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