Wirribilla Mini Induction

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

MINI INDUCTION CHECKLIST (to be completed by Manager/Supervisor & visitor upon presentation to location with full instruction given in relation to the check list below, visitor must notify a staff member upon completion of visit) I hereby acknowledge that I have been inducted and fully understand the contents and process of the Wirribilla Farms PTY LTD Mini Induction. I agree to be bound by the terms and conditions outlined in it. I further acknowledge that I can obtain a copy of this document for ongoing reference. I acknowledge the safety of people at Wirribilla Farms PTY LTD takes precedence over all other considerations.

• NAME:

• ADDRESS:
  Address

• SIGNATURE:

  Sign

• PURPOSE OF VISIT:

MANAGER/SUPERVISOR

• NAME:

• SIGNATURE:

  Sign

• LOCATION:

• DATE & TIME:

  Date

• LENGTH OF STAY:

  1 Day

  2 Days

  3 Days

  Other

CHECK LIST

• WF Emergency Procedures.

  Yes

  No

  N/A

• WF Fitness for Work.

  Yes

  No

  N/A

• Management Plan

  Yes

  No

  N/A

• Hazard Reporting<br>(Incident/Accident Rpt.Book)

  Yes

  No

  N/A

• Traffic Rules/Location Map & Emergency Contact No.<br>

  Yes

  No

  N/A

• Who you REPORT to when leaving site.

• VISITOR SIGNATURE.

  Sign

• MANAGER/SUPERVISOR SIGNATURE

  Sign