Staff Induction Checklist

• Company Name

• Conducted on

  Date

• Employee's Name

• Employee's Position

• Prepared by

• Location
  Address

Induction Checklist

• Company policy and procedure

  ✔

  ✖

  N/A

• Overview of work practices for the safe environment

  ✔

  ✖

  N/A

• Employees roles and responsibilities

  ✔

  ✖

  N/A

• Employees salary and other benefits

  ✔

  ✖

  N/A

• Computer and communication system

  ✔

  ✖

  N/A

• Hazard identification and control

  ✔

  ✖

  N/A

• Hazardous material register and MSDS

  ✔

  ✖

  N/A

• Accident, incident, and hazard forms

  ✔

  ✖

  N/A

• Electrical register

  ✔

  ✖

  N/A

• Use of Personal Protective Equipment

  ✔

  ✖

  N/A

• Basic life-saving and emergency protocols

  ✔

  ✖

  N/A

• Safe work method statements

  ✔

  ✖

  N/A

• Tool box talks

  ✔

  ✖

  N/A

• Does employee require additional induction topics?

  Yes

  No

  N/A

• Kindly specify additional topics

Completion

• Observations and Recommendations

• I have attended the induction as requested and understand the work methods and safety actions that are required to be undertaken during my employment here.
  I also confirm that the above specific points have been read, discussed and understood during my induction.

• Employee (Full Name and Signature)

  Sign

• Supervisor (Full Name and Signature)

  Sign