E-T-8-0949 Site Induction Record for Employees and Subcontract Workers

Process Document owner

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Document type Enabling Process

Responsible Executive Project Team (Ops/Const. & HSEQ)

2077 – Appoint & Mobilise Project Team Resources 2101 – Direct Works Operational Control

Site Induction Record for Employees and Subcontract Workers

NAME OF PROJECT/SITE Before commencing work on this site, you must complete all inductions required under the relevant legislation and LORA procedures e.g. General Safety Induction, Site Specific Induction and Work Activity Induction. A LORA Site Induction Card and/or Helmet Sticker exclusively for this site shall be issued to you on completion of this Site Specific Induction and must remain with you at all times whilst you are on site. EMPLOYER/BUSINESS Name Of Your Employer/Business Ph. No. Address Of Your Employer/ Business EMERGENCY CONTACT PERSON Contact Person’s Name Their Ph. No. Relationship To You

Your First Name Your Surname Your Address Your Date of Birth Your Contact Ph No. Your Car Rego No. Colour / Make / Model Your Occupation Are you of Aboriginal or Torres Strait Islander No descent? List the Class/Type and Registered No. of all your Trade Certificates, High Risk Work Licenses etc related to your work on this site, e.g. Electrician, Plant Operator, Crane, Rigger, First Aider, Demolition, etc.

Insert Details -

Have you completed a Construction Industry ‘General Safety Induction’? Yes No

Name Of Induction Training Provider Induction Certificate No. (if applicable) Date Inducted Have your received Work Activity/SWMS Inductions for your work on this site. Yes No Do you have a medical condition that poses a health or safety risk to you or Yes No others on site? e.g. Diabetes, deafness, heart/lung condition, allergy, etc)

Insert Details - Are you taking any medications? Yes No

The LORA Way E-T-8-0949

E-T-8-0949 Site Induction Record for Employees and Subcontract Workers v3 (Revised Feb 2014)

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I certify that all the above information is true and correct. I have the necessary training to undertake the tasks allocated to me by my employer and I am medically fit to safely perform the respective tasks required of me on the this project. I have attended the Site Safety Induction and understand my OHS and Environmental obligations and responsibilities on this project.

Your Signature Today’s Date

Site Inducted By (Name) Employer/Business Signature Date

Distribution Original - Site Induction Records. INDUCTION TOPICS

Please tick all boxes below corresponding to the topics that were presented to you during this Induction. Note: The items listed under each topic are not a comprehensive list of all the information presented. Add any project specific topics and items to match the Project Induction Presentation Item Topics Tic k

1. Project Specific Details:  Access & emergency routes  Parking  Description  Working hours  Completion Date  Site Phone No. etc.

 Work Times

2. LORA Site Management Team:  Project Safety Supervisor  Project Manager and Site (PSS) Manager  Foremen  Health & Safety Representative

3. Laing O’Rourke Policies  Quality  Health & Safety On display – site noticeboards, induction room  Environmental

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4. Laing O’Rourke Plans  Quality  Health & Safety Available for review  Environmental

5. Responsibilities  PCBU  Workers

6. Site Rules  Site Specific Rules  Golden Rules

7. Mandatory PPE  Long Pants  Ankle high boots- safety cap,  Safety Helmets pierce resistant mid-sole  Gloves suitable for task  Safety Glasses  Special tasks require additional  Long sleeve Hi Vis Shirt PPE

8. Disciplinary Procedures:  Warnings – Verbal, 1st Written, Final  Serious Incidents, Immediate Removal  No Fighting

9. Emergency Procedures Including fire emergency

10. Risk Management / SWMSs

11. Mission Zero  Targets  Hazard / Near Miss Reporting

12. Visitor Procedure

13. Construction Hazards – Site  Permit Systems in place Specific

14. Project Hazard Controls  Mobile Plant Protocol  Slips trips & falls  Work at Height  Electricity

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 Ladders & Voids  Hazardous Chemicals  Manual Handling  Scaffolding  Noise  Vehicle Movements

15. Fitness for Work  Drug & Alcohol Testing

16. Accidents & Incidents  Medical centre  Treatment procedure  First Aid facilities and personnel  Assistance for medical issues

 Non disturbance of incident scene

17. Health & Safety Committee  Functions  Inspections & meetings

18. Health & Safety Representative  Functions  Work groups

19.Environment  Flora & Fauna

 Environmental Incidents  Heritage & Archaelogy

 Plant & Equipment  Soil & Water  Waste  Noise & Vibration  Contamination

 Dust & Air Quality

20. Community Relations  Objectives – LORAC a guest in the community

 Protocols if protests occur

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21.Quality  Commitment to quality

 Workmanship and Control  Report poor work standards

 Replace damaged items

Please tick all boxes corresponding to the topics that were presented to you during this induction and sign off to verify that the topics were presented and you understand the topic.

Name…………………………………………………………………….

Signature………………………………………………………………. Date…………/…………/…………