Title Page
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Contractor Induction - Name
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Date & Time
Induction Date
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Induction Date
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Club Trillium Centre Management Member
Company/Contractor information
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Company name
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Contractors name
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Contractor address
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Email Address
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Contractors contact number
Brief description of work
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1. General Induction - The workplace is to ensure that the above named contractor/s have been provided with the following information and/or instructions:
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Contractor Log Book / Sign In
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Security and access arrangements
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Break Glass
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Emergency Procedures
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Site occupational health and safety
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Traffic management plan
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Hazardous substances and dangerous goods stored onsite
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Hazard and incident reporting procedures
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Location of first aid facilities and amenities
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Required conduct/behaviour (eg. No smoking, offensive language, loud music etc)
2 - Information to be provided by the contractor
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Licence and qualification details
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Safe Work Method Statements (SWMS) or equivalent (e.g. Job Safety Aanalysis) provided for all works performed
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A copy of the contractors current public liability insurance has been provided for records? NOTE 10 million dollars minimum cover required.
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A copy of the current workers compensation insurance has been provided?
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Permits to work for High Risk? (eg. high spaces, hot work, confined spaces, etc)
Sign off
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I have been inducted in the above information and will comply with the safety instructions listed in my SWMS (or equivalent).
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Contractor Signature
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Club Trillium Centre Management
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Date
