MSAP - Safety Theme Inspection

• Audit Title:

• Area/Location/Complex/Cell Inspected:

• Area Supervisor:

• Inspected By:

• Conducted on:

  Date

• Select this month's Safety Theme

  Select Fit For Work Driving Ground Stability Lifting, Rigging and Hoisting Energy Isolation Working at Heights Hazardous Substance Permit to Work Protective Devices PPE

  • Fit For Work
  • Driving
  • Ground Stability
  • Lifting, Rigging and Hoisting
  • Energy Isolation
  • Working at Heights
  • Hazardous Substance
  • Permit to Work
  • Protective Devices
  • PPE

• Golden Guide: Permit to Work

  

• Is the crew doing work that requires a permit?

  Yes

  No

  N/A

• What Permits are need?

  Yes

  No

  N/A

• What are the limits or restrictions of the permit? Give an explanation.

  Yes

  No

  N/A

• Does the crew understand the permit?

  Yes

  No

  N/A

• What conditions might affect the crew's work today that may need to be consider in my permit?

  Select Risks can change Weather Low visibility Other work in area Personnel changes

  • Risks can change
  • Weather
  • Low visibility
  • Other work in area
  • Personnel changes

• Is the worker being diligent in their Employee Lead Engagements to keep people who are not involved in their work area aware of the risks?

  Yes

  No

  N/A

• BE PREPARED! does the crew have what they needed to meet the requirements of the permit?

  Yes

  No

  N/A

• MAKE SURE EVERYONE IS ON THE SAME PAGE! Does the crew know what each person's role is?

  Yes

  No

  N/A

• Golden Guide: Protective Devices

  

• Did the worker stop work when adequate guards were not in place on the machines being worked around?

  Yes

  No

  N/A

• Did the worker avoid reaching around, over or under guarding?

  Yes

  No

  N/A

• Did the worker inspect the guarding regularly and report, repair or replace anything with a doubting condition?

  Yes

  No

  N/A

• Does the worker understand what to do if any of the following alarms are activated in their area:

• Start-Up Alarm - warn that equipment will start to move, get out of the way

• Personal Detection Alarm - warn that the air they are breathing is unacceptable and further action is necessary, follow site's procedures

• Warning Alarm - may be audible, visible, or both and signal an upset condition in the area, specific action needed, usually means evacuate

• Did the worker read signs near alarm (if activated) to view instructions on what to do?

  Yes

  No

  N/A

• Did the worker refrain from entering an area with an activated alarm until knowing it was safe to do so?

  Yes

  No

  N/A

• What type of fire protection does the worker have?

  Select Extinguishers Suppresion System Hoses

  • Extinguishers
  • Suppresion System
  • Hoses

• Is the worker able to reach any fire protective equipment without difficulty?

  Yes

  No

  N/A

• Has all of the worker's fire equipment been inspected?

  Yes

  No

  N/A

• Did the worker report all uninspected equipment or out-of-date inspections?

  Yes

  No

  N/A

• Does the worker have an escape plan?

  Yes

  No

  N/A

• In an emergency it is hard to keep calm and make good decisions. The worker should plan ahead, look around, and make sure they know how they will leave the area in an emergency.

• Does the worker's job require a respirator?

  Yes

  No

  N/A

• Does the worker know to change cartridges for different gases, chemicals and dust around them?<br>ie.<br>- Pink/purple for dust and exhaust<br>- Yellow for organic vapor/solvents<br>- Green for ammonia

  Yes

  No

  N/A

• Did the worker inspect and perform a fit check before use?

  Yes

  No

  N/A

• Did the worker participate in the annual fit-test program?

  Yes

  No

  N/A

• Did the worker clean the respirator after finishing and store it in a clean, dry area that is protected from damage and others?

  Yes

  No

  N/A

• Golden Guide: PPE

  

• Is the worker following both the site's PPE requirements and the PPE required for this job?

  Yes

  No

  N/A

Does the worker have the following PPE:

• Hard hat

• Safety glasses

• Hearing protection

• Steel-toed boots

• Reflective vests

• Golden guide

• Flashing blue light

• Is the worker's PPE in good shape?

  Yes

  No

  N/A

• Make sure the PPE fits.
  Don't use poor PPE. Replace PPE that is torn, cracked, damaged, has holes, or is expired.
  Never use PPE that belongs to others.

• Golden Guide: Fit For Work

  

• How is the worker feeling today? If they are finding it hard to focus they might be at risk. Explain.

  Safe

  At Risk

  N/A

• Is the worker at risk from something that might stop them from focusing on what they're doing?

  Safe

  At Risk

  N/A

• Speak up! Report to the supervisor if they feel any of the following.

  Select Sleepiness Weakness Distraction Illness Dehydration Anxiety Lack of Concentration

  • Sleepiness
  • Weakness
  • Distraction
  • Illness
  • Dehydration
  • Anxiety
  • Lack of Concentration

• Yes

  No

  N/A

• Is the worker managing their energy levels throughout the day?

  Yes

  No

  N/A

• Choose the action taken in response to the hazard.

  Select Adjusted work plan for the day. Getting help with a difficult task. Communicated any changes during shift. Took a planned task rest break. STOPED work until it was safe to continue.

  • Adjusted work plan for the day.
  • Getting help with a difficult task.
  • Communicated any changes during shift.
  • Took a planned task rest break.
  • STOPED work until it was safe to continue.

• Is the worker in control?

  Yes

  No

  N/A

• LIFE SAVING RULE: Never work if impaired or intoxicated!!
  Watch out for each other, report signs of co-worker's impairment for their own safety.

• Has the worker taken any drugs or alcohol? Explain.

  Yes

  No

  N/A

• Is the worker taking medication that may affect their ability to work safely?

  Yes

  No

  N/A

• Spot the signs

  Select Drowsy Agressive Nervous Excitable Disoriented Irrational Neglect in Personal Hygiene Smell of Alcohol Indirect Evidence (empty bottles, wrappers...)

  • Drowsy
  • Agressive
  • Nervous
  • Excitable
  • Disoriented
  • Irrational
  • Neglect in Personal Hygiene
  • Smell of Alcohol
  • Indirect Evidence (empty bottles, wrappers...)

• Are any of the other workers around showing signs of impairment?

  Yes

  No

  N/A

• Spot the signs...

  Select Drowsy Agressive Nervous Excitable Disoriented Irrational Neglect in Personal Hygiene Smell of Alcohol Indirect Evidence (empty bottles, wrappers...)

  • Drowsy
  • Agressive
  • Nervous
  • Excitable
  • Disoriented
  • Irrational
  • Neglect in Personal Hygiene
  • Smell of Alcohol
  • Indirect Evidence (empty bottles, wrappers...)

• What is the worker doing to manage their overall health?

  Keep Fit (take time to keep self in good physical condition)

  Manage Stress (it's ok to get help if you need it)

  Recharge Your Batteries (get enough rest at home, so you can work safely)

  Take Advantage of Help at Work (Take part in site wellness activities)

  Let Your Supervisor Know (if you have severe personal stress at home)

• How new is this job to the worker?

  New

  Trained

  Competent

  Knowledgeable

• Only do jobs that the worker is trained for and feels competent doing.

• Has there been changes in the work environment that might make the worker's assigned tasks new to them?

  Yes

  No

  N/A

• Only do the jobs when the worker is confident that they can do it safely. It's ok to ask questions if they are not sure of the tasks they're about to perform.

• Explain how they are managing these changes.

• Golden Guide: Driving

  

• Is the worker qualified, competent, and authorized to operate this vehicle?

  Yes

  No

  N/A

• Never operate a vehicle for which the worker is not trained and authorized. They should refuse to operate a vehicle that they have not been trained to operate.

• Only operate vehicles for which the worker has received specific training and are confident and competent to operate.

• Is the worker feeling or doing something that could make their driving unsafe?

  Yes

  No

  N/A

• The worker needs to be fit to drive, pick the selection that best describes their current state.

  Select Feeling Tired Taking Medication Drowsy Strong Emotions

  • Feeling Tired
  • Taking Medication
  • Drowsy
  • Strong Emotions

• Check the worker's vehicle, follow all required inspection procedures before turning it on. At a minimum, walk around the vehicle and check:

  Select Tires Fluids Whipers Emergency Brakes Lights Seat Belts

  • Tires
  • Fluids
  • Whipers
  • Emergency Brakes
  • Lights
  • Seat Belts

• What seat belts are available for every passenger and are they ready for use?

