qldBUILT WHS - Site Induction Form

• Conducted on

  Date

• Site conducted

  Select

• Prepared by

• Location
  Address

• Inductee Name

• Inductee Company

• Inductee Role

• Inductee Photo

  Media

• Inductee White/Blue Card

  Media

Supervisor to discuss locations of the following:

• Fire Extinguisher location.

• First Aid Kit location.

• Site Office - WHS Documentation location.

• Water source location.

• Temporary power location.

• Assembly Point location.

• Hazard identification board location.

• Waste removal location.

Supervisor to discuss the following site specific requirements of being onsite:

• All Accidents, Incidents and Near Misses are to be reported to site management immediately.

• PPE - site requirements.

• Any Site specific parking requirements.

• Site rules - location on wall of site office.

• Current and Expected Hazards onsite.

• Location of the nearest/local medical centre.

• Show the construction site plan.

• Scaffolding is not to be altered without Site Supervisor Consent.

• Site Cleanliness requirements, site must be left in a acceptable state once task completed.

Contractor Declaration Questions:

• Have you read your company's SWMS, understand and agree with its contents?

  Yes

  No

  N/A

• Have you read the site specific Environment Health and Safety Plan, understand and agree with its contents?

  Yes

  No

  N/A

• Do you agree to follow the site rules and site PPE requirements?

  Yes

  No

  N/A

• Do you agree to report all Accidents, Incidents and Near Misses to Site Management?

  Yes

  No

  N/A

Signed:

• Contractor

  Sign

• Site Supervisor

  Sign