Information
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Company
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Conducted on
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Induction conducted by:
Inductee details
Inductee details
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Inductee details
Inductee
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Inductee Name
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Insert Mobile No.
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Insert DOB
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Next of Kin (first name)
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Next of kin contact no.
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Known allergies?
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Insert photograph of inductee
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Photograph white card and trade licence (if applicable) of inductee
Induction
As a Goldengrove Building Group worker/subcontractor I am aware and have been given the opportunity to raise any issues with the following points:
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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
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I have been advised who to contact if an incident occurs
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All safety issues should be reported to a Goldengrove Building Group Representative
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I am aware all rubbish is to be placed in designated areas
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I am aware only licensed scaffolders are to erect/dismantle scaffold over 4 meters and only licensed scaffolders may alter the scaffold.
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If an area is barricaded I must avoid walking through the barricaded area
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Work areas are to be kept clean and tidy at all times
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I must carry my general Induction card (White Card) at all times on site
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I must not be affected by drugs or alcohol anytime whilst working on site
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I will not engage in any activities that will bring Goldengrove Building Group into disrepute
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Smoking is only permitted outside homes where there is no risk of fire or damage to house, cigarette butts must be disposed of appropriately
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No fighting or over aggressive behavior will be tolerated
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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
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Work involving a risk of a person falling more than 2m
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Any work connected with an excavation or demolition
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Work involving structural alterations or repairs
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Work is carried out in or near a confined space
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Work in or near a pier or trench greater than 1.5m
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Work is carried out on or near
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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.
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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
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Induction given by: