........................................................................................................................................

(PCBU Name)

Induction Checklist
Worker’s name: ................................................................................................................

Employment start date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Position/job. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Manager/supervisor: ..........................................................................................................

Department/Section: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Explain your business: Explain your work health and safety

administration:
The structure
Consultative and communication processes,
The type of work
including employee health and safety
List and introduce your key people and their representatives
roles:
Hazard reporting, including where to find forms
Manager/owner
Incident /accident reporting procedures,
Supervisor(s) including where to find reporting forms
Co-workers Hazards of work
Health and safety representative(s) Policy and procedures
Fire/emergency warden(s) Roles and responsibilities
Explain their employment conditions: Employee assistance program (EAP)
Name of award or agreement (if relevant) and Workers compensation claims
award conditions
Show your work health and safety environment:
Job description and responsibilities
Safe work procedures (SWPs) List:
Leave entitlements
Notification of sick leave or absences 1. ..............................................................

Out of hours enquiries and emergency 2. ..............................................................

procedures
Time recording procedures 3. ..............................................................

Work times and meal breaks

4. ..............................................................
Explain their pay:
Pay arrangements 5. ..............................................................

Rates of pay and allowances

Emergency plan, procedures, exits and fire
Superannuation extinguishers
Taxation and any other deductions (including First aid facilities such as the first aid kit and
completing the required forms) room
Union membership and award conditions. Information on workplace hazards and controls
Explain your security: Conduct a follow-up review:
Cash Repeat any training required or provide
For each worker and for their personal additional training if needed
belongings Review work practices and procedures with
Show your work environment: the worker

Car parking Ask and answer questions

Eating facilities Comments/follow up action

Locker and change rooms
. .................................................................
Phone calls and message collecting system
Washing and toilet facilities . .................................................................

Work station, tools, machinery and equipment

used for job . .................................................................

Procedures for the workplace buildings

. .................................................................
Explain your training:
First aid, fire safety and emergency . .................................................................

procedures training
. .................................................................
Hazard-specific training (for example, manual
handling, hazardous substances)
. .................................................................
On the job training in safe work procedures
. .................................................................
Job-specific training (for example, if a license
or permit is required)

Induction Acknowledgment
Conducted by (Name): ......................................................... Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: .....................................

Position/Job: ................................................... Worker’s Signature: .....................................

Notes: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. .....................................................................................................................................

Induction review date: ........................................ Review comments: .....................................

Conducted by (Name): ......................................................... Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Signature: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date: .....................................

Position/Job: ................................................... Worker’s Signature: .....................................

Notes: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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