Haulout Induction

Haulout Induction

Naval Point Club Lyttelton
Site Information
Date of Induction*

MonthDayYear
Date
Photo of ID

Cancelof
Personal Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Emergency Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Safety Guidelines Acknowledgment:

I acknowledge that I have received and reviewed the safety guidelines, policies, and procedures for the site. I understand that these guidelines are in place to ensure the safety of all individuals on the site.
Safety Responsibilities
I understand that it is my responsibility to

Wear appropriate personal protective equipment (PPE) as required.Follow all safety instructions provided during the site induction.Report any safety concerns, incidents, or hazards to the site supervisor or safety officer promptly.Adhere to site-specific rules and regulations.
By signing below, I confirm that I have received and understood the site's safety guidelines, and I agree to comply with them during my time on the site.
Signature

Clear
Should be Empty:

Site Information