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1 HSE Induction Form

The document is an HSE induction form for a new employee. It outlines 14 checklist items that the employee must review as part of their health, safety, and environmental induction. This includes policies, facilities, personal protective equipment, permits, driving procedures, blasting safety operating procedures, emergency procedures, and incident reporting requirements. The employee signs the form to confirm they have been inducted on these important HSE topics.

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noorulaminhse
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162 views1 page

1 HSE Induction Form

The document is an HSE induction form for a new employee. It outlines 14 checklist items that the employee must review as part of their health, safety, and environmental induction. This includes policies, facilities, personal protective equipment, permits, driving procedures, blasting safety operating procedures, emergency procedures, and incident reporting requirements. The employee signs the form to confirm they have been inducted on these important HSE topics.

Uploaded by

noorulaminhse
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Doc. No.

:HSE/FR-001
Rev.: 00
HSE INDUCTION FORM Page 1 of 1

Name and Badge No: ______________________

Job title: ______________________

Emergency Contact # ______________________

Company: ______________________

Date: ______________________

Induction Check list


1.HSE Policies. 8.Medical facilities
Commitment to HSE Location of clinic & introduction to medic.
Prevention of Injuries Location of first aid kits & stretcher
Zero damage to Environment Reporting of illness & injury
No use of drug & alcohol at
work/premises
9.Communications
2.Camp layout & facilities VHF radio
Location of offices & camp facilities Telephone
Restricted areas (Power House ） Emergency procedure
workshops/Gen./ Fuel Storage)
10.Environment
Littering
3.PPE waste procedure
PPE required areas spill procedure
Special PPE requirement
Briefing about adequate PPE available
11.Fire prevention
4.Ignition sources Location of fire instructions
Use of mobile phone/restricted areas Location of assembly point
Use of camera with flash Location of fire alarms
Smoking/other igniting sources. Emergency exits available
5.Permits 12.Incident reporting
Types of Permits Accident & incident reporting procedure
Required certificates Reporting of unsafe acts and conditions
6.Beware 13.Driving
Wild Animals Speed limits
7.Communicable Diseases Use of seat belts
HIV/ Aids/ COVID19 14.Blasting SOPs
Hepatatis B&C Don't cross the blasting barricaded area
Don't use Mobile while charging
Don't parking vehicle near charging

When siren alarm start for blasting everyone shold go to assembly point

Inducted by:
Sign:
Signature of the person inducted person

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