Event Induction Form

Please read before continuing:

Please read the event health and safety plan that was included with the email link. You will need the information in it to fill out this form.

If you have any questions please contact the event producers for your event.

Uno Loco Job Number - This can be found on the Event Health and Safety Plan *

Event Name:*

Venue Location:*

Name:*

First NameLast Name

Company Name:*

Email*

example@example.com

Phone Number*

Country CodeArea CodePhone Number

Inducting as:*

Please select from "Inducting as" dropdown for role specific questions.

Please read the following and answer yes or no to confirm agreement:

Uno Loco Team Questions:

I have read the emergency procedures for the site. I understand and can clearly communicate to my team/suppliers what we need to do in an emergency.*

YesNo

I will hold/attend necessary tool box meetings with key suppliers and contractors*

YesNo

I will ensure all work tools are safely within our designated work area and no unauthorised person will be able to access them.*

YesNo

I will help manage our team/suppliers to wear the correct PPE at all times whilst working onsite (when applicable)*

YesNo

I agree to report hazards, incidents or near-misses to the Uno Loco site lead as soon as practically possible.*

YesNo

Key Supplier Contact Questions:

I have read the emergency procedures for the site. I understand and can clearly communicate to my team what we need to do in an emergency with the support of the Uno Loco site lead*

YesNo

I will attend/hold necessary tool box/team briefings with my employees and/or sub contractors.*

YesNo

I will ensure all work tools are safely within our designated work area and no unauthorised person will be able to access them.*

YesNo

I will manage my crew/team to wear the correct PPE at all times whilst working onsite.*

YesNo

I agree to report hazards, incidents or near-misses to the Uno Loco site lead as soon as practically possible.*

YesNo

Visitor / Guest Questions:

I have read the emergency procedures for the site and I understand what I/we need to do in an emergency.*

YesNo

I will listen and follow the instructions of the Uno Loco site lead or venue staff in the event of an emergency.*

YesNo

I agree to report hazards, incidents or near-misses to the Uno Loco site lead as soon as practically possible.*

YesNo

Event Health and Safety plan specific questions:

Please state name of Uno Loco person in control of the workplace:*

The emergency evacuation location for this event is:*

Trained First Aider name:

By submitting this induction I certify that I have read the event specific health and safety plan and agree to the site rules:*

YesI would like to talk to someone before agreeing (Please email broadcast@unoloco.co.nz)

Date

24 Hour Time - HH:MM

Rating of induction process:

Optional

Feedback on the event induction form process:

Optional