📍 When to use this template
- To be filled for every single person (labour, staff, driver, visitor) before they are allowed to enter the worksite for the first time.
- It is a one-time activity per person upon joining the project, creating a permanent record.
- The Site Safety Officer or a designated Safety Supervisor conducts the induction and fills this checklist with the worker.
Sections & fields
Preview of the template structure. Download Excel to fill on site.
1Header / Project Information6 fields
Project Name
_____________
Contract / Package No.
_____________
Checklist No.
_____________
Date of Induction
_____________
Location of Induction
_____________
Prepared By (Inductor's Name)
_____________
2Worker / Staff Details8 fields
Trade / Designation
_____________
Contractor / Sub-contractor Name
_____________
Contact Number
_____________
ID Proof Type & No. (Aadhaar/Voter ID)
_____________
Photo Attached (Y/N)
_____________
Blood Group (Optional)
_____________
3General Site Safety Rules Explained8 fields
Site Working Hours & Entry/Exit Gates
_____________
Mandatory PPE (Helmet, Safety Shoes, Hi-Vis Jacket)
_____________
Housekeeping & '5S' Principles
_____________
Designated Material Stacking & Waste Disposal Areas
_____________
Prohibited Activities (Smoking, Tobacco, Alcohol, Horseplay)
_____________
Location of First Aid Station & Emergency Vehicle
_____________
Location of Emergency Assembly Point
_____________
Location of Drinking Water, Toilets & Canteen
_____________
4Key Hazard Awareness & Controls8 fields
Work at Height (Scaffolding, Ladders, Fall Protection)
_____________
Electrical Safety (Temporary Boards, Cable Management, ELCB/RCCB)
_____________
Excavation & Trenching (Barricading, Shoring/Sloping)
_____________
Material Handling (Manual Lifting Technique, Crane/JCB Movement Areas)
_____________
Fire Safety (Extinguisher Types, Locations, Use)
_____________
Confined Space Entry Rules
_____________
Permit-to-Work (PTW) System Explained
_____________
Vehicle & Plant Movement Rules
_____________
5Emergency Procedures5 fields
How to Report an Accident / Near Miss
_____________
Emergency Contact Numbers (Displayed on Site)
_____________
Meaning of Emergency Siren / Alarm
_____________
Evacuation Routes from Work Area
_____________
Basic First Aid Response
_____________
6Worker's Rights & Welfare5 fields
Right to a Safe Workplace & to Refuse Unsafe Work
_____________
Explanation of ESI / EPF / Workmen's Compensation Benefits
_____________
Wage Payment Schedule
_____________
Grievance Redressal Mechanism
_____________
Availability of Crèche (if applicable)
_____________
7Acknowledgement & Verification7 fields
Language of Induction (e.g., Hindi, Bengali, Odiya, English)
_____________
Worker Confirms Understanding (Yes/No)
_____________
Questions Asked by Worker (if any)
_____________
Worker's Signature / Thumb Impression
_____________
Inductor's Name & Signature
_____________
Safety Officer's Verification & Signature
_____________
💡 Sample filled excerpt
Worker Name: Sunil Oraon | Trade: Bar Bender | Contractor: L&T | Topics Covered: Mandatory PPE, Work at Height basics, Emergency Assembly Point. | Language: Hindi | Worker's Signature: [Thumb Impression] | Inductor: R. Singh (Safety Supervisor)
⚖ Compliance notes
- Fulfills requirements under BOCW (RECS) Central Rules, 1998 (Rule 224: Safety and health awareness and education).
- Provides documented proof of training, a key requirement during statutory audits (Labour Dept, DISH) and ISO 45001 audits.
- Establishes employer's 'duty of care' and is a primary document reviewed during accident investigations under the Employee's Compensation Act, 1923.
- Mandated by CPWD Safety Manual 2014 and most private sector EHS management systems.