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C21-4
C21-4
Anonymous

C21-4

Review elements of standard to documentation and processes

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Free C21-4 Checklist

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Information

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

Health and Safety Policy Statement

  • Is policy statement in place, signed by the senior manager responsible for Health and Safety?

  • Is it prominentaly displayed or available for all to see?

Employers Health & Safety Responsibilities

  • Are employers trained in legislated requirements?

  • Are performance evaluations for managers completed?

Managers/Supervisors Health & Safety Responsibilities

  • Are managers/supervisors trained in legislated requirements?

  • Are job descriptions which include health and safety responsibilities created for all management positions?

  • Do managers complete performance evaluations for supervisors?

Employees Health & Safety Responsibilities

  • Are all staff trained according to the Employee Handbook?

  • Are sign off sheets completed?

  • Are records of training kept up to date?

  • Are disciplinary measures being followed?

  • Is documentation of discipline kept?

Contractors Health & Safety Responsibilities

  • Are Clearance Certificates obtained?

  • Are Contractor Safety checklists completed?

Visitors Safety Program

  • Is the Visitors Policy available?

  • Is the Sign-in book being used?

Health & Safety Coordinator Responsibilities

  • Is the coordinator trained in legislative requirements?

  • Is the coordinator familiar with all elements of the program?

Health & Safety Posted Material

  • Is there a Harassment Policy?

  • Is there a Smoking Policy?

  • Is there a Violence Policy?

  • Is there a Health & Safety Law poster?

  • Is an accident book available?

  • Is a First Aid poster displayed?

  • Are sufficient First Aid provisions displayed?

  • Are there emergency phone numbers?

  • Is an emergency plan in place and are the team informed?

  • Are workplace inspections carried out and are failings noted?

  • Are safety committee meetings in place?

  • Are minutes of safety meetings displayed prominently?

  • Are accident investigation summaries available?

  • Is the name(s) of the Worker Safety Rep(s) available?

Job Task Analysis

  • Are job risk assessments rated for severity and frequency?

  • Are controls identified?

Operating Procedures

Response to Work Related Illness/Injury

  • Are all employees trained in their responsibilities?

Hazard Reporting

  • Are hazard reporting forms being used?

  • Are all hazard reports reviewed?

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Emergency Procedures

  • Is an emergency plan posted?

  • Are all employees trained on the emergency plan?

  • Are sign off sheets completed?

  • Are fire drills carried out bi-annually?

  • Are fire drills documented?

  • Are emergency phone numbers posted?

  • Is the emergency equipment inventory completed?

  • Is the floorplan completed and posted?

  • Are employees trained in the use of fire extinguishers?

Rights to Refuse Unsafe Work

  • Are all employees trained in their responsibilities?

  • Are work refusals documented?

Purchasing Policy

  • Are documented pre-use inspections used for new equipment?

Personal Protective Equipment

  • Is PPE available?

  • Are workers trained in use of PPE?

  • Are monthly PPE inspections carried out?

  • Do supervisors inspect PPE during daily inspections?

Welding and Hot Work Program

  • Are all affected employees trained in Welding and Hot Work requirements?

  • Is the hot work process being used?

Fall & Slip Prevention

  • Are all employees trained on their requirements?

  • Is fall arrest equipment available if applicable?

  • Is fall arrest equipment being used properly?

Manual Handling

  • Are all employees trained in manual handling?

  • Has the management identified manual handling hazards throughout the workplace?

Training Needs Review

  • Is the completed training matrix available?

  • Have all employees received training?

  • Are sign off sheets up to date?

  • Is training reviewed with staff on a regular basis? (every year, two years)

Employee Training Program

  • Are an appropriate number of employees trained in First Aid?

  • Is First Aid training current?

  • Are First Aid certificates posted?

  • Is forklift training current and documented?

  • Is crane training current and documented?

Manual Handling

  • Are all employees trained in manual handling procedures?

  • Is Manual Handling training documented?

Employee Health & Safety Training Programs

  • Have all employees received training?

  • Are all employees trained in emergency procedures?

  • Have employees been trained and signed off on the operating procedures for their jobs?

  • Are supervisors/managers trained in their responsibilities when promoted?

  • Have supervisors/managers taken supervisor, health, safety and law course? (or equivalent)

  • Have Committee members received training in their duties?

  • Is fire extinguisher training current and documented?

  • Is fire drill training current and documented?

  • Is lockout training current and documented?

  • Is PPE training current and documented?

  • Is COSHH training current and documented?

  • Is Spill Response training current and documented?

  • Is Hot Work training current and documented?

  • Is Pedestrian Forklift Strategy training current and documented?

  • Have all employees completed the training sign off sheets for any training they have received?

First Aid Program

  • Are all employees trained in First Aid reporting requirements?

  • Is the First Aid log book available at First Aid station?

  • Is the appropriate First Aid kit available for the facility? (stocked)

  • Are First Aid reports being filled out?

  • Are first aid reports being forwarded to the management for review?

  • Are First Aid kits inspected at least once every three months?

  • Is Inspection form available at First Aid kit?

Workplace Inspection Program

  • Is the inspection schedule available for all inspections to be carried out within the next year?

  • Does the employer perform workplace inspections at least twice a year?

  • Are employers inspections documented?

  • Do manangers perform workplace inspections at least once a month?

  • Are managers inspections documented?

  • Do supervisors perform daily inspections of their work areas?

  • Are supervisor's inspections documented?

  • Are all workplace inspection reports forwarded to the management for review?

Pre-use Inspection Program, Forklift Strategy Program and Crane Safety Program

  • Are company vehicles inspected at the beginning of every shift before use?

  • Are inspections documented?

  • Are forklift operators trained in safe forklift operation, inspection and fuel exchange?

  • Is forklift training current within 3 years?

  • Are forklift operators undergone a practical evaluation within the last 18 months?

  • Are forklifts inspected at the beginning of every shift before use?

  • Are crane operators trained in safe crane operation and inspection?

  • Is crane training current in 3 years?

  • Are cranes inspected at the beginning of every shift before use?

  • Are inspection reported forwarded to Management for review?

Planned Preventive Maintenance Program

  • Is an inventory of equipment requiring preventative maintenance available?

  • Does the inventory list describe what type of maintenance is required?

  • Are preventative maintenance reports are completed for all maintenance performed (internally or externally)

  • Are reports kept on file for a minimum of one year?

Accident/Incident Investigation Program

  • Have managers and supervisors received training in Accident Investigation?

  • Is documentation of training available?

  • Are accident investigations being conducted for all injuries and hear misses?

  • Are accident investigation reports being conducted for all injuries and near misses?

  • Are accident reports completed for all investigations?

Continuous Improvement Program

  • Has a Health & Safety Action Plan been created for next year?

  • Do management staff meet at least once very three months to review Health & Safety program implementation, changes and enhancements?

  • Are additional Health & Safety communications available throughout the facility?

  • Have all employees been trained in Return to Work program requirements?

Access/Egress

  • Is there a suitable branded site entrance/map sign when you enter the site?

  • Is it clear where visitors should go when they arrive on site and are there any directional signs?

  • Are parking areas easily identifiable on site?

  • Are there designated visitor parking spaces?

  • Is there enough parking provided on site to use?

  • Are parking areas safe and free from hazards and obstacles?

  • Are pedestrian routes clearly marked and separated from vehicles with line marking externally?

  • Are pedestrian routes clearly marked and separated from vehicles with line marking internally?

  • Are pedestrian routes clearly and adequately lit?

  • Are daily checks being undertaken of bins, maintenance, access security pests, and waste?

  • Are employees and visitors aware of the hazards that may be encountered on site?

Other Points of Note

  • Detail other items of concern

C21-4
Anonymous

C21-4

Review elements of standard to documentation and processes

Use this Template
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