Site Induction Register

Site Induction Form

This Form provides for 8 Employees & 5 Visitors

Date *

Job Name: *

Employee Email ID

Location: *

1. Employee conducting Safety Induction *

1. Safety Rules read?

YesNo

1. Signature

Clear

2. Employee Name & White Card

2. Safety Rules read?

YesNo

2. Signature

Clear

3. Employee Name & White Card

3. Safety Rules read?

YesNo

3. Signature

Clear

4. Employee Name & White Card

4. Safety Rules read?

YesNo

4. Signature

Draw signature|Type signatureClear

5. Employee Name & White Card

5. Safety Rules read?

YesNo

5. Signature

Clear

6. Employee Name & White Card

6. Safety Rules read?

YesNo

6. Signature

Draw signature|Type signatureClear

7. Employee Name & White Card

7. Safety Rules read?

YesNo

7. Signature

Draw signature|Type signatureClear

8. Employee Name & White Card

8. Safety Rules read?

YesNo

8. Signature

Clear

1. Visitor Name

1. Visitor White Card

1. Visitor Organisation

1. Visitor Phone

1. Visitor Email

1. (Visitor) Safety Rules read?

YesNo

1. Visitor Signature

Clear

2. Visitor Name

2. Visitor White Card

2. Visitor Organisation

2. Visitor Phone

2. Visitor Email

2. (Visitor) Safety Rules read?

YesNo

2. Visitor Signature

Draw signature|Type signatureClear

3. Visitor Name

3. Visitor White Card

3. Visitor Organisation

3. Visitor Phone

3. Visitor Email

3. (Visitor) Safety Rules read?

YesNo

3. Visitor Signature

Clear

4. Visitor Name

4. Visitor White Card

4. Visitor Organisation

4. Visitor Phone

4. Visitor Email

4. (Visitor) Safety Rules read?

YesNo

4. Visitor Signature

Clear

5. Visitor Name

5. Visitor White Card

5. Visitor Organisation

5. Visitor Phone

5. Visitor Email

5. (Visitor) Safety Rules read?

YesNo

5. Visitor Signature

Clear

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