PROJECT NAME : __________________________

VISITOR’S INDEMNITY REGISTER

CARD
Entry Exit
INDEMNITY SN Visitor DATE NAME OF VISITOR ID NUMBER COMPANY PURPOSE OF VISIT SIGN SIGN
Time Time
NO.
Visitors enter the site at
their own risk. The
Company will not be held
liable for any injury
sustained, damage or theft
of property whilst on site.
All visitors shall take into
account the nature of the
hazards that might be
encountered on the site.

He / She undertakes to
wear the required Personal
Protective Equipment
before entering the site
premises.
No persons who seem to be
under the influence of
intoxicants shall enter
these site premises.
By accepting this indemnity
policy, all visitors:
1) Acknowledge compliance
to all Legislative
requirements before
entering the site.
2) Agree to obey all
requests and instruction
given by ABC supervisory
employees while visiting
the site
3) Will not interfere with
the works or workers
engaged at the works
4) Will comply with any
procedures set out in the
interest of health & safety.

NOTE: ALL VISITORS MUST BE ACCOMPANIED BY A SAFETY OFFICER AT ALL TIMES WHILE ON SITE.