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Induction Form

The Safety Induction Form outlines essential safety information and regulations for employees, including site rules, personal protective equipment requirements, and emergency procedures. It emphasizes the importance of safety compliance and reporting unsafe conditions. Employees must acknowledge their understanding of safety protocols and confirm possession of necessary PPE.

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bhattimuhammad254
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277 views1 page

Induction Form

The Safety Induction Form outlines essential safety information and regulations for employees, including site rules, personal protective equipment requirements, and emergency procedures. It emphasizes the importance of safety compliance and reporting unsafe conditions. Employees must acknowledge their understanding of safety protocols and confirm possession of necessary PPE.

Uploaded by

bhattimuhammad254
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

SAFETY INDUCTION FORM

First Name: Last Name: Date of Induction:


Designation: Contact No Company Name:
Iqama No: Iqama Expiry Date: Occ. As per Iqama:
Manager Name Manager Contact: Company ID No:
Covid Vaccinated – Yes/No: Company Accommodation: Yes/No:
I. Introduction:
a. Complete site information and current works details
b. General information of Welfare facilities and detailed information of welfare facilities locations.
II. BASIC SAFETY INFORMATION
a. MMR site rules and regulations according to KSA code of Safety
b. MMR required SAFETY FIRST at all the time.
c. HSE Organization, HSE Policy Statements & HSE Procedure at site.
d. Importance of Personal Protective Equipment.
e. General Safety Sign information
f. First Aid facilities and Location of first aid room
g. Work at height safety requirements
h. Electrical Hazards and safe working methods instruction
i. Safe use of Plant and equipment
j. Housekeeping
k. Smoking regulations at site and office
l. Fire prevention and use of fire extinguishers
m. Emergency contact number and Emergency procedures and Emergency Assembly points locations
n. Reporting unsafe condition, unsafe acts, injuries, incident, and accident to safety immediately.
o. Environmental and waste disposal procedure.
p. Safety awards and incentive schemes
q. Safety violation procedure and site security rules.

Mandatory PPE Sign

PPE as required but not limited to. Sign

Declaration: I do confirm that I have personal protective equipment like safety helmet, safety shoes, safety harness, safety
goggles (glasses), safety gloves, etc. The safety indicator has briefed all the above safety points to me and I understood all the
site safety rules and guidelines and I promise to follow it at all time and I will report to safety team if I pressurized by my team
for any unsafe work and if I found any unsafe condition, I will report to SAFETY Team.

Employee NAME: Signature: Date: -

Conducted By:- Designation: - Signature: -

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