WHS SITE INDUCTION FORM

• Document No.

• Site Induction

• Sensus Ref:

• Conducted on

  Date

• Prepared by

• Location
  Address

SITE INDUCTION

• Has vehicle parking locations been identified or explained?

  Yes

  No

  N/A

• It is a requirement when working in isolation for contractors to have a suitable first aid kit at their disposable. Does the Contractor have a first aid kit?

  Yes

  No

• Has first aid kit locations and first aid trained personnel been identified?

  Yes

  No

  N/A

• Have toilet and water facilities been identified to the Contractor

  Yes

  No

  N/A

• Has power supply locations been identified to the Contractor and do they have RCD to use.

  Yes

  No

  N/A

• Has rubbish and general housekeeping locations been identified and general housekeeping explained to the Contractor?

  Yes

  No

  N/A

• Has the proper use of lead stands or lead hangers been identified and explained where applicable?

  Yes

  No

  N/A

• Has the process of loading/unloading of delivery trucks or vehicles been explained outlining overhead power lines where applicable?

  Yes

  No

  N/A

SITE WHS COORDINATION PLAN

• Has the nearest hospital or medical Centre locations been identified?

  Yes

  No

• Has emergency assembly point/s ,locations been identified?

  Yes

  No

  N/A

• Have site specific hazards been identified to contractors. If yes they must review their SWMS.

  Yes

  No

  N/A

• Have site safety rules been explained to the Contractor?

  Yes

  No

  N/A

• Has site contact information been identified to the Contractor?

  Yes

  No

  N/A

INCIDENT NOTIFICATION

• Has the process of reporting any incidents, injury, accident or near misses been explained to the Contractor.

  Yes

  No

  N/A

SIGN OFF

• Have you been given the opportunity to ask questions about anything on this form and your question answered so you have a full understanding of everything mentioned within?

  Yes

  No

• I have completed an induction into this Sensus Building Group job site.

  Yes

  No

• I agree to induct all my contractors and employees into the site safety proceedures within the site plan prior to commencing works on site.

  Yes

  No

• I agree to communicate, report any site specific hazards or incidents to the site supervisor and other personnel and residents at the site address.

  Yes

  No

• I will review my SWMS whenever they go outside the scope of works to be completed that is not outlined in my SWMS.

  Yes

  No

  N/A
Add signers

• Contractor's name.

  Sign

• Photograph of safety card and SWMS if supplied.

  Media

• Signature of person carrying out induction.

  Sign