Employee acknowledgement

Read. Understand.
Work safely.

Complete this annual declaration after reviewing the handbook. The PDF includes the current controlled document schedule for signing and personnel records.

Annual staff declaration

Handbook acknowledgement

This acknowledgement records the exact handbook references and versions declared by the employee. It does not remove any statutory rights, replace task-specific instruction or training, or require an employee to carry out work they reasonably believe is unsafe.

Employee full nameJob title / roleManager / supervisorDate completedDeclaration / review yearReview type

Employee confirmation

Please confirm each statement

0 of 5

01I confirm that I have been given access to, have read and understand the current policies in Section B of the Blakes Employee Handbook.02I confirm that I have been given access to, have read and understand the current procedures in Section C, including those that apply to my work and responsibilities.03I am aware of the Risk Assessments, Additional Information, Method Statements and Toolbox Talks in Sections I, J, K and Toolbox, and I know where to find them.04I have had the opportunity to ask questions and know who to contact if I do not understand a document or need further instruction or training.05I understand that I must follow the handbook, my training, site rules and reasonable management instructions, and must report anything I believe is unsafe, unclear or out of date.

Signatures

Sign after printing

Employee declaration

By signing below, I confirm that I have personally read and understood every document listed in Appendix A at the exact reference and version shown. I confirm that the printed “Read & understood” mark and initials against every row apply to me. I have had the opportunity to ask questions and have identified below anything I do not understand or any further instruction or training I require.

I understand that my signature applies to this controlled snapshot only: generated when the schedule loads.

Employee signature

Date

Manager / witness signature

Date

Questions raised, further training required or other notes

Appendix A · controlled snapshot

Documents covered by this declaration

0 references

This schedule is generated from the live Handbook register. When printed, every row is marked “Read & understood” and carries the initials generated from the employee name above. The employee confirms those entries by physically signing the declaration.

Preparing the current document schedule…