Personal Details

Title

First Name (req)

Last Name (req)

Date of Birth (req)

Contact Details

Email Address (req)

House / Appt Number (req)

Street Name (req)

Suburb (req)

Town / City (req)

Post Code (req)

Country (req)

Phone (req)

Company Details

Position

Company

Company Code (optional)

If you are a sub contractor who is the main contractor?

Reason For Induction: (req)

Confirmation of Understanding

I have read and understand the Hire Access Ltd's contractor / visitor / trainee induction information

I understand my responsibilities as a contractor / visitor / trainee

I am familiar with Hire Access Ltd's general emergency, accident, fire safety and evacuation procedures

I will notify Hire Access Ltd management of any hazards I will create or discover during the contract

I will ensure any of my staff or sub contractors are also familiarised with this information prior to commencing work at Hire Access Ltd

If I am to be working alone in an isolated area, I will advise Hire Access Ltd prior to commencing work

Please acknowledge the details below before you proceed:

I hereby agree to the terms and conditions set forth above and will ensure that I fill out the following Skills Enrolment form and bring it along to the course.

Privacy and Opt Out Statement

Any personal information provided to Hire Access Ltd is covered by our policy which complies with the Privacy Act 1993 and incorporates the twelve Information Privacy Principles. If you have any concerns about privacy, please contact the Privacy Officer.

Your contact details will only be used by Hire Access Ltd to send you relevant information, they will not be forwarded to other organisations. If you no longer wish to receive messages from Hire Access Ltd, you may opt out from receiving further messages from us. Please send us a message to tomr@hireaccess.co.nz with "Opt Out" as the subject or telephone 0800 543 887.

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