Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
    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:


  • Visitor Signature

  • Visitor Signature
  • Visitor Signature

  • Foreman/Company Representative Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.