SITE INDUCTION

YOU MUST NOT COMMENCE ON SITE UNTIL THE SITE INDUCTION IS COMPLETED

You only need to complete it once for this site.

Site Supervisor:

DARREN TANNER: 0409 048 237

Site & Contact Details

Date *

Site Address Details

Site Address *

If not listed above, enter Site Address below

Contact Details

First Name *

Last Name *

Employer / Company *

Select from the following, which best describes who you are *

Contractor

Visitor

Supplier

Describe the purpose of your visit *

Construction Induction Card

Provide Induction Card Details

I have a current Construction Induction Card (Blue/White Card) *

Yes

Not Applicable. I am not a worker on this Site

Upload a photo of your Blue/White Card here *

If you are a WORKER and didn't provide all the required

paperwork (Licence, White / Blue Card etc)

DO NOT START WORK

Contact your Site Supervisor immediately!

ANCON HOMES

Darren Tanner

0409 048 237

Email. [email protected]

Safety Management Plan (SMP)

Site Specific Safety Management Plan (SMP)

Please review the Safety Management Plan and safety documents provided by the Principal Contractor.

CLICK HERE to view Safety Management Plan Document

I have reviewed the Safety Management Plan and safety documents provided by the Principal Contractor *

Yes

Not Applicable

If unsure of the Safety Management Plan,

do not start work. Contact your

supervisor immediately.

Safe Work Method Statement (SWMS)

High Risk Construction Work

I have SWMS in place for undertaking any High Risk Construction Work *

Yes

Not Applicable

CLICK HERE to view what High Risk Construction Work requires a SWMS

SWMS

Prior to starting work, the immediate and surrounding work area will be reviewed for any uncontrolled risks.

If any uncontrolled risks are identified, suitable controls will be put in place to eliminate or reduce the risk *

Yes

Not Applicable

If you do not have SWMS in place and none have been provided by the Principal Constractor, SWMS must be developed prior to commencing high risk construction work. If unsure what is required, do not start work. Contact your supervisor immediately.

Skills & Qualifications

Training

Persons have the necessary skills and qualifications, training and competencies to perform their tasks *

Yes

Not Applicable

If No, do not start work.

Contact your supervisor immediately.

Emergency Procedures

Emergency Procedures

I have viewed and understand the site’s Emergency Procedures *

Yes

I have viewed and understand the site’s Safety Rules *

Yes

Persons have access to a first aid kit? *

Yes

The correct PPE is available for persons undertaking their task? *

Yes

Not Applicable

If No, do not start work.

Contact your supervisor immediately.

House Keeping

Amenities

I am familiar with the location of the site amenities (toilet, water etc.) *

Yes

No, contact your supervisor

Rubbish & Pack Up

It is understood that persons are responsible for cleaning up their own rubbish & leaving the workplace in a safe and secure condition *

Yes

Securing the Site

Upon leaving the site, it will be left secure from unauthorised access. Any fence panels removed will be reinstated to a secure condition. If any panels are missing or the fencing is incomplete, contact your supervisor immediately *

Yes

Not Applicable

Authorisation

Has approval from the Site Supervisor been obtained to enter the site or deliver goods, or is the Site Supervisor accompanying you? *

Yes

If No, do not to enter the site.

Please contact the Site Supervisor!

Sign & Submit

Confirmation & Acknowledgement

Entry to the site is confirmation that the above responses are true and correct and acknowledgement of and agreement to complying with applicable site rules, conditions, policies and procedures (SMP, SWMS, etc).

All participants are to provide their name, employer/company name and signature.

Signature *

Clear

Email *

Phone *

I Consent to Receive SMS Notifications, Alerts & Occasional WHS Communication from Ancon Homes. Message frequency varies. Message & data rates may apply. Text HELP to Darren Tanner 0409 048 237 for assistance. You can reply STOP to unsubscribe at any time.