S J Walchester Waste Transfer Yard
S J Walchester Site Induction Form
Sign in Site Induction Record
*PLEASE FILL OUT THE INDUCTION FORM BELOW*
Site Name
Current Time
Date
Vehicle Registration
Card Held
CSCS
CCDO
CPCS
NPORS
Reason for Visit
First Name
Surname Name
Home Address
2nd Line
City
Postcode
Mobile
Landline
Are you a first Aider?
No
Yes
Are you a Fire Marshall?
No
Yes
Have you got any medical history S J Walchester Ltd should know ?
No
Yes
Details:
Next of Kin First name
Next of Kin surname name
is the address the same as above
Yes they live at the same address
Home Address
City
Postcode
Mobile
Please confirm the below :
Safety responsibilities explained
Safety responsibilities explained
Fire & emergency procedures explained
No smoking rules explained
Welfare/Washing facilities explained and located
Site parking arrangement explained
Use of PPE explained
Site safety rules explained
RAMS, Specific hazards explained
Appointed person identified
Tick to confirm
I can confirm I have been inducted on S J Walchester Ltd’s site.
Current Site Manager
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