Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
- Click for number of people onsite to be inducted
General Information
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Visitor(s) Name(s):
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Company/ Organisation
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Purpose of visit to site:
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Expected duration of work (how many hours expected on site):
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From:
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To:
Visitor Contact Details
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Mobile Number or Digital Radio Number
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Emergency Contact and Number:
Items to cover (Tick to confirm that
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Tick to confirm
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Determine approximate time the visitor(s) will be exiting site:
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Confirm where the visitor(s) will be going and what they will be doing:
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Do they have the appropriate PPE, Hi Viz, Steel Toe Boots, Helmet etc (if not they are not allowed to enter the site)
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If visitor(s) are planning to be involved in work related activities they need to read and sign site specific risk assessments.
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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)?
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Have you checked if they have been exposed to a person with a suspected or confirmed case of COVID-19?
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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.
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Advise the visitor of any risks to their safety in the area they will be visiting:
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Advise the visitor of their responsibilities on site. These include:
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Do not Interfere with plant and equipment, unless authorised to do so by Foreman.
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Any Incidents accidents or near misses must be reported to foreman immediately
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Do not Ignore instructions or warnings from crew members
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Do not enter any work area(s), or any area that they have not been authorised to go into:
Signatures
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Visitor Signature
Visitor Signature
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Visitor Signature
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Foreman/Company Representative Signature