Please select which employment/engagement status represents the type of inductee:

Worker Labour Hire Worker Contractor Volunteer/Visitor

Department assigned to:

Qualifications required for the role are identified, confirmed and recorded

Yes N/A

Construction induction card has been confirmed and recorded

Yes N/A

Authorisations required for the role are identified, confirmed and recorded (check and copy all licences, certificates of competency, Verification of Competency (VOC), etc. required to carry out tasks)

Yes N/A

Completed company health and safety induction including health and safety responsibilities

Yes N/A

Shown the location of first aid equipment and facilities and first aid attendants

Yes N/A

Shown the fire fighting equipment location in work area eg fire extinguishers, hose reels, etc.

Yes N/A

Site evacuation procedures explained Assembly point/s and evacuation route/s Emergency/fire wardens and their locations Emergency communication strategies Provision for offsite emergencies

Yes N/A

Shown kitchen amenities, toilets and drinking water

Yes N/A

Initial on-the-job training for daily routine

Yes N/A

Hazard and incident reporting processes explained

Yes N/A

Site non-smoking policy explained

Yes N/A

Site drug and alcohol policy explained

Yes N/A

Site violence, bullying and harassment/code of conduct explained

Yes N/A

All site general procedures and rules including hours of work, security requirements and parking/transport explained

Yes N/A

Boots/Shoes – Size

Reflective vest

Yes N/A

Safety glasses

Yes N/A

Site manager/s

Yes N/A

Workplace colleagues

Yes N/A

Administration

Yes N/A

Initial introduction to immediate work environment (site specific hazards and risk assessments explained)

Yes N/A

Induction to relevant general safe procedures

Yes N/A

Induction to relevant Job Safety Analysis (JSA)

Yes N/A

Induction to Safe Work Method Statements (SWMS) relevant to the work/job

Yes N/A

Induction to any specialised equipment and training in use

Yes N/A

Hazardous chemical/substances locations and procedures (including storage, spills, SDS, etc.)

Yes N/A

Plant and equipment safety – energy isolation procedures and lockout/tagout use explained

Yes N/A

Tour of work site provided

Yes N/A

Site induction card has been issued

Yes N/A

Health and Safety Handbook issued

Yes N/A

I acknowledge that I, the undersigned, have been advised on all of the above listed items and understand the points discussed. Where appropriate, I also undertake to use and have been instructed in the correct usage of Personal Protective Equipment (PPE). I accept that compliance to safe work practices is a condition of my continued access to the site and also a requirement under the health and safety legislation. The inductor has reiterated the key points of this induction program and I understand the procedures involved.

H&S Induction Checklist

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