Site Visitor Safety Induction
Visitor induction with rules acknowledged, host named, and signature on record.
5 questions · 1 page · about 3 minutes to answer · fully editable after you start
Every visitor on a plant floor is a liability until inducted and an asset after. This induction form covers the site rules acknowledgement item by item – PPE zones, pedestrian routes, emergency assembly, photography and phone policy – with the visit's host named for accountability and a signed, dated record that satisfies both safety and audit.
Run it on a tablet at reception or send it ahead with the meeting invite; pre-inducted visitors clear reception in a minute.
Template preview
This is a picture of every question as a respondent would see it, so nothing on it can be clicked or typed into. Use this template to get your own editable copy.
Opens in the Light theme, or in your own default theme if you have set one — change it anytime to any of the 4 built-in looks, or build your own on a paid plan.
Page 1
Before you enter the site
Welcome to the site. This form covers the safety rules every visitor must follow, and you must read and acknowledge each one before you go further. It takes about 3 minutes.
Q1.Visitor name, company, and who you are visiting*
Q2.Acknowledge each rule.*
| Acknowledged | Need clarification | |
|---|---|---|
| I will wear required PPE in marked zones | ||
| I will keep to pedestrian routes | ||
| I know the emergency alarm means assemble at the marked point | ||
| No photos without written permission | ||
| I will remain with my host in production areas |
Q3.Is there anything we should know for your safety on site? Tick all that apply.
- None
- Mobility consideration
- Hearing/visual consideration
- Something else - I will tell reception
Q4.Visit date*
Q5.Visitor signature*
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