  Yes

  No

  N/A

• LIFE SAVING RULE: you are responsible for everyone in the vehicle. Do not drive if your passengers are not buckled up.

• What will the worker do to avoid distractions while driving?

  Select Get Comfortable (adjust mirrors, lights, steering wheel, heater/AC) Wear my prescription eye glasses and or protective eye wear Secure all cargo to prevent movement Do not use handheld devices while driving

  • Get Comfortable (adjust mirrors, lights, steering wheel, heater/AC)
  • Wear my prescription eye glasses and or protective eye wear
  • Secure all cargo to prevent movement
  • Do not use handheld devices while driving

• What conditions could affect the worker's safety or the safety of others?

  Select Prepare and follow a plan for longer trips. Let someone know you have arrived safe. change course if conditions change, change your course. Scan for and report changing weather or conditions. Slow down or stop if conditions change too much. Keep your eyes on the road. Ask for help in tricky areas.

  • Prepare and follow a plan for longer trips.
  • Let someone know you have arrived safe.
  • change course if conditions change, change your course.
  • Scan for and report changing weather or conditions.
  • Slow down or stop if conditions change too much.
  • Keep your eyes on the road.
  • Ask for help in tricky areas.

• What does the worker need to do to operate safely around other people or equipment?

  Select Know where people are. Check and recheck their location. Never assume others' intentions. Make clear contact with pedestrians near your vehicle.

  • Know where people are.
  • Check and recheck their location.
  • Never assume others' intentions.
  • Make clear contact with pedestrians near your vehicle.

• Can others see the worker's vehicle?

  Yes

  No

  N/A

• Does the worker have a buggy whip or light beacon on the vehicle?

  Yes

  No

  N/A

• Make clear contact with pedestrians.

  Select Make eye contact Wave Flash lights/headlamps Use of horns

  • Make eye contact
  • Wave
  • Flash lights/headlamps
  • Use of horns

• Which procedure references to the driving job the worker is doing?

  Select Vehicles operating in close proximity Starting or backing up your vehicle Passing another vehicle

  • Vehicles operating in close proximity
  • Starting or backing up your vehicle
  • Passing another vehicle

• What does the worker need to do when they leave the vehicle?

  Select Turn off the ignition. Set the brakes. Turn the wheels into a bank or berm. Follow individual site procedures for leaving on warning lights.

  • Turn off the ignition.
  • Set the brakes.
  • Turn the wheels into a bank or berm.
  • Follow individual site procedures for leaving on warning lights.

• What does the worker need to do when driving on poor quality/unpaved roads?

  Don't leave without the right tires for the roads.

  Before departing, radio ahead to your destination about what time you expect to arrive.

  Drive according to plan, timing, destination, limits.

• Golden Guide: Ground Stability

  

• LIFE SAVING RULE: Never enter an area of unsupported ground.

• Did the worker know the risks of unstable ground wherever they were going?<br>- Slope angles and wall heights<br>- Areas with loose rock<br>- Stockpiled materials<br>- Barricaded areas<br>- Proximity to high walls

  Yes

  No

  N/A

• Was the worker aware of the work that may affect the ground stability around them?<br>ie. drill and blast activity, heavy equipment operation above, excavation work.

  Yes

  No

  N/A

• Did the worker look and listen for signs of unstable ground before starting work and while working?

  Yes

  No

  N/A

• Did the worker barricade or block areas where unsafe conditions exist until the hazard was addressed?

  Yes

  No

  N/A

• Did the worker report recent rock falls and full catch berms immediately?

  Yes

  No

  N/A

• Was the worker aware that constant road traffic in an open pit can affect the stability of adjacent slopes?

  Yes

  No

  N/A

• Did the worker monitor the ground on the roads?

  Yes

  No

  N/A

• Did the worker safely remove water from areas where it accumulated?

  Yes

  No

  N/A

• Did the worker leave the area when in doubt about ground stability?

  Yes

  No

  N/A

• Which of the following signs of unstable ground did the worker manage and/or report?

