Title Page
-
PCBU's Company Name
-
Contract Work
-
PCBU's Representatives Name
-
Accountable Manager
-
Valid From
-
Valid To
Site Orientation
-
Tick when completed
- Access
- Vehicles - parking & speed limits
- High risk areas and equipment
- First aid kits
- Amenities
- Waste disposal areas
- Washing and toilet facilities
- Drinking water facilities
- Restricted access areas
- Hazardous material storage areas
- Exits
Health & Safety
-
Tick when completed
- Safety manual
- Safety policy statement
- Responsibilities and duties
- Licences/certification requirements
- Incident/hazard reporting procedures
- Hazards present in work area
- Safe work procedures & practices
- Drugs and alcohol
- Smoke free work environment
- Resolution of issues
- Safety Committee / HSRs
- Work permits - hot work etc
- Danger & out of service tags/locks
- Traffic Management / mobile plant
- Hazardous substances and MSDS's
- Housekeeping / clean up
- Electrical equipment
- Manual handling
- PPE use & maintenance
- Signage
-
Other (pleas specify)?
Emergency Procedures & First Aid
-
Tick when completed
- Emergency & evacuation procedure
- Emergency exits
- Fire extinguisher location and use
- Emergency response plans
- Fire wardens
- First aiders
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
