CBEC Work Site Inspection (WSI)

• CBEC or CLGS?

• Document No.

• Conducted on

  Date

• Prepared by

• Area Inspected
  Address

• * NOTE:
  For Answer Responses: Gd=Good, Bd=Bad

Job Planning

• Is the Location of the First Aid Station Known?

  Gd

  Bd

  na

• Has the field level hazard assessment been completed?

  Gd

  Bd

  na

• Is the WPS in place and understood?

  Gd

  Bd

  na

• Is the muster (evacuation) procedure known and understood?

  Gd

  Bd

  na

• Is the emergency phone # known (911)?

  Gd

  Bd

  na

• Are the workers confident they have the skill required for the work?

  Gd

  Bd

  na

• Is fall protection employed as required

  Gd

  Bd

  na

• Is a rescue plan on hand if required?

  Gd

  Bd

  na

Environment & Chemical Hazards

• Is secondary containment adequate?

  Gd

  Bd

  na

• Is abatement required for fugitive releases?

  Gd

  Bd

  na

• Are the environmental aspects of the work identified?

  Gd

  Bd

  na

• Are the TDG requirements met?

  Gd

  Bd

  na

• Is the work WHMIS compliant?

  Gd

  Bd

  na

• Is the MSDS understood?

  Gd

  Bd

  na

Hazard Management

• Are the workers minds on task?

  Gd

  Bd

  na

• Are the workers rushing?

  Gd

  Bd

  na

• Are the workers frustrated?

  Gd

  Bd

  na

• Are the workers fatigued?

  Gd

  Bd

  na

• Are the workers complacent about safety?

  Gd

  Bd

  na

• Are the workers cognizant of the "line of fire"?

  Gd

  Bd

  na

• Has balance, traction and grip been assessed in the FLHI?

  Gd

  Bd

  na

• Are the necessary screens and guards in place (welding, moving parts, barrier tape, etc...)?

  Gd

  Bd

  na

• Are adequate signs and signals being employed?

  Gd

  Bd

  na

Lifting Operations

• Is the crane logbook being used?

  Gd

  Bd

  na

• Is an engineered or critical lift plan on hand if required?

  Gd

  Bd

  na

• Is the rigging adequate and maintained?

  Gd

  Bd

  na

• Is a signaler identified if required?

  Gd

  Bd

  na

• Is a tag line in use if required?

  Gd

  Bd

  na

Knife Use

• Is the knife appropriate for the task?

  Gd

  Bd

  na

• Are Hi-Flex gloves required and used?

  Gd

  Bd

  na

• Are the workers positioned correctly to cut away from the body?

  Gd

  Bd

  na

Personal Protective Equipment (PPE)

• Is adequate eye protection employed for the type of work?

  Gd

  Bd

  na

• Is adequate footwear employed for the work?

  Gd

  Bd

  na

• Is adequate body protection employed for the work (electrical, chemical, etc...)

  Gd

  Bd

  na

• Is the worker's head protection adequate for the work?

  Gd

  Bd

  na

• Is adequate hand protection employed for the work?

  Gd

  Bd

  na

• Is adequate hearing protection employed for the work?

  Gd

  Bd

  na

• Is adequate respiratory protection employed for the type of work?

  Gd

  Bd

  na

Scaffolding and Work Platforms

• Is the condition of the structure good?

  Gd

  Bd

  na

• Does the scaffold or platform meet the OHS Code?

  Gd

  Bd

  na

• Has the scaffold been inspected and tagged prior to use?

  Gd

  Bd

  na

• Does the inspection tag have an expiry date?

  Gd

  Bd

  na

Vehicles and Motorized Equipment

• Does the equipment have the required fire extinguisher?

  Gd

  Bd

  na

• Has the equipment been properly certified and maintained?

  Gd

  Bd

  na

• Is the proper log book on hand and being used?

  Gd

  Bd

  na

• Is the operator properly trained or certified?

  Gd

  Bd

  na

Compressed Gases

• Are cylinders stored and secured properly?

  Gd

  Bd

  na

• Has the storage cylinder expired?

  Gd

  Bd

  na

Worksite Condition

• Are hand tools in good condition?

  Gd

  Bd

  na

• Are the proper tools being used for the job?

  Gd

  Bd

  na

• Are extension cords in good condition?

  Gd

  Bd

  na

• Is the housekeeping good and is the work area being well maintained?

  Gd

  Bd

  na

• Is the task lighting adequate?

  Gd

  Bd

  na

• Are ladders in good condition and being used properly?

  Gd

  Bd

  na

• Is adequate waste disposal on hand?

  Gd

  Bd

  na

Ergonomics

• Is proper technique being used for tasks requiring lifting, bending and twisting?

  Gd

  Bd

  na

• Are adequate precautions in place to prevent injuries from repetitive motion?

  Gd

  Bd

  na

• Is the proper technique being used for tasks requiring kneeling, standing, sitting?

  Gd

  Bd

  na

• Is the workers position comfortable for the work?

  Gd

  Bd

  na