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HSE INDUCTION TRAINING FORM Projec Date Project / Plant overview, Usage of PPEs, Colour coding of helmet, housekeeping, Work at height, Electrical safety, Road safety, Material Topics Discussed: Handling, Welding & Gas cutting safety, Fire Hazards & prevention, General Site safety rules. Name of worker Name of father Name of Agency Designation Date of Birth Age : Village: 7 Post: Permanent Address |PS* Dist: State: Pin: Village: Post: Present Address |PS* Dist: State: : Pin: Date of Induction Emergency Cont. No. (Resi) Emergency Cont. No. (Pers.) Declaration: | hereby declare that the information furnished in the form is true and correct to the best of my knowledge and belief. | attend induction training with satisfactory and abide with all safety rules in this industrial area, Signature of Employee Signature of Inductor Health Safety and Enviroment

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