LOCAL WORKPLACE SAFETY

INDUCTION RECORD

Supervisors must ensure workers are inducted into their workplace prior to commencing work. This checklist can be used to induct both
individuals and groups. Upon completion it is to be retained as evidence of induction and a copy given to inductees. Further information
is available at www.safety.uwa.edu.au/induction-and-training. Referenced documents below can be opened via the hyperlinks.

Most documents hyperlinked below will apply to UWA workers even when not working on campus. Where a local equivalent document
or process exists it is acceptable to use that instead provided that it is relevant to that workplace and it meets the same standards as
the UWA equivalent.

WORKPLACE: DATE:

NAME or ACTIVITY:

FOR A GROUP INDUCTION, INDICATE THE ACTIVITY THEY ARE BEING INDUCTED TO PERFORM THEN LIST INDIVIDUAL NAMES IN SECTION 6

1. HAZARDS, INCIDENTS AND EMERGENCIES 

Emergency procedures including local health and safety personnel and emergency telephone number (within UWA show a copy of
the emergency procedures booklet). Show the location of the Building Safety Personnel Poster containing emergency contact
information. This should be prominently displayed.
Verify the location of first aid boxes and fire extinguishers.
Explain and show the exit routes and assembly areas.
2. SAFETY PERSONNEL ROLES AND RESPONSIBILITIES 
Introduce the following personnel and explain their safety roles and responsibilities, where applicable:
Head of School, Director or Senior manager Building Warden
School Safety Officer Area Warden
Health and Safety Representative School Radiation Safety Officer
First Aid Officer School Biological Safety Officer

3. GENERAL INFORMATION 
The worker has completed the UWA online Health and Safety Induction for Staff
Ensure that existing personal health status, where relevant to the work, has been disclosed so that any required, specific needs
can be accommodated. This includes any allergic reactions or conditions for which assistance could be required.

4. WORKPLACE SPECIFIC INFORMATION 

Provide a copy of the local health and safety manual, indicate the location of the local rules section.
Discuss known workplace hazards and procedures with reference to use of vehicles, plant, equipment, hazardous substances.
Indicate location of the section’s Safety and Helath Risk Register and its relevance to the workplace.
Provide Standard Operating Procedures, relevant Method Statements and determine competence (Section 5)
Provide and discuss proper use and care of any personal protective equipment (PPE) to be used in the workplace.
Discuss access restrictions (e.g. controlled access laboratories or workshops), working alone and after hours working.
Assist in obtaining any necessary certificates, permits, licences or other training as required.

5. FURTHER INFORMATION, INSTRUCTION OR TRAINING REQUIRED PROVIDER BY (DATE)

Workplace Specific Health and Safety Induction Record Published: October 2016 Version 1.7
Authorised by UWA Safety and Health Review: October 2018 Page 1 of 2
This document is uncontrolled when printed - the current version is on the Safety and Health website
6. INDUCTEE DECLARATION (can only be signed upon completion of outstanding actions in section 5)
I will comply with the UWA Work Health and Safety Policy and associated Safe Systems of Work. I acknowledge receipt of this health
and safety induction and have received the necessary information, instruction and training required to enable me to work safely.
Name(s): Signature(s): Name(s): Signature(s):

SUPERVISOR ENDORSEMENT
Name: Signature:

Workplace Specific Health and Safety Induction Record Published: October 2016 Version 1.7
Authorised by UWA Safety and Health Review: October 2018 Page 2 of 2
This document is uncontrolled when printed - the current version is on the Safety and Health website