Grannie Clampett

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

Policy

• Is there a written Health and Safety Policy?

  Yes

  No

  Not Applicable

  Not Measureable

• Is it signed by the owner / senior management?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the Corporate Health and Safety Policy posted in a prominent area?

  Yes

  No

  Not Applicable

  Not Measureable

• Does the policy adhere to the legislation?

  Yes

  No

  Not Applicable

  Not Measureable

• Do employees know where to find a copy of the policy?

  Yes

  No

  Not Applicable

  Not Measureable

• Does the safety policy set out the responsibilities of the employer and the employees?

  Yes

  No

  Not Applicable

  Not Measureable

• Are employees aware of the policy content?

  Yes

  No

  Not Applicable

  Not Measureable

• Are employees aware of their responsibilities under the policy?

  Yes

  No

  Not Applicable

  Not Measureable

• Is management aware of their responsibilities under the policy?

  Yes

  No

  Not Applicable

  Not Measureable

Safety Management System (high level)

• Is there a Health and Safety Management Program?

  Yes

  No

  Not Applicable

  Not Measureable

• Does the H&S Management Program meet the legislative requirements?

  Yes

  No

  Not Applicable

  Not Measureable

• Has the H&S Management Program been communicated?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the employees aware of the program and where it is located?

  Yes

  No

  Not Applicable

  Not Measureable

• Is management aware of the program and where it is located?

  Yes

  No

  Not Applicable

  Not Measureable

Joint Health and Safety Committee (JHSC)

• Is there a JHSC?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the meeting effective?

  Yes

  No

  Not Applicable

  Not Measureable

• Have all members and alternates completed the WorkSafeNB 3-day core training?

  Yes

  No

  Not Applicable

  Not Measureable

• Are all members and alternates aware of their rights and responsibilities under the Act?

  Yes

  No

  Not Applicable

  Not Measureable

• Does the JHSC have a Terms of Reference in place?

  Yes

  No

  Not Applicable

  Not Measureable

• Is it reviewed regularly?

• Does the JHSC have equal representation? (Employee/Employer)

  Yes

  No

  Not Applicable

  Not Measureable

• What is the ratio (employees vs employers)?

• Does the JHSC have specific goals to meet each year?

  Yes

  No

  Not Applicable

  Not Measureable

• Does the JHSC meet the specific goals each year?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the action items completed in a reasonable timeframe? (Less than 120 days)

  Yes

  No

  Not Applicable

  Not Measureable

• Have the members received additional investigation training?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the meeting minutes posted on the safety bulletin boards?

  Yes

  No

  Not Applicable

  Not Measureable

• Do the employees know who their representative on the committee is?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the employees aware of where the minutes are posted?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the employees aware of the purpose of the JHSC?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the meeting minutes sent to WorkSafeNB each month?

  Yes

  No

  Not Applicable

  Not Measureable

Management Visibility / Interaction

• Is there a Management Field Safety Visit Program?

  Yes

  No

  Not Applicable

  Not Measureable

• Is it being measured?

  Yes

  No

  Not Applicable

  Not Measureable

• What is the measurement?

• Is management meeting their expectations?

  Yes

  No

  Not Applicable

  Not Measureable

• Explain why the expectations are not being met and what is being done about it.

• Is there an auditing process in place to ensure management is meeting their expectations?

  Yes

  No

  Not Applicable

  Not Measureable

• Who audits the process?

Rules and Regulations

• Are the safety rules posted or provided to each employee?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the employees aware of the safety rules?

  Yes

  No

  Not Applicable

  Not Measureable

• Do you know where to find the safety rules?

  Yes

  No

  Not Applicable

  Not Measureable

Safety Design

• Are the health and safety specifications for machinery, equipment and materials included in purchasing orders?

  Yes

  No

  Not Applicable

  Not Measureable

Tailboard Conference / Pre Job Brief

• Are the Tailboard Conference (Pre Job Brief) Forms completed as required?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a Tailboard Conference (Pre Job Brief) Standard?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the requirement for documentation clearly identified in the standard?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the Tailboard Conference (Pre Job Brief) Forms audited by local management at least monthly?

