CAD United - Safety terms and conditions

CAD United - Safety terms and conditions

https://drive.google.com/file/d/1pGG2iqWYVR1AWChM3TJ53A8BSozDNNBQ/view?usp=sharing
Name*

First NameLast Name
Email*
example@example.com
Date hired*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
I have read through the following safety manual and have understood what is required of me*

YesNo (please contact us if you are confused - info@cadunited.com)
Employee orientation
Employee name*
Employee phone number*
Please enter a valid phone number.
Supervisor name*
Supervisor phone number*
Please enter a valid phone number.
Responsibilities*

Incident Reporting ProtocolAssist in InvestigationsReport ALL Incidents/Near MissesReport ALL Unsafe Acts/ConditionsComply with All Safety RulesParticipation in Modified Work ProgramReport Fit For DutyDisciplinary Policy
Safe Work Practices/Safe Job Procedures*

Mobile EquipmentDaily Equipment ChecksCompany VehiclesWalking and Working Surfaces
Emergency Response*

Emergency Response/Evacuation PlanEnvironmental Policy/Eco PlanFire Prevention/Fire ExtinguishersFirst Aid/Eye Wash LocationsHow To Notify Safety/First Aid AttendantsMSDS Locations
Personal Protective Equipment (PPE)*

Hard Hats, Steel Toed Boots, Hi-Vis ApparelSpecialized PPE as required by task
Safety Meeting*

Daily Hazard AssessmentField Level Hazard AssessmentWeekly Safety Meeting
Project Information*

Site Officer/Site ManagerEntry/Exit Route/Public ProtectionLunchrooms/WashroomsHospital Location/Medical ClinicLocation of OHS Regulation/Safety PRG
Your Rights and Duties*

Right to KnowRight to ParticipateDuty to Refuse Unsafe Work
Training Records*

First AidFall ProtectionConfined Space EntryElevated Work PlatformWHMISFlaggingCSTSRigging/HoistingOther
If you have selected other for Training Records, please list what in the format of, "Topic: what you have done/certificate earned" (i.e - Training Records: Safety Protection Certificate)
By presenting my signature , I agree to all the terms and conditions that have been provided in the safety manual and understand my rights and responsibilities.*

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I am unable to write my signature and will be writing out my full name (first, middle [if applicable], last)
Questions/Comments/Concerns
Emergency Contact Information*
Name: 
Relationship: 
Phone Number:
This section is for us to confirm your identity, ensuring that you are the person that is agreeing to the conditions.
Please provide a photo of government issued ID (this can be driver's license, passport, birth certificate, or citizenship/legal residency cards)*

Government ID
Cancelof
Please take a clear front view photo of your face*

Photo of individual as of right now
Cancelof
Should be Empty:

CAD United - Safety terms and conditions

Employee orientation