CWALK Response Form – CWS v4 – C&W Services

Title Page

Conducted on
Completed by
Location
Employee

Know - Acquire and keep up-to-date knowledge of the employee’s job tasks.

 Can you please explain to me the job tasks you are performing now?
 What other job tasks do you normally perform?

Understand - Understand the general hazards associated with operations of C&W Services

 Are there any safety hazards with this type of activity/task?
 Is there anything causing you to rush or become frustrated on this work or other work?

Controls - Consider information regarding incidents, hazards & risks, and respond in a timely way to that information

 Are you aware of any injuries from this or similar activities?
• If Yes – were any changes identified/made to prevent future injuries?
• Is there anything you can think of that would make this job easier/safer?
 What do you like about our company’s safety program?

Hazard Reporting - Hearing about hazards before they result in injuries builds a true preventative safety management system.

 Have you noticed any safety hazards (a ‘good catch’) or been involved in or witnessed any near-miss incidents?
 Do employees talk to each other and/or their supervisor/manager about safety hazards and near misses? If not, why not?

Employee Input - Ask for employee feedback and let them know their suggestions matter.

 Do you have any recommendations on how to improve the safety of this work/task?
 Is there anything I can do to make this work/task safer for you and your co-workers?

Managing At-Risk and potential SIF behavior: • For imminent, potential SIF behaviour, including breach of a safety Cardinal Rule: o Stop the CWalk and immediately mitigate and/or prevent exposure to the risk.  Where the supervisor/manager is not present, request their immediate presence.  Point out the risk to the crew and support the crew in identifying a safer way. o Do not resume work until the hazard(s) are controlled. • Enter a near miss/good-catch report in UTrac2 system (Incident Report)