Worksite Induction Signoff Form
Worksite Induction Signoff Form
Full Name
*
First Name
Last Name
Company / Employer
*
Position / Role
*
Date of Induction
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Supervisor / Induction Officer
*
I confirm that I have completed the site induction and understand the site rules.
*
Yes, I confirm
I acknowledge that I am aware of the site hazards and emergency procedures.
*
Yes, I acknowledge
Additional Comments (optional)
Signature
*
Submit Signoff
Submit Signoff
Should be Empty: