Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
General Details
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Employee Name
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Contact Number
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Email Address
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Occupation
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Enter your address
Employment Details
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Are you Shadforths Employee?
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Employer
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Contact Number
Medical Details
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Medical Afflictions?
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Enter details of medical?
Next of Kin
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Name
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Contact Number
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Relationship?
Qualifications & Competencies
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Construction induction card required before proceeding
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Construction Induction Cards
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Take Photo
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Drivers License
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Take Photo
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Additional Tickets?
Qualification
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Add media
Sign Off
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I agree to uphold my obligations under WH&S Act 2011 and agree to abide by Shadforths site entry requirements as informed in the site induction. I have been instructed in the location of the emergency muster, toilets and first aid locations and made aware of how and when to make risk assessments. I undertake to were the appropriate PPE whilst on site.
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I Agree?
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Inductee Signature
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Inductors Signature