Professional Documents
Culture Documents
Employee name
Job Title
Department
Start Date
Go through each item on the list and tick box if completed. If a subject area has not been dealt with,
enter ‘No’ in the box and be sure to return to it later!
Think safely. Do not do anything that you are not trained to do. Workplaces can be dangerous places. Slips,
trips and falls are a major accident cause. Ensure that your work area is kept clean and tidy at all times.
on
Re-enter name to confirm that a completed copy of this checklist was handed to the new employee
A printed copy of this checklist will be retained in your personnel file. Please sign here to acknowledge
that you have received and understood this induction training.
The first is for use in premises where passenger or goods lifts are used.
Complete the appropriate notice and hand it to the new employee. Destroy the one that is not
required.
© - PBS 2010/2 Employee Health & Safety Induction Training Record Page 4 of 6
Site Personnel with Fire Safety First Aid
Responsibility
FIRE ACTION NOTICE
Responsible Person: Name(s) / Location of nearest
First Aider(s) or Emergency First
Fire Safety Manager: Aider(s)
Raise or sound the
Deputy:
alarm
Fire Wardens/ Marshalls:
999
for Ambulance, Fire or Police
Dial:
Be ready to provide the following information:
* Location of the emergency
* Nature of the incident
Only attack the fire if it * Your name
is safe and you have
Emergency Service Telephone
been trained to do so Location of First Aid Kit(s)
Hospital:
Doctor
Leave by the nearest Ambulance
fire exit
Local Police
Fire Brigade
Location of First Aid Treatment/
Go to the assembly point at Accident Records
Enforcing Authority
HSE or Local Authority:
Gas Service:
Electricity Service:
Do not run
Do not return into the building
Only return when authorised to do so
© 2010/1 Peninsula Business Services Ltd
Site Personnel with Fire Safety First Aid
FIRE ACTION NOTICE Responsibility
Responsible Person: Name(s) / Location of nearest
First Aider(s) or Emergency First
Raise or sound the Fire Safety Manager: Aider(s)
alarm Deputy:
Ambulance
Go to the assembly point at
Local Police
Fire Brigade
Location of First Aid Treatment/
Enforcing Authority
HSE or Local Authority:
Accident Records
Electricity Service:
Do not run
Do not return into the building
Only return when authorised to do so