Staff Induction Form

Fill this in on your phone. Tap the boxes and type in the blanks. What you enter is kept on this phone while you work. When you are done, send it to the safety team, or print it.

Appendix 12 – Staff Induction Form

[ Church name ] church

Staff and volunteer induction form

Instructions: This form must be completed for all new staff members and volunteers before they commence their duties. Both the inductee and the person conducting the induction must sign this form.

Personal details

Field Information
Name:
Position/Role:
Department/Ministry Area:
Start Date:
Employment Type:

Induction details

Field Information
Induction Date:
Conducted By:
Position:

Induction checklist

General orientation

Item Completed Initials
Welcome and introduction to team members
Tour of church facilities and grounds
Location of amenities (toilets, kitchen, etc.)
Parking arrangements explained
Security arrangements (keys, alarm codes, etc.)

Health and safety

Item Completed Initials
Health and Safety Policy provided and explained
Health and Safety Manual provided
Emergency procedures explained
Evacuation routes and assembly points shown
Location of fire extinguishers and alarms shown
Location of first aid kits and equipment shown
Names and contact details of first aiders provided
Incident reporting procedures explained
Hazard reporting procedures explained

Role-specific information

Item Completed Initials
Job description provided and discussed
Specific hazards of the role identified
Safe work procedures for the role are explained
Required training identified
Personal Protective Equipment (PPE) provided
Equipment operation and safety explained

Child protection (if working with children/youth)

Item Completed Initials
Child Protection Policy provided and explained
Code of Conduct for working with children signed
Police vetting completed
Supervision arrangements explained
Reporting procedures for concerns explained

Administrative

Item Completed Initials
Employment agreement/volunteer agreement signed
Contact details and emergency contacts recorded
Bank details provided (staff only)
Tax information completed (staff only)
Photo taken for ID purposes

Training requirements

Immediate Training Required:

Training Type Required Scheduled Date Provider
First Aid
Fire Warden
Manual Handling
Working at Heights
Food Safety
Other:

Additional Training to be Arranged:

Questions and concerns

Questions Raised During Induction:

Responses/Actions:

Declarations

Inductee Declaration:

I acknowledge that I have received and understood the health and safety induction provided to me. I understand my responsibilities for health and safety and agree to comply with all relevant policies and procedures.

Signature: Date:

Print Name:

Person Conducting Induction:

I confirm that I have provided a comprehensive induction covering all relevant health and safety matters for this role.

Signature: Date:

Print Name:

Position:

Follow-up

30-Day Review Scheduled: Date:

90-Day Review Scheduled: Date:

Additional Comments:

Form Completed By: Date:

Filed By: Date:

Finished?

All policies