WHSE Induction Video

WHSE Induction Video
Your Company Name:
Your Employer
Your Name:

First NameLast Name
Construction Induction Training Card (white card) Number
(e.g., White Card)
Your Mobile No.
Mobile Phone Number
Who should we contact in the case of an emergency full name* and what is their phone number phone number*.
Do you have any existing medical conditions that we should be aware of, e.g., allergies, diabetes, etc?
Please list any medical conditions (if you answered "yes")
By signing below, you acknowledge, in accordance with the Statutory Declarations Act 1959, that you have viewed the induction video in its entirety and agree to adhere to the requirements outlined in this induction. Furthermore, you confirm that you have had a site tour and been shown the facility and service locations, including designated drinking water points, toilet facilities, and first aid locations at the respective worksite
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Should be Empty: