F64. Site Induction Sample form DateCompany NameCompany AddressPreliminary InformationSite Name/IdentifierSite AddressSite Induction AcknowledgementI, the undersigned, acknowledge that I have read and understood the site rules and hazards. Non-compliance will result in removal from site and possible personal liability for my actions. I will report all hazards and incidents.Induction AttendeesAttendee NameDate AttendedAttendee Signature Add RemoveWe the above named and signed attendees acknowledge receiving instruction about the site hazards and site rules.Site Rules- All first aid treatment is to be recorded - All Team Members are to be aware of and comply with all WH&S Act & Regulations, and Codes of Practice relevant to their trade, their SWMS’s and the requirements for this project, including Electrical Safety - Report any WH&S problems that you see or have concerns about. Team Members breaking safety requirements will be warned and/or expelled from site depending on the frequency and seriousness of the breach. Horseplay, practical jokes, bullying, initiation offensive behaviour and the like will not be tolerated - Persons affected by alcohol, drugs, or substances of abuse shall not be allowed or permitted onto the workplace. The consumption of alcohol, drugs or substances of abuse are is not permitted anywhere on or at the workplace. Persons who rely on prescription drugs shall notify their supervisor prior to commencement of work. - PCBU are to supply the PPE and give instruction on its use to workers. All defective equipment shall be removed from site. All Team Members are to wear the appropriate personal protective equipment as required or as posted by signs - Drinks should be contained in cans, tins, plastic containers, insulated drink containers or the like. Any glass or empty tin or can brought onto the workplace shall be disposed of responsibly immediately after use - No smoking zones include lunchrooms and offices. Smoking on site may be permitted at a pre-determined area with written approval - Use the toilets and amenities provided, and keep them clean. Anybody found urinating or defecating on site, other than in the toilet provided, will be removed from the workplace immediately and banned from re-entry - Team Members must not carry out tasks they are not familiar with or have not been trained for or are not licensed to perform - Loud public broadcast radios, tape players, and like appliances are not permitted on site - Perimeter scaffolding shall not be removed, dismantled or altered by anyone, unless authorised in writing. - All protruding nails, bolts, steel reinforcing bars or other dangerous protruding objects, including edges of metal, are to be removed, bent over or otherwise protected to an approved standard Removed nails and metal objects are to be placed in rubbish or recycling bins and not tossed on the floor/ground for someone else to clean up - No one is permitted to dig excavations or trenches without obtaining written permission. Anything (e.g. star pickets, posts, shovels, picks, excavators, rippers, plant and the like) that can penetrate into the ground more than 300mm will require written permission - Access/egress must be installed to any excavation and any trench where a Team Member has to enter to do any task. All accessible trenches and excavations shall be shored, battered or benched before any Team Member may enter into them to do any task/work. A team member will remain outside the trench or excavation area in case of any emergency - No dogs allowed on workplace unless restrained on a leash and left near the Site Office or front boundary - All Team Members operating or erecting plant or equipment must hold the relevant certificate, licence or have documented evidence of experience and operate in accordance with the appropriate safety procedures in place - All plant, machinery, equipment, tools, are to be maintained in a serviceable condition, inspected before use and have all guards in place before being permitted on site. Team Members will check daily plant for safe operation before being used for any task. Compressed Air will not be used to clean clothing or blow on body.Additional Site RulesSite HazardsIdentified Site Hazards