Blackbird Orchard Induction 🌿🥝
Complete this form to introduce yourself and acknowledge orchard policies.
Email Address (for record matching)
*
example@example.com
Health, Medical & Safety
Do you have any physical or mental health condition, back/neck/joint problem, soft tissue injury, or chemical sensitivity that may affect or be aggravated by orchard work (picking, pruning, thinning, bending, kneeling)?
*
Yes
No
If yes, please provide details
Do you have any respiratory condition (e.g. asthma) that may be aggravated by dust, pollen or chemicals?
*
Yes
No
Do you have any uncorrected vision or hearing impairment that may affect safety around machinery and vehicles?
*
Yes
No
Policy Acknowledgements
Please read the Human Rights Policy, Dispute Resolution Policy, and NZ Employment Rights guide provided by Blackbird Orchard / Xpera Limited before ticking the boxes below.
I have read and agree to the Human Rights Policy
*
I have read and agree to the Human Rights Policy
I have read and agree to the Dispute Resolution Policy
*
I have read and agree to the Dispute Resolution Policy
I have read and understand my New Zealand Employment Rights
*
I have read and understand my New Zealand Employment Rights
Worker Representation
How would you like to be represented for workplace matters?
*
Amalgamated Workers Union NZ (AWUNZ)
Another union or representative (please specify)
No representation preferred
If you selected another representative, please provide details
Submit
Should be Empty: