Information
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Conducted on
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Audit Type
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Location
Company Data
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Legal Name
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Address
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City/Town
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Province
- Newfoundland
- New Brunswick
- Nova Scotia
- PEI
- Ontario
- Manitoba
- Saskatchewan
- Alberta
- British Columbia
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Postal Code
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Key contact
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Current Number of Wrokers
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Phone Number
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Fax Number
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E-Mail Address
WBC Information
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Account Number (s)
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Nature and Type of Work done
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Industry Codes
Auditor Data
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Name
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Company
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City/Town
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Province
- Newfoundland
- New Brunswick
- Nova Scotia
- PEI
- Ontario
- Manitoba
- Saskatchewan
- Alberta
- British Columbia
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E-Mail Address
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Telephone Number
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Fax Number
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Registration Number
Does the company's health and safety program contain the following ?
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1. Heath and Safety Policy Statement (Corporate)
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2. Hazard Assessment
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3. Safe Work Practices
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4. Safe Job Procedures
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5. Company Rules
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6. Personal Protective Equipment (PPE)
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7. Preventative Maintenance Program
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8. Training and Communication
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9. Inspections
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10. Investigations and Reporting
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11. Emergency Preparedness
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12. Statistics and Records
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13. Legislation
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14. Manitoba Supplement
1 Health and Safety Policy Does the employer have a written health and safety policy that :
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1.1 Is signed by he president , CEO or local senior management ? D
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1.2 Includes management's commitment to provide a safe and healthy work environment ? D
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1.3 Recognizes the rights of workers to work in a safe and healthy work environment ?
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1.4 Is current and dated ? D
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1.5 Is Reviewed annually by management ?
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1.6 I prominently posted or made available to the worker ? O or I
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1.7 Address accountability and responsibility for health and safety for all workplace parties D and I
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Award 3 points for the written assignment of responsibilities
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Award 3 points based on the majority of positive interview responses.
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1.8 Expresses a commitment to work in a spirit of consultation and cooperation with the workers ? D
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1.9 Is understood by personnel ? I
2 Hazard Assessment, Analysis and Control
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2.1 Are written hazard assessments conducted as required ? D and I
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4 Points based on receipt of completed pre-job assessments
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3 Points based on a majority of positive responses to the interview questions.
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2.2 Does the employer use a on-going hazard assessment process ? D and I
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3 Points based on verification of documentation.
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3 Points based on a majority of positive responses to the interview questions.
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2.3 Are appropriate personnel involved in the hazard assessment process ? D and I
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Award 3 points based on verification of documentation.
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Award 2 points based on majority of positive interview responses.
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2.4 Are hazards identified ? D
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2.5 Are hazards prioritized ? D
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2.6 Is there a list of identified critical tasks ? D
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2.7 Are controls developed for identified hazards ? D
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2.8 Are controls implemented in a timely manner ? D or O
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2.9 Are appropriate personnel involved/informed of the control strategies ? D and I
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2.10 Does the company have a process for evaluating and monitoring sub-contractors ? D
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2.11 Does management support the on-going application of the hazard assessment process ? D and I
3 Safe work Practices
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3.1 Does safe work practices accurately reflect the company's activities D and O
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3.2 Have applicable safe work practices written ? D and O
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Award 2 points based on review of the company's written safe work practices.
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Award 3 points based on observations that the written safe work practices accurately reflect the company's worksite activities .
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3.3 Are they understood by workers ? D
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3.4 Are they readily available ? O or I
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3.5 Are they followed by employees on a regular basis ? O or I
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3.6 Have both management and workers participated in the development and/or review of safe work practices ? D or I
4 Safe Job Pracedures
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4.1 Do the safe job Procedures accurately reflect the employer's activities ? D and I
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4.2 Have all critical safe job procedures been written ? D and O
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Award 3 points based on a review of the company's written safe job procedures.
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Award 2 points based on observations that the written safe job procedures accurately reflect the company's worksite activities.
