Practice information required for this page
Health and Safety Induction
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Print this checklist by clicking on the printer icon on the right side of the page.
Tick each item when it has been done and sign the form once complete.
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Health and safety policies
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Health and Safety, including:
- responsibilities under the Health and Safety at Work Act
- practice health and safety coordinator
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Lone Workers
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Vehicle Use, if required
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Smokefree and Vapefree Workplace
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Emergencies
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Evacuation procedure, including:
- Fire warden/roles in evacuation
- Emergency exits
- Location of extinguishers and emergency equipment
- Assembly points
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Emergency Procedures
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Aggressive People, including how to summon help
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Incidents or accidents
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Incidents, including:
- Location of the incident register
- Reporting lines, roles and responsibilities
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Hazards
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Hazard and Risk Management, including:
- Hazards in the practice
- How to report hazards
- Where records of hazards are kept
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Safe work procedures, including:
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Protective equipment
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Protective equipment, including:
- Location
- How to use
- N95 fit test (if applicable)
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Sign acceptance
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Induction completed by:
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Role:
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Signed:
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Date:
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I declare:
- I am aware of my health and safety responsibilities.
- I have been shown the emergency evacuation procedures and agree to follow them in an emergency.
- I am aware of my obligation to report incidents and hazards and I understand the procedure to do so.
- I agree to wear personal protective equipment where necessary.
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Staff member:
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Signed:
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Date:
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