• Loose or overhanging material

• Visible cracks in a high wall or bench

• Water seepage or ponding

• Undercuts

• Full catch benches

• Pit wall failures

• Stockpile failure

• Heavy rain or freeze/thaw cycles

• Unusual sounds

• Unstable slopes for possible falling rocks

• Recent rock falls

• Golden Guide: Lifting, Rigging and Hoisting

  

• LIFE SAVING RULE: Never position yourself under a suspended load.

• Was this a routine lift?

  Yes

  No

  N/A

• Did the worker double check how it should be done by following the site's procedure?

  Yes

  No

  N/A

• Did the worker plan the lift and do a pre-lift risk assessment?

  Yes

  No

  N/A

• Did the worker verify the weight of the load and make sure the rigging can support it?

  Yes

  No

  N/A

• Did the worker plan a safe path for the lift by thinking about what might be in the way or underneath?

  Yes

  No

  N/A

• Did the worker work only with qualified/trained people for lifting operations, rigging, and signaling?

  Yes

  No

  N/A

• Did the worker ensure they had enough people to perform the lift safely?

  Yes

  No

  N/A

• Did the worker get up to date on weather conditions for the time of the lift?

  Yes

  No

  N/A

Did the worker do a formal lift plan including:

• Clearences

• Load vs. crane limits

• Load orientation

• Specialized rigging (engineered)

• Site conditions

• Personnel responsibilities

• Did the worker continuously check and update the plan as conditions changed?

  Yes

  No

  N/A

• Did the worker control the access to all areas within the swing radius of the boom and load at all times to secure the drop zone?

  Yes

  No

  N/A

• Did the worker keep communicating to ensure the lift operator and the signaler maintain uninterrupted contact?

  Yes

  No

  N/A

• Did the worker use proper hand signals?

  Yes

  No

  N/A

• Were the meaning of the hand signals clarified with everyone before the lift?

  Yes

  No

  N/A

• Did the worker continuously look for new hazards that could affect the lift?

  Yes

  No

  N/A

• Did the worker lift according to conditions?

  Yes

  No

  N/A

• Was the lift adjusted when changes occurred?

  Yes

  No

  N/A

• Was the worker in the drop zone?

  Yes

  No

  N/A

• How did the worker position themselves to avoid getting caught between loads and other objects?

  Select Stop, start, and move loads slowly Keep the load as low as possible Use Tag-lines to control the load better Adjust body position throughout the lift to stay out of harm's way

  • Stop, start, and move loads slowly
  • Keep the load as low as possible
  • Use Tag-lines to control the load better
  • Adjust body position throughout the lift to stay out of harm's way

• Golden Guide: Energy Isolation

  

• How will the worker control the potential energy sources identified?

  Select By following the site's procedures for energy isolation By asking someone about unsure work By physically isolating all energy sources

  • By following the site's procedures for energy isolation
  • By asking someone about unsure work
  • By physically isolating all energy sources

• Before you start work:

• Use redundant blocking mechanisms where possible.

• First disconnect, then lock and tag electrical equipment.

• Secure all valves around you.

• Put a block or pin on all hydraulics, including suspended attachments, before locking out pumps.

• Bleed (ensure pipelines are empty) and block pressurized systems (install blank).

• De-energize conveyor belts and other mechanical equipment and block them against motion.

• Use engineered (secure) support to prevent raised equipment from falling.

• How does the worker know that the energy has been isolated?

  Select By never assuming equipment is de-energized Triple checking - talk to people, checking locks, and testing equipment out safely By starting equipment from the main energy source after isolation to ensure it does not work By returning the equipment to "off" or a neutral position after testing

  • By never assuming equipment is de-energized
  • Triple checking - talk to people, checking locks, and testing equipment out safely
  • By starting equipment from the main energy source after isolation to ensure it does not work
  • By returning the equipment to "off" or a neutral position after testing

• Is there more than one person working on the system?

  Yes

  No

  N/A

• Who are the workers? Does each worker have their own lock?

• Did the worker return the equipment to a safe operating condition when the work was completed?

  Yes

  No

  N/A

• Is the system fully re-assembled?

