A TC 4 audit

• Audit Title

• Client / Site

• Date of inspection -

• Prepared by

• Location
  Address

• Personnel

1.0 - Previous inspection

• 1.1 - Has the last site inspection been reviewed?

  Yes

  No

  N/A
Completed by: Date of completion:

2.0. Materials required and or posted in a work area or site trailer.

• 2,1. - Is the Safety board mounted? (Reg. 1101 1 (1) (b))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2,2. - Is the WSIB - 1234 poster posted? (Form 82) As per (Reg. 1101 1 (1) (b) (I))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.3. - Is the Occupational Health and Safety Act/Regulation (Green book) available? (OHS Act 25 (2) (I))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2,4. - Stretcher with 2 blankets mounted or available. (Reg. 1101 10 (1))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.5. - Emergency response plan poster posted and rescue procedure available? (OHS. Reg. 17 (1) and 17 (3))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.6. - Eye wash station or eye wash capabilities on site?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.7 - Materials safety data sheets? (OHS Reg. 37 (1) (b) and Reg.38 (1) (a))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.8 - TACC procedure manual? (OHS 26 (k))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.9 - Hospital map with directions to nearest local hospital?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.10 - Clinic map or directions posted?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.11 - TACC safety program posted?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.12 - Are emergency contact numbers posted?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.13 - Are Health and Safety committee member's name and contact numbers posted or available? (OHS Act 9 (32))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.14 - Is the fire extinguisher mounted and quickly accessible in case of emergency?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.15 - Is TACC's safety policy and Violence and Harassment commitment statement posted? (OHS 32.0.1 (2))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.16. - Are Safety Tool Box talks posted?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.17. - Are MOL notices posted (if they have been received)?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.18 - Is the trailer in a reasonable state of cleanliness?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.19. - Is Regulation 1101 (First Aid Requirements) posted?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.20. - Are the valid First Aid certificates of qualification of trained workers on duty posted or available on site? (Regulation 1101 - 1(1)b(I))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.21 - Is a copy of the TACC's Confined Spaces program posted or available? (OHS Reg 221.5 (5))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.22. - is the notice of project posted? (OHS Act 23 (2))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.23 Is TACC's Health and Safety policy posted or available as per OHS Act 25 (2) (j).

  Yes

  No

  N/A
Completed by: Date of completion:

1.0 - Previous inspection

• 1.1 - Has the last site inspection been reviewed?

  Yes

  No

  N/A
Completed by: Date of completion:

• 1.2 - Are there no outstanding actions?

  Yes

  No

  N/A
Completed by: Date of completion:

3.0 - Emergency response:

• 3.1 - Has the Emergency response procedure been discussed with all workers? (OHS Reg. 17 )

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.2 - Extinguishers properly serviced? (Serviced yearly)

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.3 - Extinguishers available for emergency use by on site workers? (OHS Reg. 52 (1))

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.4. - Is the fire extinguisher inspected monthly with a written record of the inspection on the attached tag? (OHS Reg. 55)

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.5 - Is communication for emergency services available? (OHS Reg. 18)

  Yes

  No

  N/A
Completed by: Date of completion:

4.0 - Storage and housekeeping (OHS Reg. 35).

• 4.1 - Are materials stored in an organized and safe manner? (OHS. Reg. 37(1))

  Yes

  No

  N/A
Completed by: Date of completion:

• 4.2. - is the site reasonably tidy with minimal trip hazards? (OHS Reg. 37(1))

  Yes

  No

  N/A
Completed by: Date of completion:

• 4.3. - Are the required number of toilet facilities on site? (OHS Reg. 29.1(5))

  Yes

  No

  N/A
Completed by: Date of completion:

• 4.4. - Are on site toilet facilities properly maintained? (OHS Reg. 29(11))

  Yes

  No

  N/A
Completed by: Date of completion:

• 4.5. - Is dust being controlled from harming workers (or protected by proper PPE) (OHS Reg. 59)

  Yes

  No

  N/A
Completed by: Date of completion:

5.0. First Aid Facilities

• 5.1 - Are contents of the First Aid kit checked "quarter yearly"? (Reg. 1101 - 5 pg.6)

  Yes

  No

  N/A
Completed by: Date of completion:

• 5.2 - No contents past their expiry date? (Reg. 1101 2(1))

  Yes

  No

  N/A
Completed by: Date of completion:

• 5.3. - Are the contents of the First Aid kit clean and orderly?

