Title Page

  • Date

  • Full Name

  • Mobile Number

  • Date of birth

  • Next of Kin Full Name

  • Next of Kin Contact Number

  • Please upload or take a head and shoulders photo of yourself

  • Please provide your postal address

Confirmations

Please confirm you have read and understand

  • H&S Policy

  • the above document

Confirmations

Please confirm you have read and understand

  • Hazard and risk management processes

  • the above document

Confirmations

Please confirm you have

  • Access to the Hazard Report template in SafetyCulture

Confirmations

Please confirm you have

  • Access to the Incident, Accident, Near Miss Report template in SafetyCulture

Confirmation

Please confirm you have read and understand

  • Personal Protective Equipment

  • the above document

Confirmations

Please confirm you have read and understand

  • Key contacts within Tetro Group

  • the above document

Confirmations

Please confirm you have read and understood

  • Directors and workers responsibilities & commitments

  • the above document

Confirmations

Please confirm you have read and understand

  • First Aid Kit Requirements

  • the above document

Drivers Licence

Drivers Licence

  • Drivers Licence

  • Upload Drivers Licence

  • Expiry Date

Signature

  • I confirm all information provided on this Worker Induction Questionnaire to be accurate and correct.

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.