Appendix 5(1)

SAFETY INDUCTION RECORD

Project: Location:
Date/Time: Sub-Contractor:
Conducted by: Designation:
Signature: Signature:

Mark (x) on topics briefed

A. Personal Protective Equipments G. Vehicles/Plant/Machinery
Safety Helmet Rules & Regulations
Safety Shoes/Boots Transportation of workers
Safety Belts/Harness Riding on Construction Machinery
Gloves Operating Competency/Authority
Safety Glasses/goggles/shields Maintenance & Inspection
Respiratory Protection Speed Limits/Parking
Safety Vest/Clothing/Apron Restricted Areas
Ear Plugs/Muffs Machine Guard
B. Personal Safety and Health Signalman
Safety & Health Awareness Certificate of Fitness (PMA/PMT)
Health/Hygiene/Cleanliness H. Equipments and Tools
Neat Clothing/Hair Power/Electrical Tools
Accomodation Hygiene Pneumatic Tools
Toilet Facilities Inspection & Service
C. Security/Ennvironment Competency/Authority
Workers Registration/Security Pass Inspection & Storage
Accomodation Registration & Pass Guards & Covers
Environmental Awareness I. Scaffold and Platform
Chemical Storage & Disposal Ladder & Stepladder
D. First Aid Placement & Securing/Stability
Location & Procedure Loading
Responsible Person Guards & Railings
Available Facilities Access & Catwalk
Reporting & Records J. Confined Spaces
E. Fire Prevention Excavation/Trenches/Shoring
Fire Prevention Measures Access & Egress
Explosives & Flammables Emergency Escape / Route
Smoking Lifelines
Fire Hazards Standby Watchman
F. Housekeeping Toxic Gaseous
Rubbish Bins Oxygen Deficiency
Workplace Tidiness Baricades & Signage
Littering K. Safety Facilities/Attitude
Proper Storage & Access Openings & Covers
Protruding Nails Baricade & Fall Prevention
Safety Reports Overhead Protection
Weekly Reports Safety Signage
Monthly Toolbox Meeting
Register and sign on attached attendance List
 Appendix 5(2)

Safety and Health Induction Attendance Record

PROJECT: DATE/TIME: DURATION:
CONDUCTED BY: SIGNATURE:
REFERENCE MATERIALS: INDUCTION TRAINING MATERIAL

Particulars of Participants
No. Name IC/Passport No. Company Title CIDB Green Card No. Expiry Signature
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