Site Specific Induction Checklist

Conducted By (Staff Member Name): *

Employee Full Name *

Employee Email *

Have you checked and recorded the competencies and qualifications of the inductee? *

Yes

Have you discussed and clearly stated the procedures for reporting incidents, accidents, injuries and hazards? *

Yes

Have you discussed the workplace health & safety policy, procedures & rules? *

Yes

Has the inductee been taken through relevant processes for the tasks to be performed? *

Yes

Will the inductee be required to use specialised equipment? *

Yes

Has the inductee been trained to use the specialised equipment and have they completed the relevant Safe Operating Procedure (SOP) if required? Select completed training below: *

Gator / Quad Bike

Walker/s

Fuel Bowser

Electric Fences

Has the inductee been advised of the on-farm GATE protocols - 38711 *

Yes

Employee has been given the following PPE relative to their role: *

Hard Hat

Safety Glasses

Gloves

Safety Boots

Sunscreen

Long Sleeve Shirt

Hi-Vis Vest

Inductee has been shown the following emergency procedures and locations for: *

Assembly point, evacuation route and where necessary, evacuation plan;

Closest medical facility;

Contact details of emergency services; and,

Provisions for emergency communications?

Has the inductee been shown where all relevant firefighting equipment is located, for example fire extinguishers and hose reels? *

Yes

The inductee has been shown: *

The location of the first aid facilities and kits

Who the first aiders are and how to obtain treatment

Has seen a photo of or been introduced to the first aid officer/s (Amanda Kettlewell)

Have you explained the workplace security procedures - including front gate *

Yes

Inductee has been introduced to the following OSO Work Health and Safety Representatives: *

Amanda Kettlewell

Bree Hayward

Heath Rowbottom

Has the inductee been shown the workplace daily Time Sheet and the process for logging their hours worked? *

Yes

Any further questions by the inductee or any further clarification needed on any of the above points?

Inductee Signature

Clear

Manager / Supervisor Signature

Clear