Cleanaway Induction Assessment and Declaration Form - Labour Hir
Cleanaway Induction Assessment and Declaration Form - Labour Hir
Cleanaway Induction Assessment and Declaration Form - Labour Hir
Thank you for taking the time to listen to the Welcome to Cleanaway – induction video!
Please complete the following five questions to assess your understanding of the video information.
o To sustainability create the future for our customers, shareholders, communities and our people
o To make a sustainable future possible for our customers, shareholders, communities and our people
Which of the following are our Cleanaway Values? Please mark four correct answers:
o Stronger together
o We make a difference
o Home safe
o Integrity
We believe everyone deserves to go home safe, every day and we aim for Zero Harm across the company.
Which of the following are expectations of all employees and contractors, to assist with our goal of Zero Harm?
Please mark four correct answers:
o Report any hazards or identified risks and all incidents which cause or could potentially cause injury or
damage
o Carry out your work in accordance with Cleanaway’s safety policies, processes and procedures
o Continue to work if there is a deadline, regardless of whether there is a threat to health and safety
o False
Congratulations!
By signing the below, you acknowledge you have completed watching and understood the Cleanaway induction
video.
PLEASE BRING ALONG A COPY OF THIS ASSESSMENT AND DECLARATION ON YOUR FIRST DAY. PLEASE
PROVIDE TO YOUR CLEANAWAY REPRESENTATIVE.
Cleanaway representative to complete to acknowledge that the answers given by labour hire worker were
correct / corrected accordingly. The labour hire supplier will record the completion. Please retain a copy of this
Assessment and Declaration form.
The labour hire supplier will record the completion. Please retain a copy of this Assessment and Declaration
form.