Site Induction
Name:Company:
Level of Safety Training:
Your site contact person is:
Please take note of the following: / Acknowledgement
Entering and departing
- You should sign in and out each time you enter the premises.
- Display your identification pass prominently.
First Aid / First Aiders
- The first aid kit is controlled by first aiders and a list of first aiders is available. Ask any workers to locate a first aider where required.
Fire Emergency Procedure
- In the case of a fire, please follow the fire evacuation procedures. These procedures are clearly displayed and you must fully familiarise yourself with them.
- Fire extinguishers are available and should be used in accordance with the fire emergency procedures.
- Ensure that access/egress areas are at all times kept clear.
Hazard Register
- While you are on the premises, you are required to adhere to all hazard controls in the hazard register.
- Take special note of the usage of PPE.
- This hazard register is available from the [Manager or Designated Person] and where you sign in/out.
Accident and Incident Reporting
- If you are involved in an accident/incident, report it to your site contact person.
- Ask the contact person to point out where the accident register is kept.
- Ensure that you complete the accident register fully.
- Take instructions from your site contact person (e.g. to provide information during an accident investigationetc).
- Report the accident to your own PCBU as well.
Hazard Identification and Near Miss Reporting
- If you see anything that could cause, or has the potential to cause harm or a near miss occurs (anything that was narrowly avoided), report it to your site contact person.
- Ask the contact person to point out where the hazard identification forms are kept and complete this fully.
Company Equipment
- The usage of other equipment (e.g. ladders, trolleys etc) may only be used under the supervision of an appointed worker. (Supervision does not mean permanent presence – the worker remains in control).
- If a worker is not available, do not use the equipment.
Personal Protective Equipment (PPE)
- When requested, wear all PPE provided in the areas and circumstances pointed out to you by your site contact person or any other worker.
Restricted Areas
- You are only allowed in specifically appointed areas and may not enter any restricted areas. Please note the signage in the store.
- If you need to move stock from a restricted area to display areas, discuss it with your site contact person, who will assist you in this regard.
Rubbish Disposal
- All cardboard boxes and other rubbish should be put in the designated areas. These areas are pointed out to you.
Creating a Short-Term Hazard
- If you need to create a short-term hazard, inform the appropriate supervisor and take all practicable steps to control the hazard.
- Follow any instructions from workers in this regards.
Permanent or Long-Term Hazards
- If you identify or create a long-term hazard, inform your site contact person of the hazard.
- Ensure your site contact person fully understands the implications – reporting does not absolve you from your responsibility to not cause harm to others.
I hereby acknowledge that I have been inducted in all the above, understand the hazards associated with the premises, had the opportunity to ask questions and I understand all the safety requirements.
/ Signed for and on behalf of
[TheChurch Name]
Contractor: / Full Name:
Signature: / Signature:
Date: / Date: