Humdinger Bromborough Induction Questionnaire Your name:* First Last Person delivering this training* Date of this induction* Day Month Year True or false Please select the option which you believe is correctI have completed the health questionnaire before completing the Humdinger Bromborough health and safety induction* True False I understand that Humdinger Bromborough is a drug and alcohol-free site and that any prescribed medication needs to be reported to the agency.* True False I understand that I must not leave site during my working hours unless I have been given permission by my manager.* True False Induction Questions 1. Who should report to if you have an accident at Humdinger Bromborough?* 2. What two colours of hair nets do our first aid staff wear?* 3. Who should you report slippery floors and objects in walkways to?* 4. What does “L” stand for in “TILE?”* 5. What colour are the mandatory hearing protection signs around the factory?* 6. Who should use cleaning chemicals at Humdinger Bromborough?* 7. Who will give instructions during a fire?* 8. Who should operate pallet trucks, Fork-lift trucks and other MHE’s?* 9. What materials in Humdinger Bromborough could be potential fuel for a fire?* 10. If you see a fire at Humdinger Bromborough, what should you do?* 11. Where is the evacuation point if the alarm sounds?* 12. Name two allergens that we handle at Sun Valley?* 13. What protective clothing must be worn as a minimum when working in our food areas?* 14. What should you do if you think you have food poisoning?* 15. What are two symptoms of food poisoning?* 16. What are the only two items of jewellery allowed in production areas?* 17. Name three different times that you will need to wash your hands?* 18. Who is responsible for food safety?* 19. What are two symptoms of an allergic reaction?* I confirm I have completed the Humdinger Bromborough health and safety induction and Food Hygiene Induction:* Yes No I confirm I have completed the Humdinger Bromborough health and safety induction and Food Hygiene Induction:Signed by employee:*HiddenDate signed: DD slash MM slash YYYY Verification by Agency representativeHiddenAgency representative First Last HiddenSignatureHiddenDate signed Day Month Year PhoneThis field is for validation purposes and should be left unchanged.