Documente Academic
Documente Profesional
Documente Cultură
*Passport size
check sheet has been designed in such a way that necessary compliance and communication is obtained from the individual before or as
Photo
soon as possible during onboarding in VIL business. The appropriate columns / section need to be filled and cross checked as per the
applicability / nature of job. Scope - All who are required to be working on behalf of VIL. This sheet should be available at all locations
where onboarding / joining takes place across all functions and all levels. The filled sheet needs to be reviewed by the respective
manager / contract co-ordinator / contractor and records maintained. The filled sheet should be submitted to VIL on demand .
Drive 4 Wheeler
Ride 2Wheeler
Work at Height
Others
HELMET
**ISI marked:-
Yes / No
Helmet Visor:-
Ok / Not Ok ;
VEHICLE
**Valid Insurance: -
Head Light :-
Additional Information
Reflective Jacket:-
Yes / No
OK / Not OK;
Ok / Not Ok;
Tail Light:-
OK / Not OK ;
Yes / No ;
VEHICLE
Make: -________________________
**Valid Insurance: -
Yes / No
Ok / Not Ok;
Tail Light:-
Yes / No
OK / Not OK ;
Yes / No
Night driving / riding for Vodafone business during restricted hours (between 10 pm to 5 am) is prohibited
Yes / No
Yes / No
** I agree to abide by above VIL driving requirements and will comply them as and when applicable.
Yes / No
**Fit to Work at Height Medical Certificate Available & Copy submitted:- Yes / No;
** Training:-
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
**Date : - DD_ / MM_/ _YYYY
12th Grade
Electrical License
ITI Electrical
**EL No: - _________________________ **Valid till:- DD_ / MM_/ _YYYY _**EL Copy Submitted:- Yes / No;
**Issued By :- __________________________________________________________________________________________________
**Fit to Work on electrical system - Medical Certificate available & copy submitted:-
Yes / No
Experience to Work on Electrical Systems (Yrs.):- _____________Electrical Training, if any (pl. specify) :-_____________________________
I am aware about work permit for electrical isolation
Yes / No
Yes / No
**Signature : - _____________________________________________________
#
1.
2.
3.
4.
5.
6.
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
*You understand that in case of any High- High severity violation your employment / engagement with
VIL can be terminated immediately?
Yes / No
8.
*Are you aware that all incidents / accidents are to be reported?
Yes / No
SELF DECLARATION: - I assure that above mentioned particulars are true & correct to the best of my knowledge and belief. In future I will
abide by all the Vodafone HSW rules as explained to me.
*Date: - DD_ / MM_/ _YYYY
Location: - ____________________________ *Signature: - ________________________________
REVIEWER SECTION - Section Applicable to All
7.
Work @ Height
Yes / No
Others