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Safety Induction

Welcome to the Company.

As part of your induction into working in the environment we require you to be inducted into our safety system and

that of the systems required for cleaning these premises.

Safety is an important part of what you will do and how you will be expected to work.

Your supervisor will inform and train you in the safety matters listed below. Please tick off each item as you have

been inducted. Your supervisor will make a copy of this form after it is completed and signed by both yourself and

the Supervisor and keep it on your employee file.

1.

Safety rules and regulations –

Standard procedures for working on the premises been included in workplace training

2.

Accident / Incident Reporting

– you understand that you MUST report any accidents, incidents or near misses to your

supervisor and assist in filling out an Accident/Incident Form.

3.

Policies and Procedures

– File on site. You have been given a copy of the policies in this Guide Booklet including Issue

Resolution procedure and the procedure for identifying and reporting hazards (Communication and Consultation procedure and Hazard

Report Form).

4.

Safe Work Instructions

– Copies kept on site and provided to you in a booklet form

5.

Hazardous substances and the use of chemicals

– you have been instructed on the use of the substances, you know where

to find the MSDS and risk assessments, and you have been provided with personal protective equipment (gloves, goggles etc)

6.

Electrical Equipment

– you have been instructed in the use of the equipment, including the necessary visual checks at the start

of a shift to make sure any electrical equipment is not obviously damaged, no frayed cords, exposed wires etc.

You know where to find an ‘Out of Order’ tag and how to use it. Make sure that any electrical equipment provided to you for use has a

current safety tag that shows it has been tested.

7.

Manual Handling

- you must be instructed in safe manual handling techniques and be provided with a copy of the manual

handling assessments and procedures in a booklet. Do not lift above your capacity, always bend limbs not back. You know where to find

the manual handling risk assessments in the Safety File.

8.

Emergency Preparedness

– you have been shown the emergency evacuation plan on the premises. You are aware of the

emergency exits, who to report to in an emergency. You have been shown where to find the First Aid Box and informed of any trained First

Aiders available to you during your shift or the nearest medical assistance [doctor, hospital]

9.

Workplace Violence

– you have been instructed in how to behave if confronted with violence.

Signed as induction completed and understood. I understand agree to follow the safe work practices explained to me:

(New Employee Name and Date) _______________________________________________________________

Signed as induction completed and the new employee has indicated they understand all necessary processes:

(Supervisor Name and Date):

_______________________________________________________