Free Safety Induction Checklist Template
Safety Induction Checklist
General Information
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Field |
Details |
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Name of Employee/Contractor: |
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Position: |
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Date of Induction: |
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Inductor’s Name: |
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Site/Location: |
1. Introduction to Safety Policies
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Checklist Item |
Completed (✓) |
|---|---|
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Explanation of the organization’s safety policies |
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Overview of employee rights and responsibilities |
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Introduction to the safety officer/representative |
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2. Emergency Procedures
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Checklist Item |
Completed (✓) |
|---|---|
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Review of emergency evacuation routes |
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Location of assembly points |
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Procedures for reporting emergencies (fire, medical, etc.) |
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Review of emergency contact numbers |
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3. Personal Protective Equipment (PPE)
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Checklist Item |
Completed (✓) |
|---|---|
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Explanation of required PPE for specific tasks |
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Demonstration of how to properly use PPE |
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Distribution of PPE items (if applicable) |
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4. Hazard Identification and Risk Assessment
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Checklist Item |
Completed (✓) |
|---|---|
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Overview of common workplace hazards |
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Procedures for reporting hazards |
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Importance of conducting risk assessments |
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5. Safe Work Practices
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Checklist Item |
Completed (✓) |
|---|---|
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Introduction to safe handling of equipment and materials |
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Review of manual handling techniques |
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Training on specific machinery or tools (if applicable) |
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6. Health and Safety Reporting Procedures
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Checklist Item |
Completed (✓) |
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Explanation of how to report injuries or near misses |
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Overview of incident investigation processes |
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7. Site-Specific Information
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Checklist Item |
Completed (✓) |
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Review of site-specific hazards (e.g., chemicals, noise, etc.) |
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Introduction to first aid facilities and personnel |
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Review of site rules and regulations |
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Acknowledgment
By signing this checklist, you acknowledge that you have received the safety induction training and understand the safety protocols and procedures relevant to your work environment.
Employee Signature:
Date:
Inductor Signature:
Date:
Additional Notes
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Any additional training sessions required: |
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Follow-up date for refresher training: |
This Safety Induction Checklist can be tailored to meet specific organizational needs and should be reviewed periodically to ensure compliance with evolving safety regulations and standards.
