Audit

1. Personal Protective Equipment

1.1 Proper head protection

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

1.2 Proper foot protection

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

1.3 Proper eye protection

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

1.4 Proper hearing protection

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

1.5 Ear plugs not just set in outer ear

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

1.6 Proper hand protection (gloves)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

1.7 Proper respiratory protection

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

1.8 PPE worn correctly

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

1.9 Harness worn correctly (straps, lanyards, snug enough, etc.)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

1.10 Harness CSA approved

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

1.11 Harness is in safe, usable condition

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

1.12 Tied off correctly to basket/platform of lift

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

1.13 Other: (please specify)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
2. Ladders

2.1 The ladder is suitable for the task (step, extension, or platform ladder)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

2.2 The ladder can accommodate the weight being moved up or down, or being held on it

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

2.3 The ladder length will position the worker so they do not have to overreach

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

2.4 The ladder has been maintained and is in safe working condition

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

2.5 The ladder is being used as per the manufacturer's guidelines

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
Extension / Portable Ladders:

2.6 Is secured at the top and bottom

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

2.7 Is set up at a safe angle (1:4)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

2.8 Is set up with side rails against supporting surface (not the rung against the surface)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

2.9 If used for access/egress the length extends three rungs above the top of the supporting surface

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
Workers working on ladders

2.10 Are trained in ladder safety

Provide steps taken to correct the issue, includes pictures.

Add media

2.11 Are performing tasks that do not affect the ladder stability (ie: no forceful exertions or sudden forces, not using equipment such as hammer drills, not overreaching while pulling something such as cable through conduit)

Provide steps taken to correct the issue, includes pictures.

Add media

2.12 Are climbing the ladder using both hands

Provide steps taken to correct the issue, includes pictures.

Add media

2.13 Are facing the ladder when climbing up and down

Provide steps taken to correct the issue, includes pictures.

Add media

2.14 Are standing on the ladder and able to receive or place materials/tools without reaching sideways beyond the side rails of the ladder, or below knee level, or lean backwards

Provide steps taken to correct the issue, includes pictures.

Add media

2.15 Are able achieve 3-point contact when standing and working on the ladder (ie: not holding large, awkward items that require both hands to hold)

Provide steps taken to correct the issue, includes pictures.

Add media

2.16 Are always keeping both feet on the ladder when standing on it

Provide steps taken to correct the issue, includes pictures.

Add media

2.17 Are standing below a height of 3 metres (otherwise fall protection is needed)

Provide steps taken to correct the issue, includes pictures.

Add media

2.18 Other: (please specify)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
3. Extension Cords

3.1 Outdoor type is rated for over 300V

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

3.2 Safe condition of casing, ends, connections

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

3.3 GFCIs used where required

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

3.4 Other: (please specify)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
4. Manual Material Handling / Safe Lifting

4.1 Worker carrying load close to core

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

4.2 No stooping or twisting; bending at knees with back straight

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

4.3 Appropriate size of load

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

4.4 Proper grip of load

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

4.5 Using sufficient rest & recover time between loads

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

4.6 Choosing to push load rather than pull

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

4.7 Other: (please specify)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
5. Safe Position for Task

5.1 Body positioned for task

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

5.2 Using proper PPE for specific task

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

5.3 Proper footing for task

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

5.4 Proper balance for task

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

5.5 Other: (please specify)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
6. Safe Behaviour (No Horseplay)

6.1 Safety meetings are being held

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

6.2 No horseplay, rowdiness, practical jokes, fighting, running, sleeping

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

6.3 Does worker know & understand correct work procedure

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

6.4 Other: (please specify)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
7. Safe Use of Equipment

7.1 Familiar with the safe use of equipment

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

7.2 Could worker spot damage

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

7.3 Properly trained to operate equipment

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

7.4 Other: (please specify)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
8. Tools, Equipment, Materials

8.1 Tools/Equipment right for the job

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

8.2 Tools/Equipment used properly

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

8.3 Tools/Equipment in safe condition

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

8.4 Cords on small tools safe

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

8.5 Proper guards on equipment

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

8.6 Tagging necessary items as DEFECTIVE

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

8.7 Necessary PPE worn while using tools/equipment

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

8.8 Neatly and safely stacked

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

8.9 Flammable materials separated & stored in ventilated area

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

8.10 Materials properly stored & identified/labelled

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

8.11 Consumables are properly stored in containers

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

8.12 Other: (please specify)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
9. Unrestricted / Uncongested Areas

9.1 Steps are kept clean

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

9.2 No debris in walkways

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

9.3 Evacuation routes are clear

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

9.4 Individual job/work locations not interfering

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

9.5 Other: (please specify)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
10. Good. Housekeeping / Orderly

10.1 Cables and cords not tangled

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

10.2 Tools are not cluttering walkways

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

10.3 Equipment container uses for specific equipment only

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

10.4 Work area kept clean

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

10.5 Clear access and landing

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

10.6 Other: (please specify)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
11. Scaffolds / Guard Rails

11.1 Can identify a safely built scaffold before use

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

11.2 Can identify properly constructed guard rails

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

11.3 Other: (please specify)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
12. Confined Spaces

12.1 Can identify confined spaces

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

12.2 Understands to stay out of confined spaces

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

12.3 Other: (please specify)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
13. Trenches and Excavation

13.1 Trench properly sloped where required

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

13.2 Excavated soil properly placed

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

13.3 Appropriate shoring used

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

13.4 Proper access to trench

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

13.5 Proper storage of materials in and above trench

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media

13.6 Other: (please specify)

Hazard Rating:
HIGH-Condition resulting in fatality, permanent disability, expensive loss to property
MEDIUM-Serious injury or illness resulting in temporary disability & property damage
LOW-Minor injury or illness non disabling, non disruptive property damage

Recommended corrective action to be taken (please include pictures)

Add media
Signature of Inspector:

Copies to:

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.