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1800 785 055
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Home
Interlock Step by Step
Helpful Info
Helpful Videos
Australian Capital Territory Interlock
Contact us
Staff Login
Contact Us:
1800 785 055
Home
Interlock Step by Step
Helpful Info
Helpful Videos
Australian Capital Territory Interlock
Contact us
Staff Login
WHS Contractor Form
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WHS Contractor Form
WHS Contacts
Name
*
Email Address
*
Mobile Number
*
Gender
Select
Male
Female
Date of Birth
Employee Type
*
Employee Type
Employee
Sub Contractor
Induction
Has the employee completed WHS induction?
*
Yes
No
Do you keep records of WHS induction?
*
Yes
No
Have all employee/subcontractor qualifications been checked?
*
Yes
No
WHS Systems
Does your organisation have procedures for:
Incident reporting?
*
Yes
No
Hazard reporting?
*
Yes
No
Hazard identification?
*
Yes
No
Hazard risk assessment?
*
Yes
No
Other
Hazard control?
*
Yes
No
Site Safety
Does your organisation have a site safety representative?
Yes
No
Has a site risk assessment (SRA) been undertaken?
Yes
No
Have all employees working at the site been inducted in relation to site safety?
Yes
No
Are induction records kept?
Yes
No
Insurances
Does your organisation have required insurances and permits?
Workers' compensation
Yes
No
Public liability
Yes
No
Professional indemnity
Yes
No
Required Permits?
Yes
No
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