Applegreen – Induction Form – Docusafe

Applegreen - Induction Form

To be completed by all Applegreen Staff

"*" indicates required fields

MM slash DD slash YYYY
Do you have any medical condition which could potentially affect your safety on site:*

Emergency Contact Name 1 [Who do we contact if you are involved in an accident/incident?]

First Name *
Last Name *
Phone Number *

Training Documentation Upload

Please complete all details. You must Upload a copy of the employee's Safe Pass Card and Other Certificates. All construction workers MUST HAVE a CURRENT SAFE PASS CARD & MANUAL HANDLING CERTIFICATE.
SP/.............
Date
MM slash DD slash YYYY
If no Number Present - put name of instructor/provider and date of issue
Date
MM slash DD slash YYYY
Do you have any additional relevant training
Drop files here or
Max. file size: 500 MB.

    I, the undersigned hereby confirm that I completed a Applegreen Online Safety Induction and a SITE SAFETY INDUCTION. Guidance was given in relation to the following matters. Click All Boxes to Confirm.