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New worker site safety induction record
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Induction Items
Mark each item as covered. Inductee must initial each section.
| # | Topic | Done | N/A | Initial | Notes |
|---|---|---|---|---|---|
| Site Rules & Emergency Procedures | |||||
| 1 | Site access rules and restricted areas explained | ||||
| 2 | Emergency evacuation procedure and assembly points | ||||
| 3 | Location of fire extinguishers and first aid kits | ||||
| 4 | Emergency contact numbers provided | ||||
| 5 | Incident and hazard reporting procedures explained | ||||
| 6 | Site speed limits and traffic management rules | ||||
| PPE Requirements | |||||
| 7 | Mandatory PPE requirements explained for site | ||||
| 8 | Correct use and care of PPE demonstrated | ||||
| 9 | PPE inspection and replacement procedures | ||||
| 10 | Task-specific PPE requirements identified | ||||
| 11 | PPE storage locations identified | ||||
| Hazard Awareness | |||||
| 12 | Key site hazards identified and explained | ||||
| 13 | Safety Data Sheets (SDS) location and access | ||||
| 14 | Manual handling and lifting procedures | ||||
| 15 | Electrical safety and lockout/tagout procedures | ||||
| 16 | Working at heights requirements (if applicable) | ||||
| Permits & Procedures | |||||
| 17 | Permit to work system explained (hot work, confined space) | ||||
| 18 | Safe Work Method Statements (SWMS) requirements | ||||
| 19 | Plant and equipment pre-start check procedures | ||||
| 20 | Drug and alcohol policy communicated | ||||
| 21 | Fatigue management requirements explained | ||||
| Competencies Verified | |||||
| 22 | Relevant licences and tickets sighted and recorded | ||||
| 23 | Trade qualifications verified (if applicable) | ||||
| 24 | White card or construction induction card sighted | ||||
| 25 | First aid certification sighted (if required for role) | ||||
| 26 | Worker confirmed understanding of all induction content | ||||
Declaration
I confirm that I have received and understood the safety induction for this site. I agree to comply with all safety rules, procedures, and instructions. I understand my right and obligation to stop work if I believe conditions are unsafe.