MBA SA Apprentices Site Induction Form
Name:
*
Job Address:
*
Host Name:
*
Do you have the correct PPE for the tasks?
*
Hard hat
Safety glasses
Safety footwear
Long sleeved shirt
High visibility vest
Gloves fit for task
Ear protection
Protective clothing / hi vis
Other
Have you been shown what to do in an emergency and identified the location of :
*
Assembly point and evacuation route?
Closest medical facility?
Contact details of emergency services?
Have you been shown and explained
*
The location of first aid facilities and first aid kits?
Who the first aiders are and how to obtain treatment?
Have you been shown where the amenities ( including toilets and drinking water ) are located?
*
YES
NO
Has it been explained to you the procedures for reporting incidents, injuries and accidents?
*
YES
NO
Have you been trained at Trade School to use any tools & equipment specific to your tasks
*
Yes
No
If no, have you completed a VOC for the following equipment using the Master Builders app?
Drop saw
Nail gun
Drills
Circular saws
Reciprocating Saw
Thickenesser
Quick Cut Saw
Grinder
Jack Hammer
Brick Saw
Disk Sander
Leg Rammer
Have the site health & safety rules been explained?
*
YES
NO
Have you been given the opportunity to ask questions about your responsibilities and to have any issues clarified?
*
YES
NO
Have you been shown how to use and set up scaffolding properly?
*
YES
NO
Are there any hazards on or near the site such as power lines, roadworks, etc.?
*
State the hazards and how they are being controlled
Have you been shown the appropriate safe manual handling for the tasks being done?
*
YES
NO
Are all leads and tools tested and tagged?
*
YES
NO
Apprentice Signature
*
Submit
Should be Empty: