Information
Divisional Safety Inspection
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Division Being Inspected:
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Area(s) of Division Being Inspected (i.e. Shop, Bin #, Plant Area etc.):
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Date of Inspection:
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Members of the Inspection Team:
1. Site Access
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Clean, Level ground
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Adequate ramps
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Adequate stairs
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Adequate ladders
2. Protective Equipment
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Hard hats worn
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Foot protection
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Eye & Face Protection worn?
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Is eye and face protection available?
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Is hearing protection worn?
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Is hearing protection available?
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Is respiratory equipment worn?
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Is respiratory equipment available?
3. Guardrails, Barricades
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Located where required
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Properly constructed
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Adequately secured
4. Ladders
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Are ladders in use at this worksite?
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Secured
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Proper angle (extension)
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Safe, usable condition
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Proper size and type
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Properly used
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Proper handrails and landings
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Non-slip bases
5. Fire Prevention
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Extinguishers where required
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Fully charged
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Adequately identified
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Master emergency plan
6. Public Way Protection
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Properly located (within 4.5 m)
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Covered where required
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Min. Height, width requirement
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Proper rail on street side
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Proper lighting, where required
7. Housekeeping
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Clear walkways
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Clear work areas
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Clear access and landing
8. Fall Protection
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Is fall protection in use at this worksite?
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Safe, usable condition
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Properly worn
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CSA approved
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Working from Ladders, Scaffolds, Swing Stages
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Ladders
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Scaffolds
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Swing Stages
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Unprotected openings and edges
9. Stairwells and Ramps
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Proper filler blocks in metal stairs
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Proper cleats on ramps
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Adequate lighting in stairwells
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Proper handrails and guardrails
10. Scaffolds
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Are scaffolds in use at this worksite?
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Properly erected (all parts used)
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Properly secured
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Properly planked
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Proper Guardrails, toe boards
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Proper access to platform
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Acceptable loading
11. Power Tools, Equipment
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General condition
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Proper guards, cords, PPE
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Use of "Defective" tags
12. Extension Cords
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Outdoor type rated over 300 volts
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General condition of casing, ends, and connections
13. Compressed Gas Cylinders
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Are there compressed gas cylinders at this worksite?
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Properly located
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Properly secured
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Properly moved or lifted
14. Worker Education
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WHMIS training
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Company safety policy & program
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Injury reporting
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Hazard reporting
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WSH Act and Regulations
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Personal H & S responsibilities
15. First Aid Requirements
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Adequate number of first-aiders on jobsite
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First Aid kits
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Adequate number
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Adequately stocked
16. Cranes, Housts, etc.
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Are cranes and/or hoists in use at this worksite?
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Safe setup of equipment
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Maintenance log available
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Competent operator
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Condition of slings, hardware
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Safety clips on all hooks
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Proper use of tag lines
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Proper lifting containers
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Competent signaler
17. Welding
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Does welding happen at this worksite?
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Rods and cylinders properly labeled
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MSDS readily available
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Properly secured ground cable
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Proper eye protection worn
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Proper screens and exhaust
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Cylinders upright and secured
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Fire extinguisher readily available
18. Elevating Work Platform
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Is an elevating platform in use at this worksite?
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Worker training
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Safe, usable condition
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Properly used
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Acceptable loading
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Manufacturer's operating manual with the equipment
19. Traffic Control
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Is traffic control is use at this worksite?
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Trained traffic controllers
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Properly located
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Clean, regulation sign
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Properly dressed (including vest)
20. Temporary Power Supply
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Is a temporary power supply available for use at this worksite?
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Properly identified?
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Overhead lines flagged and secured?
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Surface cables buried or protected?
21. Signs & Print Material
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WSH Act & Regulations
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MSDS copies available
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Proper use of Warning Signs
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Emergency Phone List
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Report Forms
22. Materials Storage
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Properly located
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Safely piled, stacked, bundled
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Properly moved or lifted
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Properly labelled (WHMIS)
23. Trenches & Excavations
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Are there trenches or excavations at this worksite?
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Properly angled where required
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Excavated materials properly placed
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Appropriate shoring used
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Proper access to trench
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Proper storage of materials in and above trench
24. Confined Spaces
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Does work in confined spaces happen at this worksite?
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Proper access
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Air testing before entry
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Rescue equipment readily available
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Safety harness, lifeline properly anchored and used
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Second person for rescue
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Outgoing air monitored
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Entry permit system
25. Suspended Scaffolds
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Does work on suspended scaffolds happen at this worksite?
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Properly attached and capable of at least 4 times maximum load
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All mechanical/electrical devices in good working condition
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Outrigger beam tied to fixed support with adequate counterweight
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Independent lifelines for each worker (extend to ground)
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Engineers drawings on site if required
26. Formwork
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Is formwork conducted on this worksite?
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Guardrails and fall arrest system
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Design drawings kept on project
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Inspection statement by engineer or competent worker
27. Hygiene
Further Actions
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Immediate Action(s) Required:
Signature of Auditor(s):
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Signature of Auditor:
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Signature of Auditor: