I confirm that I have received and read a copy of the Employment Agreement/Conditions of Employment Form and agree to abide by these conditions.
Name (in Capitals):……………………………………………………………...................
Signed ……………………………………………………………….. Date:______/______/_______
Fair Work information Statement
I confirm that I have received a copy of the FAIR WORK INFORMATION STATEMENT
Signed ……………………………………………………………….. Date:______/______/_______
Issue of Health and Safety Vest
I confirm that I have received a health/safety vest to be worn at all times that I am at work and I understand that if this vest is not returned at the end of my work at Burlington Berries then $10 will be deducted from wages owing to me.
Signed ……………………………………………………………….. Date:______/______/_______
BURLINGTON BERRIES Health and Safety Form
I confirm that I have seen the Health and Safety Video today. I understand that if I have any concerns or questions about health and/or safety at work I should speak to my Supervisor or Manager, or Marius Boarta, Field Manager immediately.