• Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by RL

  • Location
  • Personnel

  • The OFA Service level review is a function to be completed yearly within BCFerries.

  • 1. What is the name of the workplace?

  • 2.(a) Hazard rating on Assigned Hazard Rating list

  • 2.(b) List the job functions, work process and tools.

  • Typical of industry?

  • Types of injuries that can occur?

  • Typical of industry?

  • 2.(d) Rating adjustment: If hazard rating is adjusted, provide documentation.

  • Overall workplace hazard rating

  • 3(a) Surface travel time to hospital (note this include vessel half time point).

  • 4.(b) Total number of workers per Watch?

  • 5. Barriers to reaching medical treatment.

  • Date

  • Change in business operations?

  • Consulted with

  • Name

  • Signature

Assessment results

  • 5(a) Supplies / equipment / facilities required

  • 5(c) Number of OFAS?

  • Any transportation needs?

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