  Yes

  No

  N/A

• Did the crew replace everything that was removed, like guards and covers?

  Yes

  No

  N/A

• Were all of the isolating devices removed?

  Yes

  No

  N/A

• Each lock was removed by the owner.

• All locks and tags were removed.

• Only an authorized person can remove someone else's lock - never do it yourself.

• Was the system/equipment restored to operational condition when turned back on?

  Yes

  No

  N/A

• What electrical hazards are in the work area?

  Select Live Power Exposed Conductors Worn or broken insulation or connectors on power or welding cables Wires pulled loose from cable connectors Open electrical panels Bypassed electrical interlocks on equipment Material close to or blocking electrical equipment Unidentified terminations Unlabled electrical equipment No electrical hazards present

  • Live Power
  • Exposed Conductors
  • Worn or broken insulation or connectors on power or welding cables
  • Wires pulled loose from cable connectors
  • Open electrical panels
  • Bypassed electrical interlocks on equipment
  • Material close to or blocking electrical equipment
  • Unidentified terminations
  • Unlabled electrical equipment
  • No electrical hazards present

• What will the worker do to make sure no one is exposed to electrical hazards in the work area?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• How does the worker know the electrical equipment isn't live?

• How did the worker ensure nothing in the area would become dangerous when it came into contact with the electrical equipment?

  Select Special electrical equipment was used outdoors or near water Dust and mud was cleaned off of electrical equipment when safe to do so Kept a safe space - moved all material away from electrical equipment Hung things out of the way Used insulated hooks to hang all electrical wires and cables away from water/people passing

  • Special electrical equipment was used outdoors or near water
  • Dust and mud was cleaned off of electrical equipment when safe to do so
  • Kept a safe space - moved all material away from electrical equipment
  • Hung things out of the way
  • Used insulated hooks to hang all electrical wires and cables away from water/people passing

• Is the worker competent to do this work?

  Yes

  No

  N/A

• Is the worker confident that he knows how to be safe around the electrical energy around other workers?

  Yes

  No

  N/A

• LIFE SAVING RULE: You should only work on live electrical equipment if you have all of the following: the right qualifications, the appropriate procedures, the right equipment, Personal Protective Equipment (PPE, appropriate to flash potential, such as voltage gloves, fire retardant suits, face shields, etc.), and authorization.

• What energy sources will the crew be exposed to?

  Select Mechanical Electrical Hydraulic Pressurized Pneumatic Chemical Gravity

  • Mechanical
  • Electrical
  • Hydraulic
  • Pressurized
  • Pneumatic
  • Chemical
  • Gravity

• Golden Guide: Working at Heights

  

• What are the fall hazards in the work area?

  Select Near open holes Near slopes and edges At heights above 6 feet Near water/tanks No fall hazards present

  • Near open holes
  • Near slopes and edges
  • At heights above 6 feet
  • Near water/tanks
  • No fall hazards present

• What is the worker's rescue plan if they do happen to fall?

• If the worker has to work at heights or from an elevated surface, how do they plan to do it safely?

  Select Check that any ladders, platforms, railings, grating and floors that will be stood on are in good condition Avoid slipping and sliding by checking/cleaning any grease, mud, ice, snow, oil, etc. Maintain three points of contact at all times while climbing In a secure and comfortable position once up Position body and load to maintain balance

  • Check that any ladders, platforms, railings, grating and floors that will be stood on are in good condition
  • Avoid slipping and sliding by checking/cleaning any grease, mud, ice, snow, oil, etc.
  • Maintain three points of contact at all times while climbing
  • In a secure and comfortable position once up
  • Position body and load to maintain balance

• What tools/objects could fall and injure some below the work area?

  Select Secure all tools, equipment and other handheld devices Barricade the area

  • Secure all tools, equipment and other handheld devices
  • Barricade the area

• How does the worker safely access at height locations that have not been designed for routine access and work?

  Select Use a lift (if trained and authorized) Erect a temporary work platform (if trained) Install life lines and engineered anchor points with trained and competent people PPE Make special arrangements for a rescue if necessary

  • Use a lift (if trained and authorized)
  • Erect a temporary work platform (if trained)
  • Install life lines and engineered anchor points with trained and competent people
  • PPE
  • Make special arrangements for a rescue if necessary

• Is the worker working at a height above 6 feet?

