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Induction Form

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PROPOSED 4.

99 MWAC GROUND-MOUNTED SOLAR PANEL


AT JALAN TIKU KUBOTA, TAWAU, SABAH.
HEALTH, SAFETY & ENVIRONMENTAL

SAFETY CHECKLIST

PROJECT :
INDUCTION CHECKLIST
Location :
Name of Employee :
IC / Passport No :
Company :
Induction Date :
Trade/Designation :
Supevisor :
Work Permit Co. :
Agent Name/Ctc :

RESPONSIBILITY & ACCOUNTABILITY


- Occupational Safety & Health Act 1994
Section 24 Section 25
COMPANY'S SAFETY & HEALTH POLICY STATEMENT
Copy of Safety & Health Policy Statement
GREEN CARD (CIDB)
Green Card Valid Until Expired / No CIDB

PERSONAL PROTECTIVE EQUIPMENT PROVIDED / USED / BRIEF


Safety Helmet Welding Shield
Safety Shoes Dust Mask
Safety Harness Respirator
Eye Protection Gloves
Ear Protection Others
HAZARD IDENTIFICATION, RISK ASSESSMENT & CONTROL
Working at Height Welding
Lifting Slings Confined Space
Electrical Working Platform
Plant / Equipment Access / Egress
Material Storage Housekeeping
Excavation Working at Edge
Lifting Operation Hacking Activity
OTHERS
Accident Report Drugs & Alcohol
ERP Health & Welfare
Fire Prevention Security
Personal Hygiene Others
I have received a Safety Induction on the above mentioned items and topics and duly acknowledge and confirm that I understood
them and shall comply with the safety requirements on this project.

Important! Employees are required to have valid documents before starting a job!

IC IMM PASSPORT NO DOCUMENT

Remarks

Attendee: Safety Induction by:

Name: Name:
Date: Date:

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