Health and Safety Induction Checklist

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COPY No :5 DOCUMENT TYPE : INDUCTION DOCUMENT NUMBER :

REVISION No : 3 SUBJECT : INDUCTION FORM SHE 15

COMPILED BY : SHE Officer


DATE: 02-02-22
REVIEWED BY : SHEQ DEPARTMENT
STATUS : CURRENT
AUTHORIZED BY : OM

HEALTH AND SAFETY INDUCTION CHECKLIST


ISSUES TO BE EXPLAINED Highlight Issues
Company profile -Background Information
-Hierarchy
SHE Policy and Safe -Job description and responsibility
Work Procedure -Risk assessments & job hazards
-Safety prohibitions
-issues of personal protective equipment (PPE)/ clothing.
Incident Reporting -procedure for employee incidents and non-work
incidents (off job)
*no minor incident
Health Issue of -Pneumoconiosis (respiratory diseases),if any highlight
employee -Sick leave / absent procedure
Emergency -Action to take in an event of a fire or an emergency
procedures and -location of call points, assembly points , First Aid Box
First aid
Welfare facilities -Toilets
-Morning SHE meeting room and workshop
-Canteen
-Smoking area
-Break and lunch
Discipline Issues -Work relations, rights
and Payment -Working hours , breaks
methods -Punctuality
-Means of payment & payment dates
Security Issues -Security procedure
-Visitor procedure
Other -Emergence Contact details ( Absenteeism, Illness,
Personal Information)
-AIDS programs
-Gender equality
-Housekeeping
-Occupational Health Arrangements

Full Name & Job Title Start Work Health Issues Signature
surname (Medical condition )

SHE Officer / Inductor : ……………………………………….. Signature:……………………


COPY No :5 DOCUMENT TYPE : INDUCTION DOCUMENT NUMBER :
REVISION No : 3 SUBJECT : INDUCTION FORM SHE 15

COMPILED BY : SHE Officer


DATE: 02-02-22
REVIEWED BY : SHEQ DEPARTMENT
STATUS : CURRENT
AUTHORIZED BY : OM

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