Visionstream - Visitor's Site Induction Record

• Visitor’s Site Induction Record

• The person conducting the Visitor’s induction and the person performing the role of escort must be a fully inducted Visionstream representative. Prior to the Visitor entering the site, the person conducting the induction must inform the Visitor of the hazards at the site, emergency procedures and any relevant conditions of entry, including the risk control measures. Visitors must then sign the below induction register.

• Client / Site

• Conducted on

  Date

• Prepared by

• Site Area(s)
  Address

• Work Team

Site Specific Hazards

• The person conducting the Visitor’s induction and the person performing the role of escort must be a fully inducted Visionstream representative. Prior to the Visitor entering the site, the person conducting the induction must inform the Visitor of the hazards at the site, emergency procedures and any relevant conditions of entry, including the risk control measures. Visitors must then sign the below induction register.

• Electricity/Electrical Works (SE)

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Excavation Works (SE)

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Heavy/Mechanical Lifting (SE)

• Optional - Details of hazard

• Optional - Upload a photo

  Media

• Working at Height (SE)

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Vehicular Traffic (SE)

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Asbestos (SE)

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Driver Alertness (SE)

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Mobile Plant (SE)

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Utility Services (SE)

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Isolated/Remote Location (SE)

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Dust

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Glass Fibres

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Noise

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Winches

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Ceilings and Floors

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Live Communication Racks

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Lightning

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Cable Filled Jelly

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Threats of Violence

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Erosion/Sediment

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Cultural Heritage

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Electrical Tools

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Dangerous and Feral Animals

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Sharps

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Fatigue

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Fire Ants (QLD Only)

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• PCBs

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Data Facility/CEV Static Plant

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Herbicides

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Waterways

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Flora/Fauna

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Weeds/Pest Species

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Chemicals

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Fire

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Lasers

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Heat/Cold

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Overhead Hazards/ Falling Objects

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Guarding/Site Security

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Alpine Conditions

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Pneumatic Tools

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• DC Power Systems

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Noise/Air Pollution

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Spills

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Acid Sulphate Soils

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Contaminated Water/Soil

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Gas

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Manual Handling

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Vehicles

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Hot Work

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Gas Cylinders

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• RF/EME Radiation

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Slips/Trips

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Insects

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Waste

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

• Vegetation

• Optional - Details of hazard:

• Optional - Upload a photo

  Media
Other:

• Additional Site Specific Hazard:

• Optional - Details of hazard:

• Optional - Upload a photo

  Media

Conditions of Entry

• Visitors must be accompanied by an authorised Visionstream escort at all times

  Yes

  N/A

• Optional additional information:

• Visitor must comply with all instructions given by their escort

  Yes

  N/A

• Optional additional information:

• Fully enclosed steel-capped safety footwear must be worn at all times

  Yes

  N/A

• Optional additional information:

• Safety glasses must be worn in all areas other than in offices and vehicles

  Yes

  N/A

• Optional additional information:

• Long sleeve shirts and long trousers must be worn on site

  Yes

  N/A

• Optional additional information:

• A reflective safety vest must be worn if high visibility clothing is not being worn

  Yes

  N/A

• Optional additional information:

• Safety helmets/hard hats must be worn as required by risk assessment

  Yes

  N/A

• Optional additional information:

• Entry into Indigenous sensitive areas is strictly prohibited

  Yes

  N/A

• Optional additional information:

• Do not enter exclusion zones whilst works are taking place

  Yes

  N/A

• Optional additional information:

• Smoking is prohibited in all offices, buildings and vehicles

  Yes

  N/A

• Optional additional information:

• Smoking is also prohibited on construction sites during fire ban days

  Yes

  N/A

• Optional additional information:

• Cigarette butts must be placed in fire proof butt receptacles

  Yes

  N/A

• Optional additional information:

• Absolutely no littering - any rubbish brought to site must be removed & placed in an appropriate bin

  Yes

  N/A

• Optional additional information:

• Visionstream requires recyclable materials to, so far as is practicable, be collected and sent to an appropriate licensed receiver

  Yes

  N/A

• Optional additional information:

• Any incident or hazard must be reported immediately to your escort

  Yes

  N/A

• Optional additional information:

• Visitors have been taken through emergency procedures and the nearest evacuation point

  Yes

  N/A

• Optional additional information:

• In the event of an emergency visitors are required to follow all instructions given by the escort

  Yes

  N/A

• Optional additional information:

• Do not leave the site without notifying your escort of your destination

  Yes

  N/A

• Optional additional information:

Visitor Log

• By signing below it is acknowledged that Visionstream and its related bodies do not accept legal liability for any damage to vehicles, plant and equipment from its operations and it is acknowledged that parking vehicles and leaving plant/equipment at the site is the sole risk of the visitor.
  
  By signing this form, I acknowledge that I have read and accepted the above conditions.

• Visitor Log

Visitor

• Signature

  Sign

• Company

• Select date

  Date