Health & Safety Assessment - duplicate

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

POLICY

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

  Yes

  No

  N/A

• Is the OHS Act and Regulations readily avaiable?

  Yes

  No

  N/A

LOSS CONTROL MEETINGS

• If H&S attends the meeting- Complete Observation Form.

  Yes

  No

  N/A

• Is the meeting attendance being tracked?

  Yes

  No

  N/A

• Are members of the Senior Management in attendance?

  Yes

  No

  N/A

JOINT HEALTH & SAFETY COMMITTEE (JHSC)

• If H&S attends the meeting - Complete Observation Form.

  Yes

  No

  N/A

• Have all members attend the WorkSafeNB Core Training?

  Yes

  No

  N/A

• Have some members received additional investigation training?

  Yes

  No

  N/A

• Are members of the JHSC involved in investigations?

  Yes

  No

  N/A

• Are the issues identified on the minutes less than 120 days?

  Yes

  No

  N/A

• Have the monthly planned inspections been completed / reviewed?

  Yes

  No

  N/A

H&S INCIDENT REPORTING FORM (gather information prior to assessment)

• Are the incidents completed within 120 days?

  Yes

  No

  N/A

TAILBOARD CONFERENCE

• Are the Tailboard Conference Forms being completed as required?

  Yes

  No

  N/A

TRAINING NEEDS ASSESSMENT (gather information prior to assessment)

• What is the training compliance for this location?

  90%-100%

  80%-90%

  >80%

SAFETY BULLETIN BOARD

• Is there a separate bulletin board for SAFETY?

  Yes

  No

  N/A

• Are the minutes of the JHSC meetings posted?

  Yes

  No

  N/A

• Are the members and alternates of the JHSC posted?

  Yes

  No

  N/A

• Is the emergency plan posted? (communication / transportation)

  Yes

  No

  N/A

• Are the names of the employees who are first aid trained posted?

  Yes

  No

  N/A

• Is the information on the bulletin board current? (safety bulletins, safety contests, general safety information)

  Yes

  No

  N/A

• Are there 9-1-1 Messages, Safety Bulletins, Safety Advisories posted?

  Yes

  No

  N/A

HEALTH CONTROL

WHMIS

• Are the MSDS up to date?

  Yes

  No

  N/A

ASBESTOS / LEAD MANAGEMENT

• Is there a documented program available?

  Yes

  No

  N/A

COMMUNICATION WITH EMPLOYEES

• Are employees encouraged to use the H&S Incident Reporting Form?

  Yes

  No

  N/A

• Is Management visible in the field on a regular basis?

  Yes

  No

  N/A

• Do you identify any barriers to performing your work safely prior to beginning the job? If so, what are some of the barriers?

  Yes

  No

  N/A

• Do you feel you have adequate training for your job?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT (PPE)

• Are all employees wearing the appropriate PPE for the task being carried out?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Is the PPE (that was observed) well maintained?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are the Rubber Gloves valid? (check date)

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

EMERGENCY PREPAREDNESS

• Does the site have an emergency evacuation plan?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are emergency phones working?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Do the emergency phones have a current emergency phone list posted?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

LIGHTING

• Is the emergency lighting tested regularly?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Is the general lighting adequate?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

FIRE CHECKS

• Are all fire-fighting equipment checked on a regular basis?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are fire doors closed and not blocked open?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are flammable cabinets grounded?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Is there clear access to fire equipment?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

PRE-USE INSPECTION

• Where appropriate, are logbooks present?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are logbooks being completed as required?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are hoisting slings inspected?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are the fall protection components inspected?<br>(this includes harnesses, lanyards, regularly used anchor points, etc.)

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

HOUSEKEEPING

• Is the work area clear of clutter?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are extension cords in good condition?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are welding cables / cords / hoses properly secured and protected?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are whip-checks used?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

SECURITY

• Were fences and gates in good condition?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Were the gates secured?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

SCAFFOLD

• Is the scaffold tagged?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

VEHICLES

• Are vehicles backed in?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are the loads secured?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Do they have first aid kits and fire extinguishers?<br>

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are the fire extinguishers inspected?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are the employees wearing seatbelts?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

COMPRESSED GAS CYCLINDERS

• Are compressed gas cylinders stored properly?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are compressed gas cylinders properly secured?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

SIGNAGE / LABELS

• Is the proper signage posted? (noise, radiation, confined space, asbestos)

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required

• Are containers properly labeled?

  Compliant - no action required

  Non-compliant - action required (not immediate)

  Non-compliant - immediate action required