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ONLINE SITE INDUCATION
This induction form must be completed by everyone entering the a construction site and is required by the law.
26
Questions
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1
Address
Site Name
Street Address
City
State
Zip Code
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Kuwait
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Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Australia
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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2
Name
First Name
Last Name
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3
Email
example@example.com
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4
Phone Number
Please enter a valid phone number.
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5
You are -
*
This field is required.
Employee of Specialized Electrical Lty Ltd or JDC Thomson Electrical Systems
Employee of a subcontracotor engaged by Specialized Electrical Lty Ltd
Casual Staff of Employee of Specialized Electrical Lty Ltd
Visitor
Head Contractor
Site Owner or authorised representative.
Other
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6
Are you currently fit to work and drive with no alcohol or drugs in your system that could impair your ability to perform safely?
*
This field is required.
YES
NO
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7
Do you hold a white card and are familiar with the Work Health and Safety (WHS) requirements as per NSW legislation?
*
This field is required.
YES
NO
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8
Have you received a copy of the site safety plan or know where it is and its content?
*
This field is required.
YES
NO
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9
Which of the following Personal Protective Equipment (PPE) are you required to wear on the construction site? (Select all that apply)
*
This field is required.
Hard Hat
Safety Glasses or Face Shield
Hearing Protection (e.g., Earplugs, Earmuffs)
High Visibility Clothing
Gloves
Safety Footwear (e.g., Steel-toe Boots)
Respiratory Protection (e.g., Dust Mask, Respirator)
Fall Protection Equipment (e.g., Harnesses, Lanyards)
Other
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10
Are you aware of the emergency evacuation procedures for this site?
*
This field is required.
YES
NO
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11
Have you been informed about the high-risk work permits required for various tasks on this site?
*
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YES
NO
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12
Do you know where to find the Material Safety Data Sheets (MSDS) for chemicals used on this site?
*
This field is required.
YES
NO
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13
Are you aware of the procedure to report hazards and incidents?
*
This field is required.
YES
NO
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14
Have you been trained on the safe operation of equipment and machinery you'll be using?
*
This field is required.
YES
NO
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15
Do you know how to properly maintain the equipment and machinery to ensure they are in safe working condition?
*
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YES
NO
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16
Are you aware of the environmental controls and waste management procedures in place on this site?
*
This field is required.
YES
NO
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17
Do you know how to handle and dispose of hazardous materials?
*
This field is required.
YES
NO
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18
Do you know who your immediate supervisor is and how to contact them?
*
This field is required.
YES
NO
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19
Are you aware of the site's communication protocol for emergencies and daily operations?
*
This field is required.
YES
NO
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20
Do you understand that you are required to take and provide photographs before, during, and after the completion of every task you perform to document the progress and quality of work?
YES
NO
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21
Do you have any questions or concerns???
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22
Geolocation
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23
Take Photo
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24
Signature
*
This field is required.
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25
Signature
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26
Date
-
Date
Month
Day
Year
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Hour
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Minutes
AM
PM
PM
AM
PM
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