Temporary Worker Induction Log Sheet

Worker Details
Full Name Date
Job Title/Role Site/Location
Supervisor Agency
Induction Topics
Topic Covered Notes
Site rules & procedures
Health & safety information
Emergency exits & assembly points
First aid arrangements
Use of PPE
Accident & incident reporting
Hazard awareness
Other (specify)
Declaration

I confirm that I have completed the induction and understand the information provided.

Worker Name
Signature
Date
Supervisor Name
Signature
Date