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Title: Contractor Induction Checklist
No. DEE ESWB-24-5-4
Authorised By: Manager ESWB
Issue Date: July 2011
Last Reviewed: June 2013
Next Review Date: June 2015
Page Number: 1 of 1
THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
CENTRAL OFFICE USE ONLY
Workplace
Company Name
Contractor’s Name
Brief Description of Works
1. General Induction The workplace is to ensure that the above named contractor(s) have been provided with
following information and/or instructions:
Completed
DEECD Occupational Health and Safety Policy
Yes
Hazard and incident reporting procedures
Yes
Emergency procedures
Yes
Location of first aid facilities and amenities
Yes
Security and access arrangements
Yes
Hazardous Substances and Dangerous Goods stored on site
Yes
Traffic Management Plan
Yes
Required conduct/behaviour
(e.g. no smoking, offensive language or loud music etc)
Yes
Permits to Work are required for high risks tasks
(i.e. hot work, confined spaces, working at heights, and destructive or asbestos based work)
Yes
Current Asbestos Management Plan and Division 5 Asbestos Register
Yes N/A
2. Information to be provided by the Contractor
Completed
Licence and qualification details
Yes N/A
Current Working with Children Check
Yes N/A
Safe Work Method Statement (SWMS) or equivalent (e.g. Job Safety Analysis)
Yes N/A
A copy of the current contractors public liability insurance has been provided (if only sighted
then the policy number and expiry date must be obtained and recorded on the Approved
Contractor Register) Note: $10mil minimum cover required:
Yes
A copy of the current workers compensation insurance has been provided (if only sighted
then the policy number and expiry date must be obtained):
Yes
3. Contractor SWMS review (or equivalent)
Y/N
Comments
Lists the types of work being performed
Identifies the health and safety hazards and risks arising from the work
Lists the risk control measures to be implemented
4. Sign off
Name
Signature
Date
I have been inducted in the above information and will comply with the safety instructions listed in my SWMS (or
equivalent).
Contractor:
Workplace Manager and/or
Management OHS Nominee:
Workplace Manager / Management OHS Nominee are to file copies of all completed Contractor Induction
Checklists.