  Yes

  No

  Not Applicable

  Not Measureable

• As an employee who completes Tailboards (Pre Job Briefs) do you receive feedback on the quality of the tailboard (Pre Job Brief) ? (positive or negative)

  Yes

  No

  Not Applicable

  Not Measureable

Hazard Recognition

• Is there a system in place to prioritize hazards as they are identified?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a system to report hazards?

  Yes

  No

  Not Applicable

  Not Measureable

• Are identified hazards corrected promptly?

  Yes

  No

  Not Applicable

  Not Measureable

• Are records of reported hazards kept?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the incidents corrective actions completed within 120 days?

  Yes

  No

  Not Applicable

  Not Measureable

Risk Assessments

• Is a Job Safety Analysis completed for the high risk work that doesn't have a standard/procedure in place?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the Job Safety Analysis in writing?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a formal process for approving Job Safety Analysis?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the safety representative a member of the approval process?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the Job Safety Analysis reviewed with affected employees?

  Yes

  No

  Not Applicable

  Not Measureable

Lockout / Tagout

• Is there a Lockout/Tagout procedure in place?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the Lockout/Tagout procedure reviewed on a schedule?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the Lockout/Tagout operation audited annually?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the audit completed by an internal or external source?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a scheduled walk down of your permits after a specified timeframe?

  Yes

  No

  Not Applicable

  Not Measureable

• Are records of the locks issued maintained?

  Yes

  No

  Not Applicable

  Not Measureable

• Is a walk down of isolation points required by the worker prior to starting the job?

  Yes

  No

  Not Applicable

  Not Measureable

Fall Protection

• Are all employees that use fall protection trained?

  Yes

  No

  Not Applicable

  Not Measureable

• Are pre use inspections completed?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there an annual fall protection inspection program in place and documented?

  Yes

  No

  Not Applicable

  Not Measureable

• Are employees aware of how to identify if their fall protection equipment had an annual inspection?

  Yes

  No

  Not Applicable

  Not Measureable

Confined / Enclosed Space

• Is there a Confined / Enclosed Space procedure in place?

  Yes

  No

  Not Applicable

  Not Measureable

• Do you know where to find the procedure?

  Yes

  No

  Not Applicable

  Not Measureable

• Are entry forms used for all entries?

  Yes

  No

  Not Applicable

  Not Measureable

• Are entry forms posted at the space?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there an inventory of confined / enclosed spaces?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there proper signage posted for confined / enclosed spaces?

  Yes

  No

  Not Applicable

  Not Measureable

• Has a rescue procedure been developed for the confined / enclosed spaces?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the rescue procedure available at the space?

  Yes

  No

  Not Applicable

  Not Measureable

• Are all employees required to be a part of confined / enclosed space work, properly trained? (Entry and rescue)

  Yes

  No

  Not Applicable

  Not Measureable

Asbestos

• Is there a documented asbestos management program?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there an inventory done for the asbestos that is present in the building?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there proper signage on the material that contains asbestos?

  Yes

  No

  Not Applicable

  Not Measureable

• Have all employees whose work may disturb asbestos material received asbestos awareness training?

  Yes

  No

  Not Applicable

  Not Measureable

• If there are employees who are required to remove asbestos, do they have asbestos removal training?

  Yes

  No

  Not Applicable

  Not Measureable

Blasting

• Does the logbook have one sheet for each product?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a monthly inventory completed?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the keys to the magazine located in a secure place?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the license present and up to date?

  Yes

  No

  Not Applicable

  Not Measureable

• Are regular inspections completed and recorded?

  Yes

  No

  Not Applicable

  Not Measureable

• Are explosives and detonators stored separately?

  Yes

  No

  Not Applicable

  Not Measureable

• Are signs posted?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the TDG certificate up to date?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the shipping documents kept for 2 years?

  Yes

  No

  Not Applicable

  Not Measureable

Diving

• Is there a comprehensive diving safety plan prepared?

  Yes

  No

  Not Applicable

  Not Measureable

• Does the diving plan identify measures to identify and control potential dive site contamination hazards?

  Yes

  No

  Not Applicable

  Not Measureable

• Do the training records include all relevant training and experience for the specific diving task?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a contingency plan which clearly outlines the protocols to be implemented in the event of an emergency?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a communication plan in place between the in-water diver and the surface support personnel?

  Yes

  No

  Not Applicable

  Not Measureable

• Have all divers working on NB Power worksites provide proof of competency through the Diver Certification Board of Canada (DCBC) or other recognized certifying agency within the context of CSA Standard 275.5-05, Occupational Diver Training and possess experience with respect to the dive being contemplated.

  Yes

  No

  Not Applicable

  Not Measureable

WHMIS / TDG

• Are the MSDSs easily accessible? (Electronic or Hard Copy)

  Yes

  No

  Not Applicable

  Not Measureable

• Are the MSDSs current?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a hard copy alphabetically indexed?

  Yes

  No

  Not Applicable

  Not Measureable

• Are all employees trained in WHMIS?

  Yes

  No

  Not Applicable

  Not Measureable

• Do all employees who ship or carry dangerous goods have the proper TDG training?

  Yes

  No

  Not Applicable

  Not Measureable

Management / Supervisor Training

• Have all management (leads - president) taken the Supervisory Safety Skills course?

  Yes

  No

  Not Applicable

  Not Measureable

• Have all management taken the "Management Development Programs" which are organized by the HR Department?

  Yes

  No

  Not Applicable

  Not Measureable

Employee Orientation / Training

• Does the H&S Standard for Orientation, meet the legislation?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there an initial formal orientation for new and transferred employees?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there an "Orientation Standard"?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the Training Needs Assessment completed with each employee on an annual basis?

  Yes

  No

  Not Applicable

  Not Measureable

• What percentage is the training compliance?

  Yes

  No

  Not Applicable

  Not Measureable

• Do you feel you have the proper training to do the tasks assigned to you?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a documented annual training plan?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a plan in place for training employees on standards and procedures for their work?

  Yes

  No

  Not Applicable

  Not Measureable

Contractor Orientation / Training

• Is there a documented contractor orientation?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a monitoring program to ensure that contractors are meeting NB Power's expectations?

  Yes

  No

  Not Applicable

  Not Measureable

Visitor Orientation /Training

• Is there a documented visitor orientation?

  Yes

  No

  Not Applicable

  Not Measureable

Safety Meetings

• Are safety meetings documented?

  Yes

  No

  Not Applicable

  Not Measureable

• Are safety meetings effective?

  Yes

  No

  Not Applicable

  Not Measureable

• Do employees feel they are able to contribute to the safety meetings?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the proper meeting template used for documenting the minutes?

  Yes

  No

  Not Applicable

  Not Measureable

• Does management participate in the safety meetings?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the safety meetings held in the proper timeframe?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the meetings well attended?

  Yes

  No

  Not Applicable

  Not Measureable

Communications

• Are there adequate safety bulletin boards?

  Yes

  No

  Not Applicable

  Not Measureable

• Do the bulletin boards contain current material, JHSC minutes, building evacuation plan, etc.?

  Yes

  No

  Not Applicable

  Not Measureable

Personal Protective Equipment (PPE)

• Are there written rules for the use and care of PPE?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the PPE maintained regularly and kept in good condition?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the employees properly fitted with PPE?

  Yes

  No

  Not Applicable

  Not Measureable

• Are employees instructed on how to wear, maintain and clean PPE?

  Yes

  No

  Not Applicable

  Not Measureable

• Are signs posted indicating what PPE is required?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the PPE readily available?

  Yes

  No

  Not Applicable

  Not Measureable

Equipment Inspections and Maintenance

• Are pre-use inspection forms completed before mobile and material handling equipment is operated?

  Yes

  No

  Not Applicable

  Not Measureable

Occupational Health

• In areas where health hazards exists, is there regular monitoring?

  Yes

  No

  Not Applicable

  Not Measureable

• Are medical examinations carried out on employees exposed to an identified health hazard?

  Yes

  No

  Not Applicable

  Not Measureable

• Are records maintained of all data developed through the monitoring of identified chemical, biological, and physical agents as required by legislation and accepted industry standards?