  Yes

  No

  N/A
Completed by: Date of completion:

• 5.4 Is there easy access to the First Aid kit? (Reg. 1101 2 (2))

  Yes

  No

  N/A
Completed by: Date of completion:

• 5.5. - Are trained first aid responders accessible in the event of an injury? (Reg. 1101 1 (2))

  Yes

  No

  N/A
Completed by: Date of completion:

6.0. Excavation

• 6.1. - Are excavations properly sloped? (OHS Reg. 234 (2))

  Yes

  No

  N/A
Completed by: Date of completion:

• 6.2. - Are trenchbox's being used as needed? (OHS. Reg. 235)

  Yes

  No

  N/A
Completed by: Date of completion:

• 6.3. - Are excavations reasonably "free of water"? (OHS Reg. 230)

  Yes

  No

  N/A
Completed by: Date of completion:

7.0. Utilities

• 7.1. - Are valid locates on site and easily accessible? (OHS. Reg. 228 (1) (a))

  Yes

  No

  N/A
Completed by: Date of completion:

• 7.2 - if a signaller is required are they trained and stationed to have a full view of the operator and equipment? (OHS Reg. 188 (8))

  Yes

  No

  N/A
Completed by: Date of completion:

8.0. Confined Spaces

• 8.1 - Are Confined Space assessments being properly recorded? (OHS Reg.221.6 (1))

  Yes

  No

  N/A
Completed by: Date of completion:

• 8.2. - is a copy of the air testing posted or available for worker review?

  Yes

  No

  N/A
Completed by: Date of completion:

• 8.3. - Has the emergency response to a Confined Space emergency been recently reviewed?

  Yes

  No

  N/A
Completed by: Date of completion:

• 8.4. - Is the attendant committed to fully focus on any workers in a Confined Space they are assigned to watch?

  Yes

  No

  N/A
Completed by: Date of completion:

• 8.5. - Is the required emergency equipment available for immediate access? (OHS Reg. 221.11(1)a))

  Yes

  No

  N/A
Completed by: Date of completion:

9.0. - Monitoring of Violence and Harassment on the job site

• 9.1. - Is there no evidence noted that there is potentially an issue of Violence and Harassment on site? (OHS 32.0 )

  Yes

  No

  N/A
Completed by: Date of completion:

10.0. Hoisting and Rigging

• 10.1. - Are lifting cables in proper repair? (OHS Reg. 170 (1))

  Safe

  At Risk

  N/A
Completed by: Date of completion:

11.0. Personal Protective Equipment (PPE)

• 11.1 - Do all workers wear proper PPE when on the work site?

  Yes

  No

  N/A
Completed by: Date of completion:

• 11.2. - If noted during inspection, is proper hearing and eye protection being used?

  Yes

  No

  N/A
Completed by: Date of completion:

• 11.3. - Is the PPE being used in proper repair?

  Yes

  No

  N/A
Completed by: Date of completion:

12.0. Equipment

• 12.1. - Is equipment properly secured when parked?

  Yes

  No

  N/A
Completed by: Date of completion:

• 12.2. - Is the equipment in apparent safe repair? (OHS 25 (1) (b))

  Yes

  No

  N/A
Completed by: Date of completion:

• 12.3. - Are dump trucks equipped with automatic alarms that signal when the truck is operating in reverse? (OHS Reg. 105)

  Yes

  No

  N/A
Completed by: Date of completion:

13.0. Discipline given during site investigation:

• 13.1. - Was there no need for safety related Discipline to be given during the site inspection?

  Yes

  No

  N/A
Completed by: Date of completion:

14.0. Additional comments or concerns.

• 14.1. - Are there no additional comments

  Yes

  No

  N/A
Completed by: Date of completion:

Sign Off

• On site representative

  Sign

• Auditor's signature

  Sign