Subcontractor Individual Site Induction

• Company

• Conducted on

  Date

• Induction conducted by:

Inductee details

• Inductee details

Inductee

• Inductee Name

• Insert Mobile No.

• Insert DOB

  Yes

  No

  N/A

• Next of Kin (first name)

• Next of kin contact no.

  Yes

  No

  N/A

• Known allergies?

  Yes

  No

  N/A

• Insert photograph of inductee

  Media

• Photograph white card and trade licence (if applicable) of inductee

  Media

As a Goldengrove Building Group worker/subcontractor I am aware and have been given the opportunity to raise any issues with the following points:

• I am aware that I am to wear appropriate Personal Protective Equipment relative to the task I am performing and have been given training in its use

  Yes

  No

  N/A

• I have been advised who to contact if an incident occurs

  Yes

  No

  N/A

• All safety issues should be reported to a Goldengrove Building Group Representative

  Yes

  No

  N/A

• I am aware all rubbish is to be placed in designated areas

  Yes

  No

  N/A

• I am aware only licensed scaffolders are to erect/dismantle scaffold over 4 meters and only licensed scaffolders may alter the scaffold.

  Yes

  No

  N/A

• If an area is barricaded I must avoid walking through the barricaded area

  Yes

  No

  N/A

• Work areas are to be kept clean and tidy at all times

  Yes

  No

  N/A

• I must carry my general Induction card (White Card) at all times on site

  Yes

  No

  N/A

• I must not be affected by drugs or alcohol anytime whilst working on site

  Yes

  No

  N/A

• I will not engage in any activities that will bring Goldengrove Building Group into disrepute

  Yes

  No

  N/A

• Smoking is only permitted outside homes where there is no risk of fire or damage to house, cigarette butts must be disposed of appropriately

  Yes

  No

  N/A

• No fighting or over aggressive behavior will be tolerated

  Yes

  No

  N/A

• I will be engaging in high risk activity as stated in Work Health & Safety Regulations 2011, if yes prior to conducting work I will submit a Safe Work Method Statement to Goldengrove Building Group and I will have read, understood and signed SWMS

  Yes

  No

  N/A

• Work involving a risk of a person falling more than 2m

• Any work connected with an excavation or demolition

• Work involving structural alterations or repairs

• Work is carried out in or near a confined space

• Work in or near a pier or trench greater than 1.5m

• Work is carried out on or near

• I understand that if I fail to adhere to Goldengrove Building Group policies and procedures as stated in the WHS management Plan, I will be required to pay costs for any non conformance. The contents of the Goldengrove Building Group WHS Management plan is part of the completed subcontractor engagement pack completed.

  Yes

  No

  N/A

• I certify that I have undergone Goldengrove Building Group Subcontractor Induction Training and have been made aware of Site Rules, WHS management Plan and Code of conduct

  Sign

• Induction given by:

  Sign