Title Page

  • Technical Service Workshop - Newmarket

  • Conducted on

  • Location

Visitor Log

Click for number of people onsite to be inducted

General Information

  • Name:

  • Company/ Organisation

  • Expected duration of work (how many hours expected on site):

  • From:

  • To:

Visitor Contact Details

  • Mobile Number

  • Email Address:

Items to cover (Tick to confirm)

  • I have the appropriate PPE,Safety Glasses, Safety Boots (if not,do not enter the site)

  • If planning to be involved in work related activities, I have read and am aware of the UoA Health and Safety Policy - www.auckland.ac/hsw

  • Will not Interfere with any plant or equipment.

  • Any incidents, accidents, or near misses must be reported to the manager immediately

  • I will follow the instructions of the workshop staff

  • I will not enter any work area(s), or any area that they have not been authorised to go into.

Signatures

  • Visitor Signature

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.