  Yes

  No

  Not Applicable

  Not Measureable

• Are records maintained of each employee's exposure(s) to identified chemical, biological, and physical agents as required by legislation and accepted industry standards?

  Yes

  No

  Not Applicable

  Not Measureable

Emergency Preparedness / Response

• Does the site / building have an emergency evacuation plan?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the employees trained on the emergency evacuation plan?

  Yes

  No

  Not Applicable

  Not Measureable

• Do the emergency phones work?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there an emergency phone listing posted beside the emergency phones?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there an adequate amount of personal trained in first aid?

  Yes

  No

  Not Applicable

  Not Measureable

Contractor Qualifications / Assessments

• Are there procedures in place to ensure that contractors comply with the organization's health and safety program?

  Yes

  No

  Not Applicable

  Not Measureable

Planned Inspections

• Are planned inspections performed in your division?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a follow up system for corrective actions of planned inspections?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a standard inspection form?

  Yes

  No

  Not Applicable

  Not Measureable

• Are employees involved in formal inspections?

  Yes

  No

  Not Applicable

  Not Measureable

Incident Reporting and Investigations

• Is there an investigation standard in place?

  Yes

  No

  Not Applicable

  Not Measureable

• Are employees encouraged to report all incidents?

  Yes

  No

  Not Applicable

  Not Measureable

• Are the incident's corrective actions completed within 120 days?

  Yes

  No

  Not Applicable

  Not Measureable

• Are investigations reviewed with employees who would be affected by the incident?

  Yes

  No

  Not Applicable

  Not Measureable

• Are employees aware of when and what to report to WorkSafeNB?

  Yes

  No

  N/A

Disability Management

• Does NB Power have a return to work program?

  Yes

  No

  Not Applicable

  Not Measureable

• Is there a disability management program coordinator?

  Yes

  No

  Not Applicable

  Not Measureable

• Do the policies ensure that all work related injuries and / or illnesses are reported to WorkSafeNB within the time frame defined by the legislation?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the a Modified Duty Program?

  Yes

  No

  Not Applicable

  Not Measureable

• Is the progress of the employees on The Modified Duty Program documented and evaluated?

  Yes

  No

  Not Applicable

  Not Measureable

Respectful Workplace

• Is there a Respectful Workplace policy?

  Yes

  No

  N/A

• Have all employees received the Respectful Workplace awareness training?

  Yes

  No

  N/A

Drug and Alcohol

• Is there a drug and alcohol policy?

  Yes

  No

  N/A

• Are employees aware of the drug and alcohol policy?

  Yes

  No

  N/A

Employee and Family Assistance Program (EFAP)

• Are employees aware of the EFAP and the contact person?

  Yes

  No

  N/A

Barricades

• Are areas with overhead work barricaded and warning signs / tags in place?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are traffic controls in place to ensure proper routing away from work areas?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are barricades identifiable at night?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the barricade tag installed?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the elevator shaft openings barricaded?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is safety signage installed and removed as required?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are trenches and excavations barricaded?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are roadways, sidewalks and stairs barricaded while under construction?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are barricades in place when sand blasting or pressure cleaning?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Concrete

• Are forms properly installed with correct shoring and cross bracings?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are heating devices monitored?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• When heating the area, is it ventilated properly?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are hands kept clear from concrete delivery chute pinch points?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all guards in place for moving parts?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are concrete truck wheels chocked while off-loading?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the proper PPE worn?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are plans developed to re-route traffic during pouring operations?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are there trained signal/flag persons?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are wheelbarrow runways and raised work areas unobstructed and free of debris?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are unused forms properly stored?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is waste concrete placed where it will not present an obstruction until disposal?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are workers protected from skin contact with un-set concrete?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Confined Space

• Are all confined spaces identified and warning signs posted?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are controls in place for all hazards identified on a permit?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Has the instrument function test been completed?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Has the instrument been calibrated in the last 30 days or as otherwise required?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are confined space entry forms retained a minimum of 2 years?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the proper PPE specified for each confined space?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are entry and testing documentation signed by the appropriate personnel?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are entry forms posted prior to start of work?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there a safety person for all confined space entries?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there a rescue person available?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is proper emergency rescue equipment available?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there proper air monitoring equipment available?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there a documented rescue plan?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Electrical

