ELT Rubber – New Employee Onboarding

Health & Safety Induction Checklist

Permanent Worksite

Inductee Details

Surname

First Name(s)

Employment Type

Worker Labour hire worker Contractor Volunteer / Visitor

Manager

Department / Supervisor assigned to

Date Commenced

Inductee Item Checklist — Page 1

Inductor and worker to initial when each item is completed.

Item	Status	Inductor	Worker

Inductee Item Checklist — Page 2

Item	Status	Inductor	Worker

Declaration

I acknowledge that I, the undersigned, have been advised on all of the above listed items and understand the points discussed. Where appropriate, I also undertake to use and have been instructed in the correct usage of Personal Protective Equipment (PPE). I accept that compliance to safe work practices is a condition of my continued employment and also a requirement under the WHS legislation.

Worker's Name (print)

Worker's Signature *

Inductor's Name (print)

Inductor's Signature

Worker Date

Inductor Date

Skills Assessment

#	Skill	Competent?	Further Training?	Comments

Final Assessment

Worker has demonstrated competency in all skills and requirements

Worker requires further training and mentoring

Comments

Supervisor Signature

Worker Signature (Final)

Employee / Contractor Details Form

Health & Safety Induction Checklist

Declaration

Skills Assessment

Final Assessment