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4.3 Are they understood by workers ? O
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4.4 Are safe job procedures followed on a regular basis ? O and I
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4.5 Are these procedures available and easily accessible to workers ? O and I
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4.6 Have both management and workers participated in the development and/or review of safe work procedures ? D or I
5 Company Rules
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5.1 Are the rules clearly stated in writing ? D
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5.2 Are the rules prominently posted or provided to each employee ? O or I
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5.3 Do workers understand company and site specific rules? I
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5.4 Does the program address non-conformance and progressive disciplinary actions ? D
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5.5 Are all rules applied/enforced consistently with all personnel ? D and O
6 Personal Protective Equipment (PPE)
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6.1 Is there a written policy for PPE ? D
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6.2 Are employees made aware of the requirements for PPE? D and I
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6.3 Do all personnel have access to basic PPE ? O or I
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6.4 Is specialized PPE available to workers when required ? O and I
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6.5 Is the correct PPE used by all personnel when required ? O
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6.6 Are there written procedures for the proper fitting, care and use of specialized PPE ? D
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6.7 Are personnel given instruction or training in the use of PPE as required ? D and I
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6.8 Is there criteria used to select PPE? D and I
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6.9 Is there a system in place to regularly inspect and maintain basic/specialized PPE ? D
7 Preventative Maintenance Program Does the preventative maintenance program of facilities, tools,equipment and vehicles include :
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7.1 An inventory of items to be maintained ? D
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7.2 Maintenance meeting manufacturer and regulatory standards ? D and I
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7.3 The use and completion of schedules and checklists as required ? D
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7.4 Records with a description of corrective actions taken ? D
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7.5 A system to effectively remove defective tools, equipment and vehicles from service ? D and I
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7.6 (7.5) is it followed ? O or I
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7.7 Does a qualified/competent person preform the inspection and maintenance ? D and I
8 Training and Communication
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8.1 Does the employer have a formal orientation program ? D
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8.2 Is an orientation mandatory for all new personnel starting work ? D
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If this question can be verified thru interview award 2 points.
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8.3 Is there a standardized written orientation form ? D
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8.4 Does the form provide for signatures of both worker and the person conducting the orientation ? D
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8.5 Are mandatory training requirements verified or training provided before starting work ? D and I
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8.6 Are training records maintained ? D
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8.7 Is job specific training provided and documented as required ? D and I
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8.8 Does a qualified person conduct job specific training ? D
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8.9 Have supervisors received training in workplace inspections and health and safety responsibilities ? D
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interview response
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8.10 Is a system in place to measure knowledge and competency ? D and I
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8.11 Does the employer hold scheduled health and safety meetings ? D and I
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8.12 Does senior management attend/participate in health and safety meetings ? D and I
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8.13 Is a prepared agenda followed and are minutes and attendance of the meeting kept ? D
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8.14 does two-way communication exist during these meetings ? D and I
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8.15 Are tailgate/toolbox meetings held regularly and documented as per policy ? D
9 Inspections
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9.1 Is there a written policy for inspections ? D
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9.2 Does the policy include frequency of inspections ? D
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9.3 Is the required frequency being met ? D
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9.4 Is there a form or checklist used for inspections ? D
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9.5 Are supervisors preforming inspections as required ? D and I
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9.6 Are workers involved in the inspection process ? D or I
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9.7 Are all areas inspected as required ? D
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9.8 Are identified deficiencies corrected in a timely manner ? D and I
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9.9 Does senior management participate and/review the inspection process ? D and I
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9.10 Are inspections reports posted and/or communicated to appropriate personnel ? O or I
10 Investigations and Reporting
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10.1 Is there a written investigation policy and reporting procedure(s) ? D
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10.2 Is the policy being followed ? D and I
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Award 1 point if documentation on file verifies that initial investigation reports are completed within 24 hours.
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Award 2 points if documentation on file verifies that serous incidents are thoroughly investigated.
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Award 1 point based on a majority of positive interview responses.
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10.3 Are standardized forms readily available and used ? D
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10.4 Do workers know the reporting procedures ? I
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10.5 Have supervisors been trained in investigation and reporting procedures ? D and I
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10.6 Are appropriate personnel involved in investigation ? D
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10.7 Are near misses being reported? D and I
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Award 2 points based on documentation.
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Award 2 points based on interviews.
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10.8 Are recommendations for prevention/remedial action implemented in a timely manner ? D and I
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Award 2 points based on documentation.
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Award 2 points based on interviews.
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10.9 Are remedial/corrective actions communicated to workers ? I
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10.10 Are investigation reports reviewed by management ?
11 Emergency Preparedness
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11.1 Are the emergency preparedness plans appropriate to work activities ? D and O
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Award 2 points based on documentation to verify that the company has developed a generalized plan/ procedure with respect to emergency response. ( ie. fire, first aid, transportation, communication)
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Award 2 points based on documentation if evidence of a site specific written plans have been developed. ( ie. chemical spill, rescue, confined spaces testing and retrieval, muster point etc.
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Award 2 points based on observation that a site- specific emergency response plan has been posted/made readily available at each worksite.
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11.2 Does the plan include a requirement for training in emergency procedures, roles and responsibilities ? D and I
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Award 2 points based on documentation to verify that the company has provided workers with instruction/training in emergency procedures and equipment . ( This can be conducted during the employee's orientation or as job specific training )
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Award 2 points based on confirmation through interviews that employees understand their responsibilities in the event of emergency as well as the site specific requirements.