• Are signs posted on electrical rooms and transformer vaults to allow entry by authorized personnel only?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the grounds on buildings and equipment in place?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there adequate lighting?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are bulb guards in place?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do all terminal boxes have proper covers installed?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all broken or damaged electrical tools or equipment tagged?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are there any electrical wires exposed?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the Ground Fault Circuit Interrupters installed and tested where required?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do all electrical devices have CSA or U/L certification identified by a sticker or label?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are extension cords and receptacles inspected before each use?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the rubber protective equipment inspected before use?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are lock out / tag out procedures followed before repairs on electrical equipment are attempted?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do breaker panels have weather covers and are the breakers labeled?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the electrical panels free from obstruction?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is written authorization required before working on energized equipment?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do employees inspect all electrical tools before they are used?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• For all electrical work done on energized equipment, is the area protected with barriers?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is PPE worn by employees?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are receptacle covers in good condition?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the insulation on electrical cords in good condition?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the ground prongs on plugs in good condition?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the proper type and size of fire extinguishers available?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the electrical circuit tester in good condition?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Environmental

• Are contingency plans in place for all environmental issues?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the waste storage area properly posted and fenced with locked gates?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the proper PPE used when handling hazardous waste?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there a spill kit available?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are storage and shipping containers inspected and have proper WHMIS/TDG labels?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the emergency contact phone numbers posted?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is hazardous waste stored separately?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are sharp containers available?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Explosives (PLGS Security)

• Is there a procedure for misfires on the Firing Range?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are there procedures for live fire?

  Yes

  No

  N/A

• Are surveys conducted before and after shots to check for possible damage?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are weapons inspected before each shot?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the Firing Range cleared of people and equipment and secured until the area is inspected after the shot?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are scheduled firing days communicated in advance?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are there audible or visual signals used before firing?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the ammunition storage constructed per code?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are you compliant with all Federal and Provincial laws and regulations concerning transportation of firearms?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all operators licensed and properly supervised?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there proper protection and accounting for all ammunition at all times?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Fall Protection

• If it is not reasonable to install guard rails, are the workers protected by one of the following? A travel restraint system, a fall arrest system or a safety net?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are floor openings securely covered or barricaded?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all work areas where a worker may fall more than 3m or 1.2m or more into a hazard, protected with guardrails?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there adequate fall protection provided for all required employees?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Have the employees inspected their fall protection equipment before use?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all components of the fall protection system inspected on an annual basis?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are proper anchor points being used?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are procedures in place for inspection of anchor points?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the employees wearing their fall protection properly?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Fire Protection

• Have all the fire equipment (extinguishers, hoses, etc.) been tagged and inspected?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there easy access to the fire equipment?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all hose stations in good repair?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do all operators know equipment has to be shut down prior to refueling?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the emergency phone numbers posted throughout the site?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there unobstructed access to the fire hydrants?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there an adequate number and type of fire extinguishers installed?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are hot work permits required for all torch cutting, welding, and soldering in areas where combustibles are present?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are fuel supplies protected from impact?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are fire alarm systems operational and loud enough to warn employees in all areas?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is fire extinguisher training conducted and records kept?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is equipment and fuel containers properly grounded to fuel supply source before refueling?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are there No Smoking signs posted and enforced?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are flammable liquids stored in approved containers and correctly labeled?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the storage areas and partitions at least 18" below the sprinklers?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are sprinklers clear from items hanging from them such as signs/banners?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are sprinkler heads clean and unpainted?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are aisles the proper width? Feeder aisles shall be 36" wide minimum and main aisles shall be 43" wide minimum.

