High-Risk Activity Worker Induction Checklist

Worker Details
Name Date
Job Role Supervisor
Site/Location Company
Induction Topics
Topic Covered Comments
Site Emergency Procedures
Hazard Identification & Reporting
Personal Protective Equipment (PPE)
Safe Work Method Statements (SWMS)/JSA
Permits Required
First Aid & Incident Reporting
Access/Egress & Exclusion Zones
High-Risk Plant/Equipment Use
Other (specify)
Additional Notes
Worker Name & Signature
Date
Inductor Name & Signature
Date