Yara Pilbara Site Visitor Form
Given Name
*
Surname
*
Visitor Email
*
Company
*
Contact Number
*
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Area Code
Phone Number
Yara Responsible Person Name
*
Yara Responsible Person Email
*
Visitor Site Rules
Visitors must be accompanied by a site inducted person at all times & shall stay within site fence lines
Visitors shall observe & comply with Yara’s signage
Any visitor access to Plant operational areas must have approval from Shift Supervisors
Visitors shall not touch or operate any item, plant, machinery, equipment, or tool
Non Yara cameras are prohibited from site & photographs cannot be taken without approval from the Plant Manager or delegate
Mobile phones may only be used in Blue Zones within 5 metres of non-plant operational buildings
Visitors may be subject to security searches
Visitors shall not drive a vehicle whilst on site, if vehicle access is required, additional approval must be obtained
Visitor Acknowledgement
*
By submitting this form, I consent to the disclosure of the information in this form to Yara employees and third parties to allow those employees and/or third parties to undertake administration and other activities associated with my site entry.
I will abide by the visitor site rules and take all care to ensure my safety and the safety of others.
SUBMIT
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