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are fire walls intact with no holes in them?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are stairwells clear of any storage or equipment?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are doors cleared of snow or ice so they can open properly?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all ceiling tiles in place?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do all fire doors close and latch without help? Or is there a fusible link?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are electrical, relay and DCS rooms clean and not used as storage areas?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are portable heaters in offices used properly?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are garbage cans, recycle bins or storage areas not overflowing?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the electrical equipment in the coal handling areas listed as Class 2 Div 1?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the correct class of fire extinguishers available?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Flammables

• Are containment dikes in place around all bulk storage facilities?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are correct containers used for flammables?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the oil rag bins cleaned daily?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are containers for flammables properly identified?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are combustible products properly stored?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are grounding and bonding systems in place for the transfer of combustibles?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are carts used for moving cylinders that provide secured upright transport?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are flammable liquids stored in an oil room or a flammable liquids room?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all oxidizers stored away from oils and greases?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do the salamander propane heaters have a bar on the outlet to prevent storage of items to close to the discharge?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• In the stores gas bottle storage area - Is the oxygen separated from all fuel gas and H2 by 20 ft or a steel wall that prevents line of sight between the cylinders?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are waste oil and lower flash point liquids such as varsol and acetone stored in metal drums?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are proper ULC listed rag bins available for used oily rags?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

General Inspection

• Are first aid kits available and adequately stocked?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are clean sanitary facilities (washroom/lunchroom) with running water available to all workers?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there drinking water readily available?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are records of all injuries and treatment being kept?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the work area clear of clutter?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Hand Tools

• Are the tools being carried in a safe manner?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the tools being used correctly?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do the employees complete a pre use inspection on the tools?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do the employees have the proper tool for the job?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the tools stored properly?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Hazardous Materials

• Have control and disposal measures been established for hazardous materials?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are MSDS obtained for all hazardous materials and posted on site?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do the employees know where to find MSDSs?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Have all employees taken WHMIS training?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the material stored and labeled as per the manufacturers requirements?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the labels easily readable?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are there up to date logs of all chemicals, quantities and location?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Heavy Equipment

• Are regular monthly inspections and maintenance conducted and logged as per manufacturer's requirements?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all operators qualified and possess the required training and license cerificates?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are fire extinguishers installed on all fuelled equipment?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are traffic control persons in place to direct traffic and site equipment when necessary?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there roll-over protection and seatbelts used?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the equipment used only for its intended purpose?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the back-up alarms installed and functioning on all mobile equipment?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are wheel chocks used?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do the employees follow the correct parking procedures?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Hoisting and Rigging

• Is the equipment properly secured?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are chain-falls and come alongs used within their limits?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the load chart posted?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the minimum approach distances maintained?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are swing radius barricades in place?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all cranes including rented cranes inspected when they arrive on site?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are tag lines used for all lifts?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are outriggers used in the fully extended position and pads used?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the load properly rigged and equipment inspected?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do you have the correct signal personnel?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are restrictions in place to prevent lifts in high wind?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are inspection and maintenance logs maintained?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are you familiar with the "Load Drop Zone"?

  Yes

  No

  N/A

Hot Work

• When doing Hot Work is there a hot work form completed?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the Hot Work procedure available?

  Yes

  No

  N/A

• Are firewatchers used during Hot Work?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there an appropriate fire extinguisher present?

  Yes

  No

  N/A

Ladders

• Are ladders inspected before use?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are ladders secured to prevent slipping?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do the side rails extend 1m above the landing?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is a ladder cage required?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are ladders used for their intended purpose?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are fibreglass ladders rated for construction use?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all manufacturers tags legible?

  Yes

  No

  N/A

Lockout Tagout

• Does the employee have a work permit?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the locks and tags properly installed?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all control valves, breakers, and switches properly labeled?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Have all operational hazards been identified?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all machine guards re-installed before removing locks and tags?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the locking devices available for every type of isolation?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Has the employee verified the points of isolation?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Material Handling

• Are large loads broken down into more manageable size and weight before lifting?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the material handling equipment used properly?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the workers aware of proper lifting and carrying techniques?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are large containers or loads that cannot be reduced moved by mechanical means?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there an alternate way to bring heavy material up or down ladders or scaffolds without carrying it?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are gloves being worn when manually handling material?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are log books (pre use inspection) completed on the forklifts?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Material Storage

• Are nails in waste material removed or bent down?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the material in storage secured so it poses no threat of movement?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are combustibles properly stored?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are accidental release or spills of materials that pose a health or environmental hazard reported immediately?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is waste materials and trash disposed of regularly?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the storage areas orderly?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Motor Vehicles

