CONTACTOR INDUCTION
Contact Details
Name
First Name
Last Name
Company Name
Expected duration of work
Mobile Phone
Emergency Contact
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As a contractor we expect you to comply with all policies and all instructions given to you by us. By signing this form you are confirming that you have been have read through and understand all the items listed below and that you and your employees agree to comply with all farm policies while on this property .
Where on the farm are you excepting to work. Eg, Milking Shed, Effluent Pond, Paddock numbers. etc
Onsite Hazards
Please read and beware of the Hazards that may effect your work environment.
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Emergency Event
In the event of emergency you will be contacted on the phone number signed in provided. If you find yourself in the emergency event please ensure to contact the farm manager ASAP to help manage the event, but not before external help if required, eg. Police, Fire or Ambulance.
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Farm Rules
Please abide by our farm rules below;
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PLEASE CONFIRM
Confirmed you have a safety management system that covers the work you are there to do
Confirmed they are competent and equipped to do the work
Confirmed you will notify the farmer of any new hazards they observe or create while doing the work
Confirmed that you will notify the farmer of any serious accidents or incidents that occur whilst the work is done.
Please explained any risks that your work poses to others and how that will be managed to ensure their safety
Additional Notes:
Confirm
You have read the Farm Hazards, understand your farm induction, and will abide to the Farm rules.
Signature
Submit
Should be Empty: