Health, Safety & Environment Induction Checklist

TOPICS COVERED IN INDUCTION COMPLETED

Health, Safety & Environment Policy

Contractor’s Responsibilities
Reporting & Investigation of a Hazard or Incident
General Housekeeping
Emergency Procedures & First Aid
Identifying:
- Location of Emergency exit stairs
- Location of Fire Extinguishers
- Location of Warden & First Aid List
- Location of staff room/kitchen
- Location of toilets

By returning this form, you are acknowledging that you have been provided with information
relevant to each topic listed above. You further agree to adhere to the company HSE policies
& procedures and will comply with any reasonable HSE instruction given by management or
their representatives.

Company: …………………………………………………………

Contractor Name: .....................................................................................

Contractor Signature: ..............................................................................

Date: ...............................

www.infosys.com Version No 1.0 Version date: 15/04/2013