• Are all vehicle laws observed on site?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are speed limits posted and enforced on site?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do all operators wear seatbelts?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the proper size and type of fire extinguisher installed in all on-site mobile equipment?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are back up alarms installed?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are employees who operator a motor vehicle for work purposes trained in defensive driving?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Personal Protective Equipment (PPE)

• Is PPE issued only to personnel who are trained in its use and care?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are there written procedures for all PPE?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do the employees inspect their PPE before use?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is head, eye, foot and hearing protection worn by all workers when required?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are respirators used when hazardous materials may be inhaled?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the PPE adequate for the type of exposure?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is proper maintenance and sanitary storage available for PPE?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Powder Actuated Tools

• Are tools inspected and maintenance conducted?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do operators of the tools have and use the proper PPE?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the instruction manual available?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the tools unloaded and stored properly?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Has the opposite side of the structure receiving the impact been inspected?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the misfired shots properly disposed of?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Power Tools

• Is proper PPE used for each tool?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are tools properly grounded or rated as double insulated?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are damaged or malfunctioning tools tagged and removed from service until repaired?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the electrical cords in good condition?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all mechanical guards and handles in place?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are whip checks used?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Radiation

• Is the radiation dosimeter and film badges in good condition?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the proper signage on all sources?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Has a Radiation Safety Officer been appointed?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the radiation license up to date?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the procedures in place for working on radioactive sources?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Scaffolding

• Is scaffold erected as per manufacturers instructions?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are work or walk areas under raised work platforms protected from falling objects?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all connections secured?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Has the scaffolding been tagged?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are guard rails, intermediate rails, and toe boards in place?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is fall protection available and in use when conditions warrant?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are all components free from defects?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are working areas free of debris and slip hazards?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Site Security

• Are barricades or fencing in place to prevent unauthorized access to site?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the barricades and fencing in good condition?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the gates secured?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the material (copper, tools, equipment) kept out of sight when employees are not on site?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Do the gates and fences have proper signage?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Steel Erection

• Are swing staging and boatswain chairs inspected?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the employee in a safe position while climbing, changing position or stationary?

  Yes

  No

  Not Applicable

  Not Measureable

• Are there perimeter guard rails in place?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the material crane or hoist used properly?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are floor openings covered or barricaded?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the steel structure properly grounded?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are ladders, stairs or other means of access provided to elevated work areas?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there a safe perimeter established?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Trenching and Excavation

• Are all open excavations identified and barricaded?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are equipment ramps properly sloped and adequate for the equipment used?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is underground piping, electrical and communication lines identified with adequate support and protection provided?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is shoring and sloping correct for soil type and conditions?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are soil and materials stored a safe distance from the edge of the excavation?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the operator aware of the safe distance from the edge of the excavation?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are excavation permits executed?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Vehicles

• Is the trailer / chipper inspection current?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the barehand certification current?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the motor vehicle inspection current?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the annual hydraulic inspection current?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the hotsticks inspections current?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the safety ground inspections current?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the rubber glove inspections current?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the vehicle log book completed before use (if applicable)?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the fire extinguishers on the vehicles inspected monthly and annually?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the outrigger pads used?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is there a minimum of 2 wheel chocks being used?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the vehicle in good housekeeping order?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Does the vehicle have a secure load?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the ladder secured and brackets in good condition?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

Welding and Cutting

• Are power cables and hoses protected and in good working condition?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the electrical equipment properly grounded?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are the gas cylinders secured upright?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the PPE (shields, goggles, gloves, aprons, etc.) provided and in use?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are welding screens installed for all cutting or welding?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are there flash back arresters installed?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is the proper size and type of fire extinguisher within easy reach?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are flow gauges and regulators properly maintained and removed when not in use?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are cylinder caps used for all transportation and storage?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are electrodes stored properly when unattended?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are combustible gases and oxygen stored separately?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Are fire hazard inspections conducted and Hot Work permits issued before work commences?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured

• Is inert gas protection in place with ongoing sampling and monitoring?

  A-Hazard

  B-Hazard

  C-Hazard

  Compliant

  Not Measured