Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Contractors Information:
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Name of Company:<br>
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Employee's Name representing the above company, and telephone number or cell number and title.
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Company's Telephone number:
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Location that H&S review is being conducted for:
Orientation to H&S Policy and Program Manual
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Program Responsibilities and Duties
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New Employee & Visitor Orientation
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Contractors & Suppliers Pre-Qualification
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Third Party Safety Inspections and Reports
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Joint Health and Safety Committee Representative
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Protective Safety Equipment
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Maintenance and Repairs
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Alcohol and Drug abuse
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Smoking on the Job site
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Accident & Incident Reporting
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Contractor Employer Compliance
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Emergency Response
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Project Access and Egress Control
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Training and Certification requirements - WHMIS, etc.
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Select date
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Competent Person or Employee / Worker (If applicable)
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Signature of Subcontracted Supervisor
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Signature of Site Workplace Supervisor
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Signature of H&S Manager, or President