Site Induction
Project No: 12789
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Project X Doc1
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Site Specific Documents Read and Understood.
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Yes, Site Specific Documents Read and Understood.
No
First Name
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Last Name
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Mobile No
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Email
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Job Description
Apprentice
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Yes
No
Year Level
Business Name / Employer
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Emergency Contact
Name
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Phone
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Language Literacy Written/Spoken: Is an Interpreter Required?
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Yes
No
Name of Business Contracting to:
Phone
Health Information
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White Card
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Date Completed
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MM slash DD slash YYYY
Trade Licence Type
Expiry Date
MM slash DD slash YYYY
DCSI Clearance (Type)
Expiry Date
MM slash DD slash YYYY
Licences for High Risk Work (List Code for Class of Certificate as applicable)
Boom WP
Rigging
Dogging
Scaffold.
Crane
Conc Boom
Hoist
Forklift
Other
Training/Clearance Certification (Tick if submitting Training Certificates)
Police Clearance
Work at Height
SL / BL / VL
Safety Supervisor
Senior First Aid
Confined Space
Electric Power Tool Testing
Explosive Power Tool
CPR Training
Fire Extinguisher
Asbestos Removal
Traffic Management
Other Training and Additional Information
Note: Relevant Competency Documentation must be submitted PRIOR to performing those work activities.
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