COMPANY: Site Date
CONSTRUCTION & GENERAL SITE RULES EXPLAINED TO INDUCTEE:
Safety organisation explained
Site attendance procedures in place
First aid accident/ill health reporting
Site emergency procedures: fire etc.
Hazardous locations/no go areas
Alcohol policy/drug abuse
Safety footwear or safety wellingtons
Eye protection. Hearing protection. Respiratory
PPE Personal (Protective Equipment) to be worn/used
COSHH and manual handling risks explained
No altering or moving any parts of any scaffolds or
YOUR HEALTH: should the Company and your work colleagues know about your health? Are you taking
specially prescribed medication? Are you epileptic or diabetic, or do you have a heart condition? If we all know
- WE CAN HELP YOU IF YOU BECOME ILL AT WORK. I confirm that I understand my own personal
responsibility for health, safety & hygiene understand that I may face Prosecution by Health & Safety
Inspectors if I do not co-operate with health & safety rules and policies. I also understand that I may be
removed from site if I do not follow safety rules and procedures.
DO NOT PUT YOURSELF OR OTHERS AT RISK
Signed Inductor Inductee Signed DATE
This is to confirm that I have presented to the person above mentioned as “Inductee”, details of topics listed,
as per guidelines set out within the Corporate Health and Safety Management Policy.
COMPLETE FORM ON SITE