Worker Induction Personal Information Full Name * (First & Last) Email * Company (Employer) * Enter the name of your employer here Company (Employer) * Aligned Concreting Southwest Alumatrix Bay Civil & Hire Bay View Electrics Big Blue Electrical Pty Ltd Calina Investments ATF Heelan Family Trust Calina Investments Pty Ltd as Trustee for the Heelan Family Trust Capel Crane Hire Pty Ltd Choices Flooring Busselton Corrinne Salmon D. Prosser Holdings PTY LTD Dirtworks Earthmoving WA Easton Family Trust Ferguson Roofing P/L G & T Holdings (WA) Pty Ltd GP&CL LAWSON PTY LTD Hastij Corporation Pty Ltd Hot Weld Fabrication Pty Ltd HSCP Pty Ltd Ikon Glass South West Jackson Concrete Polishing LGA (WA) Pty Ltd M & A Contracting (WA) Pty Ltd NCJ Adamson Earthmoving Pty Ltd S&R Tiling Pty Ltd Sapper Civil Spencer Earthworks Pty Ltd The Andrews Family Trust Turner Roofing Solutions W.A. CIVIL PTY LTD WEST COAST DRYWALL PTY LTD West Coast road marking Witchcliffe Electrical Other Company is not listed Trade * Contact Number * Allergies or Medical Concerns Emergency Contact Name * Emergency Contact Number * Prosser Built Safety Documentation Induction & Site Safety Booklet Safety Documentation * I have read a copy of the PROSSER BUILT Induction & Site Safety Booklet and state that I understand its contents and agree to accept the direction of the PROSSER BUILT Supervisors in pursuit of a hazard free work environment. I understand that PROSSER BUILT will have a site specific management plan available on each site and it is my responsibility to ensure that I am familiar with the contents of the SMP upon arrival to site.. Prosser Built Site Rules The following list of rules are non negotiable across all PROSSER BUILT sites. Please confirm that you understand and agree to abide by these rules. Site Rules * I understand that Alcohol and Drugs are not permitted to be consumed on PROSSER BUILT sites and that I am under no circumstances to enter site or undertake works whilst under the influence of Alcohol and/or Drugs. I acknowledge my responsibility to ensure all electrical equipment is maintained in good operating order and tagged in accordance with Reg 3.63, of the OSH Regulations 1996. I understand that all hazardous substances being brought on to site are to have an MSDS. I confirm that I will use PPE when necessary to reduce the risk of exposure to certain hazards. I understand that all high risk work must have a SWMS / JSA / Pre-start Meeting. I agree to display appropriate signage whilst Nail Guns & explosive power tools are in use. I understand visitors are not permitted onsite unless completed an induction or given approval by Supervisor. I acknowledge my responsibility in regard to Housekeeping and agree to maintain a tidy work area at all times. Employer Safety Requirements Confirmation that your company has provided you with safety requirements inline with all OHS and Worksafe standards Employer Safety Requirements * I confirm that my employer has provided me with the relevant training required to undertake my specific work duties. I confirm that my employer has provided me with all relevant SWMS & JSA's required for undertaking any high risk works. I confirm that my employer and I have discussed and agreed the content of relevant SWMS & JSA's. Where appropriate I understand the need to undertake a pre-start meeting to discuss relevant site specific hazards in conjunction with the SWMS & JSA's. High Risk Work Licenses Please upload a photo of all high risk work licenses & tilt certifications White Card * Drop a file here or click to upload Choose File Maximum file size: 10.49MB Licenses High Risk License Safety Work on Tilt Jobs High Risk Work License Drop a file here or click to upload Choose File Maximum file size: 10.49MB Expiration Safety Work on Tilt Jobs Drop a file here or click to upload Choose File Maximum file size: 10.49MB ADMIN Date White card file name High risk file name SWTJ file name Submit If you are human, leave this field blank.