FLEXIPACK LIMITED EMPLOYEES/VISITORS OHSE INDUCTION PERSONAL INFORMATION NAME: FACILITY: DESIGNATION: ID NO: STATUS: DATE INDUCTED: INTRODUCTION Welcome To Flexipack Limited, Agbara. HEALTH, SAFETY & ENVIRONMENT INFORMATION FLEXIPACK OHSE Policy & Commitment OHSE Management Structure and objectives Security Policy Smoking, Drug & Alcohol Policy Location of the nearest OHSE Notice board Housekeeping / Personal hygiene Driving / Speed Limit Training Mandatory PPE Requirements Government Regulations / Client Requirements Consequence Management EMERGENCY RESPONSE Procedure to follow, Fire Escape route, Exit from the building, Muster Point Location of toilet, Rest rooms General Site Alarm Location of, Instruction on and types of Fire extinguishers Information on first aid box and first responders / site clinic OHSE Personnel and Emergency responders contact details RISK ASSESSMENT Information on Flexipack Limited Site Rules SOP(s) relevant to their job Communication on identified workplace Hazard, Responsibility and Reporting Communication of significant Environmental Aspect Restricted Areas INCIDENT/UNSAFE ACT/UNSAFE CONDITION Reporting Obligation to INTERVENE in a work that is unsafe I………………………………………………………………………………………, hereby acknowledge that I have been inducted on the above listed topics and I understand the topics listed in Flexipack Limited induction form. Sign …………………………. Date ……………………… Suggestion /complaint/comments:------------------------------------------------------------------------------………………………………………………………………………………………………………………………………………………….. Inducted by……………………………………………….. Sign…………………………..Date...................... YES NO