Information
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Workplace
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Location
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Prepared by
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Date of inspection
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Time of Inspection 1
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Time of Inspection 2
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Time of Inspection 3
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Document No.
Office
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Reviewed?
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Emergency numbers posted on site board.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Waste disposed of properly.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Outlets, cords, and appliances in good condition.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Smoking in designated areas only.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Fire extinguisher properly placed, visible and inspected.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Floors clean and clear of tripping hazards.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Lunch areas are clean including small appliances.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Safety files organized and available for review. Dropbox up to date.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Safety equipment available and in working condition.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Rules, Regulations and Written Procedures
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Reviewed?
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Orientations completed for all workers on-site.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Hazard Assessments completed prior to work by workers and contractors.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Toolbox safety meetings completed weekly.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Emergency response plans posted on site board.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Hot work permits are issued for all hot work.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
First Aid
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Reviewed?
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First Aid Assessment completed.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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First aid kits.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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First aid room.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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First aid supplies.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Eye wash station.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Personal Protective Equipment (PPE)
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Reviewed?
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Hard hats.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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High Visibility Clothing.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Safety toed boots.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Eye protection.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Face protection.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed By Townline or Trade Contractor?
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Hand protection.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Skin protection.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Hearing protection.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Respiratory protection.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Access Egress
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Reviewed?
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Safe means of entrance and egress.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Workers using safe means.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Atmospheric Conditions
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Reviewed?
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Dust, fumes, vapours controlled at source.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Workers wearing appropriate protection from the natural elements.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Fans and ventilation set up when required.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Traffic
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Reviewed?
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Warning signs in place.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Traffic control plan in place.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Traffic control person in place.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Appropriate high visibility clothing worn.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Vehicles
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Reviewed?
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Parked in designated location.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Parked in safe locations.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Air Tools
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Reviewed?
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Hearing protection worn.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Hoses set up to minimize tripping hazard.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Grinders
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Reviewed?
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Safety glasses worn.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
-
Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Face shield worn.
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Corrective Action:
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Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
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Hearing protection worn.
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Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
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Wheel guard in place.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Powder Actuated Tools
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Reviewed?
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Hearing and eye protection worn.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Cartridges safely stored and handled.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Operator authorized and trained.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Power Tools
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Reviewed?
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In good working condition.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
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Hearing protection worn when required.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
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Defective tools tagged out or removed.
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Corrective Action:
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Person or Group Responsible:
-
Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Hazardous materials
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Reviewed?
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Labelled properly as per WHMIS/GHS.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Flammables liquids (gasoline) stored in safe well ventilated area.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Compressed gasses stored safely.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Concrete Grinding and Cutting
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Reviewed?
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Silica Exposure Control Plan complete.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Area restricted.
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Silica Exposure Control Plan complete.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Adequate lighting and ventilation.
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Corrective Action:
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Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
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Adequate respiratory protection worn
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Concrete Formwork and Falsework
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Reviewed?
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Protruding reinforcing rods at eye level removed or guarded.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Dismantled formwork safely stacked in non-hazardous location.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Compressed Gas Cylinders
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Reviewed?
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Strapped or chained and standing on end.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Away from heat and sparks.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
-
Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Empty cylinders have regulators removed, are capped and tagged.
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Corrective Action:
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Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
Electrical
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Reviewed?
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Cords are intact.
-
Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
-
Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Cords elevated or covered, do not present tripping hazard.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Three-prong plugs are used.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Energized junction boxes and electrical panels are covered.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
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Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Ground fault circuit interrupters (GFCI) used in temporary panels.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
-
Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Temporary lighting does not have broken or missing bulbs or guards.
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Corrective Action:
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Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
Excavations and Trenches
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Reviewed?
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Sloped and/or shored as required.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Ladder provided in immediate work area and extends at least 3’ above ground level<br>for access/egress.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
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Corrective Action Completed by Townline or Trade Contractor?
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Spoil pile is at least 1m (3’) away from edge of excavation.
-
Corrective Action:
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Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
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Ground disturbance permit has been issued and is current.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
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Utility locates and/or utility as-builts are current and displayed on site board.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
Fall Protection
-
Reviewed?
-
Fall protection equipment provided and used properly where falling hazard exists.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Lifelines attached to an adequate anchor point as per WorkSafeBC OH&S Legislation.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Fall protection equipment has been inspected prior to use.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Copies of workers’ fall protection certification are available on site.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
Guardrails/Opening
-
Reviewed?
-
Installed where there is a falling hazard.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Floor and roof openings covered, secured and marked or guarded.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
Hazard Controls
-
Reviewed?
-
Lock-out or tag-out systems used.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Signs, tags, and caution/danger tape available and used.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
Housekeeping
-
Reviewed?
-
Work areas clean and free of debris.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Adequate garbage containers available.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Nails bent over.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Materials and equipment stored in a safe manner.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
Ladders
-
Reviewed?
-
Rungs, rails, and ropes in good condition.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Placed ¼ of ladder length away from base of structure.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Extend 1 m (3’) above platform being accessed.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Secured to prevent movement (top and bottom).
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Workers not working on top two rungs.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Barricaded when used in passageways and stairwells.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
Scaffolding
-
Reviewed?
-
All connectors on.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Firm base and mud sill used, as required.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
All braces in place.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Tied to structure.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
Stairways
-
Reviewed?
-
Free of obstruction.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Guardrails adequately secured.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
Concrete Pumping Trucks
-
Reviewed?
-
Copy of annual certificate available.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Access under boom(s) restricted.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
Cranes
-
Reviewed?
-
Adequate barriers around swing radius.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Adequate clearance from power lines.
-
Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
-
Log book present on site.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
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Copy of crane annual certification onsite.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
Powered Mobile Equipment
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Reviewed?
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Refuelled in safe location – well ventilated.
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Corrective Action:
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Person or Group Responsible:
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Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
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Forks lowered and levelled when not in use.
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Corrective Action:
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Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
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Operated by competent and authorized personnel.
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Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
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Pre-use documented inspections taking place.
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Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
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Fire extinguisher available.
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Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
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Back-up signal operational.
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Corrective Action:
-
Person or Group Responsible:
-
Required Date and Time of Completion:
-
Date and Time Completed:
-
Corrective Action Completed by Townline or Trade Contractor?
Hazard Assessment
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Townline Risk Assessment Matrix
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Hazard Assessment
Hazard Identified
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Hazard
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Severity (S)
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Probability (P)
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Risk (R)
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Control
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Person or group responsible for correction
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Required Date and Time of Completion:
-
Date and Time Completed:
-
Completed by Townline or Trade Contractor?
Head Count and Review
Head Count
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Townline Staff
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Carpenters
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Cement Finishing
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Cleaners
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Concrete
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Delivery
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Drywall
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Demolition
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Excavation
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Electrical
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Elevator
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Finishing Carp.
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Fire Stop
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Formwork
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Glazier
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HVAC
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Gutter
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Insulation
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Landscaping
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Masonry
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Painting
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Plumbing
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Rebar
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Roofing
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Safety/Flagging
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Siding
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Surveying
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Sprinklers
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Temp Labour
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Utilities
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Visitors
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Window Cleaners
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Other
Review and Finalization
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Construction Safety Officer or Safety Representative
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End of Inspection: report emailed to Site Superintendent or Supervisor?
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End of Shift: report emailed to Safety Manager?