Title Page

  • PCBU's Company Name

  • Contract Work

  • PCBU's Representatives Name

  • Accountable Manager

  • Valid From

  • Valid To

Site Orientation

  • Tick when completed

Health & Safety

  • Tick when completed

  • Other (pleas specify)?

Emergency Procedures & First Aid

  • Tick when completed

Record

  • Tick all boxes to show that the subject has been covered during the induction process
    Provide a copy of this completed checklist to the PCBU and retain this original with the register held by the Health & Safety Adviser
    Please note the inductors name and date of induction below and ensure that the completed form has been signed by the accountable line manager

Personnel Details

  • Inductor Name

  • Date

  • Accountable Manager Name & Signature

  • Date

  • Contact Number

  • PCBU Name & Signature

  • Date

  • Contact Number

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.