Site Induction - 44 Farnell Street, Hunters Hill NSW 2110

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Please fill out this site induction before entering the site.

Site Rules *

Please tick when you have read the site rules above.

Required

Location of Facilities, Noticeboards and Emergency Assembly Point *

Please tick when you have viewed the location of facilities, noticeboards and Emergency Assembly Point above.

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Emergency Contacts

• FOR ALL LIFE THREATENING EMERGENCIES CALL 000

• SITE EMERGENCY CONTACT - ANDREW GREEN 0423 841 380

• ANY ON SITE INJURIES- VICKY LYDON 0401 800 566

Your Full Name *

Your Phone Number *

Your Email Address *

What company are you from? *

Do you have a pre-existing medical condition? *

Yes

If yes, please provide details below.

In the past 14 days, have you had any symptoms of COVID-19, been in contact with anyone with confirmed/suspected COVID-19 or any international travelers? *

Yes

Please provide consent to the items below *

I declare that the details above are accurate and correct.

I certify that l have undergone safety induction covering the above points and l have also completed work activity training and training by my employer in the applicable Safe work methods statements

I certify that l have read and signed the applicable safe work method statements

Required

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