Date MM DD YYYY Site Address * Name * First Name Last Name Phone * (###) ### #### Emergency Contact * Emergency contact Phone * (###) ### #### White card number Employment * Employee Sub-contractor Visitor Do you have the required PPE? * Yes No Have you been explained the following? * Site layout & facilities First-aid & emergency procedures Incident reporting procedures SWMS ( safe work method statements ) Have you read the site safety briefing? * Yes No Inductee Inital * Thank you!
