C N H CONSTRUCTION (M) SDN. BHD.

Health, Safety & Environmental Induction Training

Project Name: Date:

Company Name: Trade of Work:

1.0 Occupational Safety & Health Act 1994 (OSHA – Act 514):

1.1 [ ] Section 15 1.4 [ ] Section 18 1.7 [ ] Section 26 1.10 [ ] Section 30

1.2 [ ] Section 16 1.5 [ ] Section 24 1.8 [ ] Section 27 1.11 [ ] Section 31
1.3 [ ] Section 17 1.6 [ ] Section 25 1.9 [ ] Section 29 1.12 [ ] Section 32

2.0 [ ] Factories and Machinery Act 1967 (FMA - Act 139)

3.0 [ ] Environmental Quality Act 1974 (EQA – Act 127)

4.0 [ ] Lembaga Pembangunan Industri Pembinaan Malaysia Act 1994 (CIDB – Act 520)

5.0 [ ] Immigration Act 1959/63 (Act 155)

6.0 QESH Policy & Objective:

6.1 [ ] HSE Policy Statement & Objective 6.2 [ ] HSE Manual & Procedures

7.0 Competence Cert / Cert. of Fittness / Passport / Working Permit / CIDB Green Card:

7.1 [ ] Competence Cert. 7.2 [ ] Cert. of Fitness 7.3 [ ] Passport 7.4 [ ] Working Permit 7.5 [ ] CIDB Green Card

8.0 Personal Protective Equipment Provided / To be used:

8.1 [ ] Safety Helmet 8.4 [ ] Ear Plug / Muff 8.7 [ ] Dust Musk 8.10 [ ] Reflective Vest
8.2 [ ] Safety Boots 8.5 [ ] Eye Protection 8.8 [ ] Respirator 8.11 [ ]
8.3 [ ] Safety Belt / Harness 8.6 [ ] Welding Shield 8.9 [ ] Safety Gloves 8.12 [ ]

9.0 Hazard Identification, Risk Assessment & Determining Control / Environmental Aspects Impacts:

9.1 [ ] Definition Hazard, Risk & Danger

9.2 [ ] Type of Hazard (Physical, Biological, Chemical & Psychosocial Hazards)
9.3 [ ] Hierarchy of HIRADC (Hazard Identification, Risk Assessment & Determining Control)
9.4 [ ] Environmental Aspects & Impacts
9.5 [ ] Waste Management
9.6 [ ] 3R – Reduce, Reuse & Recycle
9.7 [ ] Natural Resources / Energy Saving (water, electrical & fuel)

10.0 Work Activities:

10.1 [ ] Carpenter / Form works 10.9 [ ] Metal & Aluminum Works 10.17 [ ] Working at Height
10.2 [ ] Bar Cutting / Bending Works 10.10 [ ] Door / Window Works 10.18 [ ] Lifting Works
10.3 [ ] Concreting Works 10.11 [ ] Painting Works 10.19 [ ] Excavation Works
10.4 [ ] Plumbing Works 10.12 [ ] Cutting / Grinding Works 10.20 [ ] Scaffolding Works
10.5 [ ] Tiling & Timber Flooring Works 10.13 [ ] Welding / Hot Works 10.21 [ ] Concreting Works
10.6 [ ] Brick Works 10.14 [ ] Electrical / Wiring Works 10.22 [ ] Housekeeping / Material Arrangement
10.7 [ ] Plastering Works 10.15 [ ] Hand & Power Tool 10.23 [ ] Chemical Handling
10.8 [ ] Roofing Works 10.16 [ ] Machineries 10.24 [ ] Other ………………………..

11.0 Others:

11.1 [ ] ERP / Evacuation Procedures 11.5 [ ] Accident Reporting 11.9 [ ] Security

11.2 [ ] First Aid / Medical Facility 11.6 [ ] Accommodation 11.10 [ ] Penalties
11.3 [ ] Housekeeping & Personal Hygiene 11.7 [ ] Discipline / Culture / Religion 11.11 [ ]
11.4 [ ] Health & Welfare 11.8 [ ] Drugs & Alcohol 11.12 [ ]

12.0 ESH Audio & Video Presentation: [ ]

Language Used: [ ] Malay; [ ] English; [ ] Chinese; [ ] Other:…………………….

I hereby acknowledge to have received a ESH Induction in the language I understand. I duty acknowledge and confirm that the above mentioned
items and topics have been covered in the induction attended by me.

Inducted by: …………………….. Signed by: …………………………

Name: …………………….. Name: …………………………