School / Workplace Name: ___________________________________________ Contractor Induction Details Working with Contractor’s Contractor’s Licence or Workplace Children Check CONTRACTOR DETAILS Public Liability Workers Comp. Type of Certificate Manager / (where (Company Name and Insurance Insurance Date of Safe Work Goods or Number Management OHS applicable) address, Employee Name Amount, Policy Policy Number Induction Method Service required Nominee and Phone Number) Number & Expiry Date Statement or e.g. Electrician) Sign Off & Expiry Date (where applicable) equivalent / sighted and acceptable
School / Workplace Name: ___________________________________________ CONTRACTOR DETAILS (Company Name and address, Employee Name and Phone Number) Type of Goods or Service Licence or Certificate Number required e.g. Electrician) Contractor’s Public Liability Insurance Amount, Policy Number & Expiry Date Contractor’s Workers Comp. Insurance Policy Number & Expiry Date (where applicable) Working with Children Check (where applicable) Contractor Induction Details Workplace Manager / Management OHS Nominee Sign Off Date of Induction Safe Work Method Statement or equivalent / sighted and acceptable
approvedcontractorlist.docx