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SAFETY INDUCTION FORM

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RAGHAV CONTRACTING. L.L.C.
DATE:
EMPLOYEES SAFETY INDUCTION RECORD SHEET
Client
Main Contractor
Contractor
: Gulf Data Hub (GDH)
: CHC Building Contracting
: Site & Power DK
Consultant
: Sudlows DMCC
Project name
: Gulf Data Hub Facilities Building 4
Raghav Project No. : 180162
MEP Sub Contractor : Raghav Contracting LLC
Location
: Dubai Silicon Oasis
Raghav Sub Contractor :
Preferred language:
Safety induction topic: General site safety rules & regulations
 Company safety policy
 Usage of personal protective equipment
 Safe manual lifting
 Working safety near the floor/shaft/lift openings
 Safe usage of ladders
 Safe usage of scaffolding
 Safe handling & lifting of materials with crane
 Statutory HSE requirement’s advised
 Fire prevention & fire protection techniques
 Housekeeping at work place
 Health & environmental protection
 Electrical safety
 Fall protection
 Emergency evacuation plan &assembly point
 Traffic management
 First aid treatment
 Others(please specify)
License no. and classification (for drivers and operator only):Participation
I hereby agree to adhere to the occupational HSE policy outlined during the workplace induction and will comply with any
reasonable health and safety induction by workplace management or their representative. I understand and agree that my
failure to comply with the rules and regulations presented during induction and any additional health, safety and
environmental rules and regulations provided are ground for my immediate dismissal from site.
S.N.
PARTICIPANT
DESIGNATION
EMIRATES ID No.
COMPANY
SIGNATURE
1
2
3
4
5
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10
Comments:
INDUCTED BY
NAME
Page 1 of 1
SIGNATURE
DATE
Ref. No.: RAG/HSE/M/FO/001
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