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Wanangkura Stadium 24-7
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Virtual Tour
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Classes & Times
Class Change Notifications
Class Bookings
Casual Rates
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SALT
Additional Services
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Side Menu: Knowledge Hub
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SportFix
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All Articles
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Start Tour
Aquatics
Aquatic Centres
Hedland Splash
South Hedland Aquatic Centre
Gratwick Aquatic Centre
Watch Around Water
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Programs
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FitCloud™
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Online Forms
Online Form - Contractor Induction Form
Contractor Induction Form
Contractor Details
Full Name
*
Driver's Licence Number
*
Email
*
Company
*
Description of Works
*
Date of Works
*
Estimated Time On-Site
*
Induction Checklist
I understand that all contractors and subcontractors must report to reception and sign-in and out on a daily basis with Port Hedland Leisure
*
Yes
No
Comments:
I understand that contractors must attempt to minimise all interruptions to operations and follow staff directives as long as it be safe to do so
*
Yes
No
Comments:
Organisational overview and site tour has been completed
*
Yes
No
Comments:
Review of the Wanangkura Stadium Emergency Manual has been completed
*
Yes
No
Comments:
I understand the requirement to report all hazards and incidents in line with Town of Port Hedland policy and procedures
*
Yes
No
Comments:
The Emergency Diagram has been reviewed and I have been shown where the emergency exits and muster points are located
*
Yes
No
Comments:
I have been briefed on the location of amenities and first aid facilities
*
Yes
No
Comments:
If necessary, a Risk Assessment (RA), Safe Work Method Statement (SWMS) and/or Job Hazard Analysis (JHA) has been completed and reviewed
*
Yes
No
Comments:
I understand that appropriate PPE and safety measures must be utilised at all times
*
Yes
No
Comments:
Access and exit considerations have been outlined
*
Yes
No
Comments:
Building Maintenance have confirmed all contractors and subcontractors have submitted the relevant qualifications, licences and insurances for the works
*
Yes
No
Comments:
Confirmation
Inducted By
*
Induction Completed On
*
The highlighted checkbox
*
I confirm that the information provided in this form is complete, true and correct to the best of my knowledge
The highlighted checkbox
*
I acknowledge and agree by typing my name below that this form of electronic signature has the same legal force and effect as a manual signature
Print Name
*
Type the code from the image:
Do not fill this textbox.