SAFETY & HEALTH INDUCTION CHECKLIST

EMPLOYEE NAME :
IC / PASSPORT NO. :
COMPANY NAME :
DATE :
All visitor, subcontractor worker, supplier or any parcitipate shall receive Safety
And Health induction upon visiting Utracon Construction Sdn Bhd covering the
items below as a minimum. there may an additional detail/material as their
needs if require.
INDUCTION CHECKLIST
SAFETY DISPLINARY ACTION.
I have been made aware that failure to follow established rules,
procedures and safety signs is inviting accidents. I understand that
UTRACON CONSTRUCTION SDN BHD / UTRACON STRUCTURAL
SYSTEM SDN BHD is commited to safety and safety rules will be
enforced through progressive displine.
PERSONAL PROTECTIVE EQUIPMENT (PPE).
I understand that the PPE is required for my job.
I understand the hazards my PPE will protect meagainst.
I understad that i am required to wear my PPE correctly, every
time and NO EXCUSES will be accepted.
VEHICHE PARKING AND DRIVING.
I understad that i must maintain my speed limit under 15 km/h.
I understand that i must parking at designated area only.
SAFETY RISK AND HAZARDS.
I understand that it is never acceptable for me to take shortcuts,
ignore near misses, or engage in horseplay.
I understand that sush activities as listed above will put me as well
as others at risk.
I understand that all safety hazards are to be reported
immediately, so that they may be immediately addressed.
WORK ZONE SAFETY.
I understad that i am required to keep my work area clean.
I understad that i need to make sure all equipment that i used is in
a good condition and funtional well.
I will abide by good housekeeping practices.
ASSEMBLY CHECKPOINT.
I understad that i know where is the assembly checkpoint and the
safe route/ path to go there.
I HEREBY STATE THAT I HAVE FOLLOWED SAFETY AND HEALTH INDUCTION
AND PROMISE TO FOLLOW THE INSTRUCTIONS GIVEN AND ALL THE SAFETY
RULES THAT HAVE BEEN ESTABLISHED.
I STATE THAT ALL INFORMATION PROVIDED IS TRUE AND ACCURATE.
Inducted By: Induction Received By:

Name: Name:
Position: Position:
Date: Date:
 SAFETY & HEALTH INDUCTION CHECKLIST

EMPLOYEE NAME :
IC / PASSPORT NO. :
COMPANY NAME :
DATE :

All visitor, subcontractor worker, supplier or any parcitipate shall receive Safety
And Health induction upon visiting Utracon Construction Sdn Bhd covering the
items below as a minimum. there may an additional detail/material as their
needs if require.

INDUCTION CHECKLIST

SAFETY DISPLINARY ACTION.

I have been made aware that failure to follow established rules,
procedures and safety signs is inviting accidents. I understand that
UTRACON CONSTRUCTION SDN BHD is commited to safety and
safety rules will be enforced through progressive displine.

PERSONAL PROTECTIVE EQUIPMENT (PPE).

I understand that the PPE is required for my job.
I understand the hazards my PPE will protect meagainst.
I understad that i am required to wear my PPE correctly, every
time and NO EXCUSES will be accepted.

VEHICHE PARKING AND DRIVING.

I understad that i must maintain my speed limit under 15 km/h.
I understand that i must parking at designated area only.

SAFETY RISK AND HAZARDS.

I understand that it is never acceptable for me to take shortcuts,
ignore near misses, or engage in horseplay.
I understand that sush activities as listed above will put me as well
as others at risk.
I understand that all safety hazards are to be reported
immediately, so that they may be immediately addressed.

WORK ZONE SAFETY.

I understad that i am required to keep my work area clean.
I understad that i need to make sure all equipment that i used is in
a good condition and funtional well.
I will abide by good housekeeping practices.

ASSEMBLY CHECKPOINT.
I understad that i know where is the assembly checkpoint and the
safe route/ path to go there
 I HEREBY STATE THAT I HAVE FOLLOWED SAFETY AND HEALTH INDUCTION
AND PROMISE TO FOLLOW THE INSTRUCTIONS GIVEN AND ALL THE SAFETY
RULES THAT HAVE BEEN ESTABLISHED.

I STATE THAT ALL INFORMATION PROVIDED IS TRUE AND ACCURATE.

Inducted By: Induction Received By:

Name: Name:
Position: Position:
Date: Date: