workers drivers License number
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WHS White Card number
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High Risk Work Card number and details
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Copies of Licenses
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Location of nearest Medical Centre to Project
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Location of nearest Hospital to Project
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Has worker been previously UEA inducted
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Worker has received UEA specific induction sticker for Hard Hat
Site Documentation
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WHS Management Plan discussed and explained to workers. Worker has signed onto documentation
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Environmental Management Plan discussed and explained to workers. Worker has signed onto documentation
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Quality Management Plan discussed and explained to workers. Worker has signed onto documentation
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Spoil Management Plan discussed and explained to workers. Worker has signed onto documentation
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Site specific plans explained to worker and documents signed (Construction Management Plan, Traffic Control Management Plan, other)
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Project specific SWMS explained to worker and all site relevant SWMS signed
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Worker understands Permit to Disturb Process
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Worker understands Worksite Risk Assessment process and understands how to complete and sign onto form
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Worker understands They can be subject to random Alcohol and Drug testing through duration of project
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Copies of signed project documentation
Project Specific details
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Worker understands UEA expectations regarding daily plant inspections and requirements for plant certification
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Worker understands UEA expectations regarding inspections and registers for electrical tools, fire extinguishers, test equipment, chains, slings
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Project specific rules explained to worker e.g smoking, customer awareness, project hours, PPE requirements
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Project scope explained to worker including client details, scope of works, project duration, roles and responsibilities
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Site Supervision role explained
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Worker acknowledges they must notify UEA Site Supervisor immediately they become aware of a safety or environmental incident/ near miss and provide written statement
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Worker has been Network inducted and completed required Network authorisations to undertake work on project
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Network Passport Induction has been stamped and inspected
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Network Passport photo checked
Emergency contact details
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Details of worker emergency contact (optional)
Sign off
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By signing below, I confirm that I have received the Pre-commencement Project Specific Induction Training prior to beginning work onsite. I understand my obligations as outlined during induction.
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UEA representative signature
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Distribute copy to: UEA Electrical Project Manager, UEA Electrical Business HSEQ Manager, HSEQ Administrator and training@uea.com.au