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11.3 Has the emergency response plan been tested for deficiencies and corrective action taken ? D
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11.4 Does the employer have a written fire response plan ? D
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11.5 Are the correct class and size of extinguishers available , marked and visible ? O
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11.6 Are the fire extinguishers regularly inspected and maintained ? D or O
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11.7 Is an appropriate emergency communication system available ? O and I
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11.8 Are there adequate first aid supplies and facilities ? O
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11.9 Are the required number of qualified first aid personnel on site ? O or I
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11.10 Is there a means to transport an injured employee to a medical facility ? O and I
12 Statistics & Records
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12.1 Is there a process to organize and manage program documentation ? D
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12.2 Are adequate health and safety activity summaries developed and maintained ? D
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12.3 Are Heath and Safety statistical reports generated on an on-going/regular basis and readily available ?
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12.4 Does the company compare health and safety performance year to year ? D
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12.5 Are the annual statistics analyzed and needs or trends identified ? D
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12.6 Are adequate first aid records kept ? D
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12.7 Was an action plan developed based on the most recent audit ? D
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12.8 Was that action plan communicated and implemented ? D
13 Legisslation
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13.1 Are copies of recent Legislation posted and/or available at each workplace ? O or I
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13.2 Does the management/supervisor regularly refer to relevant Legislation and Regulations during job planning ? I
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13.3 Are personnel aware of their rights and responsibilities and how to exercise them ? I
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Award 3 points based on employee understanding of their three fundamental rights ( right to know, right to refuse, right to participate ) and their safety responsibilities ( follow instructions, wear required PPE, do not conduct work in a manner that may endanger themselves or others - identify, communicate and control hazards )
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Award 2 points based on management/supervisor's understanding of their legal duties and responsibilities ( be familiar with the WSH Act and Regulations, follow and enforce Legislation, participate in the identification, communication and control of hazards - to ensure workers are not exposed to risks to their health and safety, etc )
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13.4 Does the employer's accident reporting meet the legislated criteria ? I
14 Safety committee/Worker Safety Representative
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14.1.1 Is there a designated Worker Safety Representative at each job site ? D and I
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14.1.2 Are committee members or representatives familiar with their legal duties and responsibilities ? D and I
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14.1.3 Are committee members or representatives actively involved in hazard identification, communication and control ? D or O or I
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14.1.4 Have committee members or representatives received any training in how to carry out these duties and responsibilities ? D
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14.1.5 Are committee minutes posted (or if not practicable , made readily available) for all employees to read ? O or I
Regulatory Compliance & Safety Program Directives
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Does the company have a Hearing Conservation Program ? D
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Award 1 point based on the creation of a hearing conservation company policy.
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Award 2 points based on documentation in support of audio metric testing for employees.
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Award 2 points based on documentation in support of worksite sound monitoring
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14.2.2 Is hearing protection made readily available to employees , that includes instruction regarding the limitations and proper use ? O or I
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14.3.1 Is there a written directive or procedure in place on the subject of Lockout/Tag-out ? D
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14.3.2 Is it adhered to ? O or I
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14.4.1 Is there a written directive or plan in place on the subject of workers Working Alone ? D
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14.4.2 Is it adhered to ? D or I
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14.5.1 Are controlled products properly labelled ? D or O
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14.5.2 Are MSDS Sheets current and made readily available at each worksite ? O
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15.5.3. Have employees who work with, or in the proximity of controlled products received the appropriate training ? O
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14.5.4 Can employees communicate an understanding of the basic elements of WHMIS ? I
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14.6.1 Is the written directive or plan on the subject of operator training and/or equipment certification adhered to ? D and I
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14.7.1 Does the employer have a system in place to identify and control the risk of?
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14.8.1 Does the employer have a written policy with respect to the prevention of harassment in the workplace ? D
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14.8.2 Is the policy prominently posted in the workplace ? O
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14.9.1 Does the employer have a written policy with respect to the prevention of violence in the workplace ? D
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14.9.2 Is the policy prominently posted at the workplace ?
Owner / Prime Contractor / Sub-contractor Interaction
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14.10.1 Does the employer understand the role and responsibilities of all parties on a job site ? D or I
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14.10.2 Is there a system in place to ensure information is shared ? D or O
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14.10.3 Are contractor hazard assessments/inspection forms provided/communicated to the Prime Contractor ? D or O
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14.10.4 Is the company owner or senior manger actively involved in safety leadership ? D or O
Site Assessment
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14.11.1 Overall, are job site and work area "house keeping" appropriate to minimize incidents ? O
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14.11.2 Are work areas properly identified as construction site ? O