DRIVER & OPERATOR HSE SITE INDUCTION CHECKLIST

JOB SITE EMPLOYEE NAME

CONTRACTOR POSITION
DATE INDUCTED BY
INDUCTION CHECKLIST
TICK
I have been instructed and I understand the T&D Cleaners
Limited Fundamental Life saving Rules.
I understand that carrying an unathorised number of
passengers is violation of the law
Driving Safety Rules
I have been instructed on who to call in case of an emergency

I have been introducted to my supervisor

I have been made aware that failure to follow established

Safety Disciplinary Action
Personal Protective Equipment
rules, Procedures and safety signs is inviting accidents, I
understand that T&D Cleaners Limited is committed to safety
rules and will be enforced through progressive discipline,
except where T&D safety rules are violated where dismissal
may be immediate, after violation proof through investigation
I understand the PPE that is required for my job.
I understand the hazards my PPE protects me against
I understand that Iam required to wear my PPE correctly,
everytime and no excuses will be accepted
I understand the substances, I will be carrying or handling
MSDs sheets have been discussed for I will use.

Handling of Hazardous Material I understand the safe handling procedures for the hazardous
materials

I understand emergency procedures in case of a spill

I understand that stationery vehicles should have their parking

brake applied and left in gear for precaution
Vehicle Parking
I understand that if a Vehicle cannot be left in gear, wheel
chokes should be used front and rear
I understand that reverse parking is a must.
I understand that I must only drive a vehicle that iam
authorized and trained to use
I understand that I must maintain my assigned vehicle
everyday and prior to each use
Vehicle Driving
I understand that I must follow the highway code and respect
other motorist and predestrians

I understand that I MUST use signals at all times while driving.

 I understand that its never acceptable for me to take shortcuts
ignore near misses or engage in horseplay

Safety Risk I understand that it is not acceptable to dispose waste in an

unauthorized facility or area and violation of this, is punishable
by law, and can lead to severe consequences
I understand that such activities as listed above will put me as
well as others at risk

Safety Hazards I understand that all safety hazards are to be reported and
addressed immediately
Accident Reporting I understand accident reporting procedures
I understand that Iam required to keep my work area and
vehicle clean
Work Zone Safety I will abide by good housekeeping practices
I understand that wandering around site is not allowed, I must
stay within the designated driver safety zone.

I certify that:
I have been inducted onto site and provided a copy of the Traffic Management Plan. I understand the
T&D Cleaners Site Rules, Traffic Site requirements and directions may result in my being refused entry to the
site. I agree to permit an authorized T&D Cleaners representative to view my logbook/work diary on request.

Driver's Name………………………………………………………….. Signature…………………………………………………………….

Driver's Mobile Number…………………………………………… Driving License No………..……………………………………

Inducted By……………………………………………………………….. Signature……………………………………………………………

Managing Director……………………………………………………. Signature………………………………………………………….