Moa Point Induction Form

Please complete your induction details below.

Name

Surname

Phone Number

Email Address

Emergency Contact Name

Emergency Contact Number

Allergies/Medical Conditions

Details

Company You Work For

Supervisors Name

Your Role

Interpreter Required

Vaccination and Biological Risk Acknowledgement

I confirm that I am vaccinated as follows and that I am suitably protected for the biological risks associated with this work (tick all that apply)

I confirm that I am not fully vaccinated (tick all that apply)

I acknowledge that I have been informed of the biological hazards associated with wastewater exposure, understand the risks, and agree to proceed with work.

I do not consent to working in environments where biological contamination or exposure risks are present where biological contamination or exposure risks are present

I acknowledge that the information I provide as part of this induction will be collected, stored, and used by Downer for the purposes of managing health, safety, compliance, and site access requirements associated with the Moa Point WWTP project. I understand that this may include personal information, training and competency records, and health-related declarations (including vaccination status). I consent to this information being used by Downer, and where required shared with relevant project stakeholders, for project delivery, health and safety management, and regulatory compliance purposes, in accordance with applicable privacy and data protection requirements.

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