Site Induction

Personal Details
If you already have an induction card and number from Harbusol you do not need to complete this form. Your induction number must be sighted and recorded on the Induction Register Form.
Full Name:
Address:
Company:
Phone No:
Mobile Phone No:
Email:
Vehicle make / model / colour
Vehicle Registration
Next of Kin
Full Name:
Address:
Phone Number:

Site & Project Details
Project:
Site Supervisor:
Site Construction Manager:
Site Address:
Map Reference:
Site Evacuation Point (In case of an emergency. ie. corner of...):
Map Reference:
First Aid officer:
The first aid kit and injury register are located in the site office. Emergency contact numbers and procedure are posted at the various points around the site. All accidents, injuries and near misses must be reported to the site supervisor.
Nearest Hospital:
Hospital Address:
Hospital Map Reference:

I acknowledge the following site rules and regulations:
Lunch Shed
- Acknowledge
A lunch shed shared with the site office is provided for your use, please keep clean.
Electrical Equipment Tags
- Acknowledge
All electric tools and leads must be tagged by a qualified electrician before commencement.
Safety Gear
- Acknowledge
Work boots, together with hard hats and vests must be worn at all times. Eye and ear protection must be worn when required.
Safety Signs
- Acknowledge
Safety signs on site must be complied with.
Parking
- Acknowledge
Parking is available as directed.
Site toilets are located at:

Training & Legislation Acknowledgement:
Induction Training
- Acknowledge
I hereby acknowledge that I have attended and understood the safety requirements of the Induction training that was held this day.
Legislation
- Acknowledge
I am aware of the Occupational Health and Safety Act (OH&S) 1985 and share Harbusol’s commitment to abide by it.

Personal Details