Site Induction – Antvic Ltd

01 Personal Details

Full Name *

Date of Birth *

Phone Number *

Email Address

House / Flat No. & Street *

Address Line 2

Postcode *

Town / City *

Next of Kin Name *

Next of Kin Phone *

02 Employment & Site Details

Company / Employer *

Job Role / Trade *

Site / Project *

Induction Date *

CSCS Card Number

CSCS Card Type

03 Health & Medical

Medical conditions / disabilities that may affect work on site?

No Yes (detail below)

If yes, please detail

Taking medication that may affect safe working?

No Yes

Blood Group (if known)

04 H&S Briefing Checklist ALL REQUIRED *

Confirm the following topics have been covered during this induction:

Additional Notes

05 PPE Issued

06 Documents & Photos

Upload CSCS card, ID, certifications, or any site photos. JPG, PNG or PDF — max 30 MB each. All files are embedded directly into the PDF report.

📷

Tap to browse or drag & drop here

JPG & PNG auto-compressed. PDF up to 20 MB

08 Additional Cards & Qualifications

Select all cards and tickets currently held:

Other (please specify)

07 Declaration & Signature

I confirm that I have received and understood the site induction for Antvic Ltd. I understand the health, safety and welfare requirements outlined above, and I agree to abide by the site rules, safe working procedures, and emergency arrangements at all times while on site. I confirm that the information provided is accurate and complete.

Inductee Name (print) *

Inducted By (Site Manager) *

Inductee Signature *

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Draw your signature in the box above