Click for number of people onsite to be inducted

General Information

  • Visitor(s) Name(s):

  • Company/ Organisation

  • Purpose of visit to site:

  • Expected duration of work (how many hours expected on site):

  • From:

  • To:

Visitor Contact Details

  • Mobile Number or Digital Radio Number

  • Emergency Contact and Number:

Items to cover (Tick to confirm that

  • Tick to confirm

  • Determine approximate time the visitor(s) will be exiting site:

  • Confirm where the visitor(s) will be going and what they will be doing:

  • Do they have the appropriate PPE, Hi Viz, Steel Toe Boots, Helmet etc (if not they are not allowed to enter the site)

  • If visitor(s) are planning to be involved in work related activities they need to read and sign site specific risk assessments.

  • Have you checked they are not showing symptoms of COVID-19 (high temperature, dry cough, loss of smell, shortness of breath sore throat, sneezing, running nose)?

  • Have you checked if they have been exposed to a person with a suspected or confirmed case of COVID-19?

  • STOP - This person (or persons) must immediately go home. They need to communicate with their GP and book themselves in for COVID-19 testing. They need to remain at home in their isolation bubble until results of the COVID-19 test have been released or until their doctor says they are fit and able to return to work. If someone in their bubble is a suspected or confirmed case of COVID-19 then they cannot come to work until all in the bubble have been medically cleared.

  • Advise the visitor of any risks to their safety in the area they will be visiting:

  • Advise the visitor of their responsibilities on site. These include:

  • Do not Interfere with plant and equipment, unless authorised to do so by Foreman.

  • Any Incidents accidents or near misses must be reported to foreman immediately

  • Do not Ignore instructions or warnings from crew members

  • Do not enter any work area(s), or any area that they have not been authorised to go into:

Signatures

  • Visitor Signature

  • Visitor Signature
  • Visitor Signature

  • Foreman/Company Representative Signature

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