  Yes

  No

  N/A

• LIFE SAVING RULE: Never work without approved fall protection when working at heights above 1.8 metres (6 feet).

• Golden Guide: Hazardous Substance

  

• Don't mix or store guide:

  

• How can the worker ensure that explosives are stored safely?

  Select Keep explosives in an orderly manner. Keep in an explosionproof area. Keep explosives from detonators. Secure aboveground magazines from unintended entry. Transport explosives in secure containters. Keep an up-to-date inventory. Always use old product first. Protect explosivies from energy sources. Dispose of unusable blasting materials in a secure manner.

  • Keep explosives in an orderly manner.
  • Keep in an explosionproof area.
  • Keep explosives from detonators.
  • Secure aboveground magazines from unintended entry.
  • Transport explosives in secure containters.
  • Keep an up-to-date inventory.
  • Always use old product first.
  • Protect explosivies from energy sources.
  • Dispose of unusable blasting materials in a secure manner.

• Is crew working in accordance with our explosive procedures?

  Yes

  No

  N/A

• LIFE SAVING RULE: Never breach a blasting procedure!

• Is crew working with non-compatible substances?

  Safe

  At Risk

  N/A

• Is crew authorized and know what chemicals can mix safely? NEVER MIX UNKNOWN CHEMICALS.

  Yes

  No

  N/A

• Is crew handling and storing the hazardous substances safely?

  Yes

  No

  N/A

• List the proper requirements for handling the hazardous substances.

  Select Suit up. Always wear the required PPE Transfer Safely. Do not dispense flammable liquids without grounding or bonding. Store substances to prevent exposure. Ensure all containers are sealed and handled to manufacturer recomendations.

  • Suit up. Always wear the required PPE
  • Transfer Safely. Do not dispense flammable liquids without grounding or bonding.
  • Store substances to prevent exposure.
  • Ensure all containers are sealed and handled to manufacturer recomendations.

• Is crew working around compressed gas or hazardous substances in pipes? If yes please take a picture and explain.

  Yes

  No

  N/A

• If crew is unsure, leave it alone. Do not open pipes or valves if you don't know what is inside .

• Does the crew need to wear a personal detector, or monitor the area?

  Yes

  No

  N/A

• Is the ventilation system working and adequate? Please take a picture (always make sure that the ventilation system in your area is working, is not blocked, and does not have limited air flow.)

  Yes

  No

  N/A

• Does the crew know how much equipment can operate in my area?

  Yes

  No

  N/A

• Don't allow more equipment to operate in your area than the ventilation can handle. Don't idle your engine.

• Does the crew smell or taste something unexpected? Trust your senses. If you smell, taste, hear, or see something unexpected leave the area immediately and notify your supervisor and warn other.

  Safe

  At Risk

  N/A

• Please provide an explanation in detail of what was different in the area. RISK MANAGMENT: please describe what actions were taken to mitigate the risk.

• Is the air dusty?

  Yes

  No

  N/A

• The worker must protect their self against harm. Ensure the following:

  Select Proper ventilation Dust suppressants Respirators Leave the area

  • Proper ventilation
  • Dust suppressants
  • Respirators
  • Leave the area

• What will the worker do if there is a spill, release or alarm that requires them to act immediately?

  Select Find emergency showers Find emergency eye wash stations Find evacuation point Barticade area evacuate if need Notify emergency response team

  • Find emergency showers
  • Find emergency eye wash stations
  • Find evacuation point
  • Barticade area
  • evacuate if need
  • Notify emergency response team

• How can the worker protect their family from being exposed to hazardous substances from their workplace?

  Select Shower before going home not eating in work area Not taking contaminated cloths home

  • Shower before going home
  • not eating in work area
  • Not taking contaminated cloths home

• Does the crew know the risks associated with the substances You are handling and breathing?

  Yes

  No

  N/A

• Does the crew know where to find the Safety Data Sheets (MSDS) and labels?

  Yes

  No

  N/A

Acknowledgements

• Comments:

• Actions:

• Department:

• Supervisor:

• General Foreman:

• Signature:

  Sign