Induction form

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Induction Letter

Contractor's Business Name*

Have read and understand the Maatouk Constructions Pty Ltd WHS Management Plan, in its entirety and agree to comply with all conditions, site rules and requirements as stated therein when on site.

Yes

Verify that all workers / PCBU’s engaged by me who will be performing work on Maatouk Constructions Pty Ltd sites have successfully completed the relevant General Construction Induction and have attached the relevant records.

Yes

Have attached a copy of Licences for prescribed occupations

Yes

Certificates of currency for insurances: Public Liability Work Cover Personal Sickness & Accident Insurance

Yes

Insurance Information Sheet

Yes

Safe Work Method Statements for any High Risk Construction Work that myself, my workers or PCBU’s engaged by me will be undertaking

Yes

Hazardous Chemicals Register together with all relevant SDS’s

Yes

Records providing evidence of testing and tagging

Yes

Confirm that a first aid kit satisfying the relevant requirements will be provided on site.

Tick

Acknowledge that I will be responsible for payment of any fines or costs incurred as a result of failing to comply with my safety obligations.

Tick

I have contacted Maatouk Constructions Pty Ltd or HIA Safety Services to clarify any information contained in the WHS Management Plan.

Yes

Signature

Date

Please complete the following and answer with Yes/No where completed / acknowledged.This information is required prior to commencement on Maatouk Constructions Pty Ltd sites.

WHS Management Plan for Construction Sites

WHS information

CONTACTS

86 Ada Norris Av, Denman Prospects , ACT 2611

0424 490 009

info@buildersRus.com.au

Induction Letter

CONTACTS

ADDRESS