OPP Supervisor Safety Check Up

• Site conducted

  Select

• Date of Safety Review

  Date

• Prepared by

• Name of Work Group or Supervisor

AERIAL/SCISSOR LIFTS

• Supervisor has completed the required supervisor training.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring that employees are completing the required inspections.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring that employees are getting signed up and completing the training as required, and carrying the operator cards.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

ASBESTOS

• Supervisor is ensuring employees complete the annual training assigned.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is assisting employees in ensuring suspect materials are checked prior to being disturbed.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

BLOODBORNE PATHOGENS

• Supervisor is ensuring at risk employees are offered Hepatitis B vaccination and are returning the declination form to Safety Office.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring employees complete the annual training.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

BUILDING EMERGENCY EVACUATION PLAN

• Supervisors are reviewing the "BEEP" plan annually with employees. (a tool box talk from safety office with sign in sheet)

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

CHEMICAL OR HAZARDOUS WASTE

• Supervisors are ensuring any chemical waste will be disposed of properly.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

CONFINED SPACE

• Supervisors are ensuring that employees that enter confined spaces are receiving confined space training, filling out permits and signing out the air monitoring and other confined space equipment.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisors are ensuring that confined spaces in their area are inventoried.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

CRANE, HOISTS AND SLINGS

• Supervisor is ensuring that slings and hoisting equipment in their inventory is getting inspected annually by the outside vendor. (OPP Safety sets up the times)

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring that employees are inspecting equipment prior to use.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring employees sign up and complete training for rigging as required.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Rigging certifications completed for appropriate trades.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Crane operator certification completed as required.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

ELECTRICAL SAFETY

• Supervisor is completing the annual evaluation of all employees authorized to perform electrical work. (Included on the LO/TO evaluation form.)

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring all electrical safety PPE (flash gear, etc) is being inspected. VR gloves sent out. etc.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is aware that any employee with NFPA 70E needs 1stAid/CPR/AED training. If a work unit needs or requests an AED, must be approved by EHS and a work plan must be implemented.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

EXCAVATION SAFETY

• Supervisor is ensuring that ANY ground penetration has a PA One Call completed.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring that employees performing work within excavations have received training and a competent person is completing inspections as required.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

FALL PROTECTION

• Supervisor is ensuring that employees have received training for fall protection.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is aware of fall hazards that are in employee's work areas and is verifying that employees are using fall protection as necessary.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring fall protection equipment gets inspected annually. (Through PM process.)

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

FIRE PREVENTION/PROTECTION

• Supervisors are ensuring that corridors and mechanical rooms in their areas or work spaces are not used for storage.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisors are ensuring that fire extinguishers in their area or assigned to their work unit are being inspected.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

FIRST AID KITS

• Supervisors should ensure that first aid kits in their work area are checked quarterly and outdated, expired items are removed.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Are First Aid Kits in compliance with SY 21?

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

HAZARD COMMUNICATION

• Supervisors should ensure that when a new product is introduced to their work unit that employees have reviewed the SDS, a copy of the SDS has been provided to safety office and the product has been added to their chemical inventory.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisors are completing/updating the chemical inventory annually or when requested from EHS/Safety.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Are pesticides used?

  Yes

  No

  N/A

• Is self audit being completed?

  Yes

  No

  N/A

HAZARDOUS MATERIALS

• Supervisors must ensure that hazardous materials have proper storage and spill containment as necessary.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisors must ensure that materials are disposed of properly. Contact EHS for assistance.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

HEARING CONSERVATION

• Supervisor must ensure employees are getting the annual hearing evaluation.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor must ensure employees are using hearing protection as required.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

HOT WORK

• Supervisors are ensuring that employees that do any operation involving the use of open flames or could produce sparks is filling out a hot work permit. Permits must be turned in to the safety office.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisors must ensure employees that do hot work are receiving the required training.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

LADDER SAFETY

• Supervisor is ensuring all ladders have a ladder sticker in place and are inspected annually.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring proper storage of ladders.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring employees are doing a pre-use inspection.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

LEAD AWARENESS

• Supervisors are ensuring their employees are aware of potential lead hazards associated with their work.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

LO/TO

• Supervisor is completing the annual evaluation (by October of each year) of all employees that are authorized to use LO/TO Procedures.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring employees sign up for/attend the LO/TO training required for authorized employees.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring employees receive the annual training for affected employees. (Tool Box Talk from safety office with sign in sheet). October time frame.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisors need to provide LO devices to employees specific to their trade.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

MACHINE SHOP SAFETY

• Perform semi annual shop inspections.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Complete general shop safety training (appendix C). Don't forget new employees.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Complete tool specific training for medium to high hazard tools (appendix D).

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor should make sure employees are keeping guards in place, and checking guards and other safety devices are in place prior to each use.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

PERSONAL PROTECTIVE EQUIPMENT

• Supervisor must ensure employees have and are using proper PPE for the work they are completing.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

POWERED INDUSTRIAL TRUCKS

• Supervisor is ensuring employees are signed up/attending the required training.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring employees are completing the required documented inspections.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Employees are carrying operator cards.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

RESPIRATORY PROTECTION

• Supervisors should ensure that employees are completing their required medical surveillance annually.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

SCAFFOLDS

• Supervisors must ensure employees are completing required training prior to building and using scaffolding.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Scaffold inspections are being completed by competent person and submitted to the safety office.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

STORAGE TANKS

• Supervisors that have storage tank in their areas or work unit are in the program with EHS. (record-keeping and registration requirements)

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisors must ensure any storage tanks in their area are being inspected monthly.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisors are ensuring the storage tanks are getting the annual inspections, documented on the long form.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

VEHICLE SAFETY

• Supervisors must ensure pre-trip inspections are being completed and forwarded to the garage.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisors must ensure wheel-chocks are being used as required.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisors are enforcing seat belt use.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

NEW EMPLOYEES

• Supervisor is ensuring new employees have completed their safety training in the LRN.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring new employees have received their PPE.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring new employees are oriented to their work area.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring new employees are aware of "BEEP" plan, muster points, procedures in the event of an emergency.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Supervisor is ensuring Hep B declination forms are returned to Safety Office.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• For Shop safety, Supervisor is completing appendix C and D with new employees.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

SUPERVISOR RESPONSIBILITIES

• Have you reviewed the training matrix, provided input?

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Do you attend the safety trainings that your employees attend?

  Yes

  No

  N/A

• Are you completing the required weekly audits?

  Yes

  No

  N/A

• Supervisors should be noting during safety observations that employees are following proper lifting procedures and recommending training as necessary.

  Select Verified Need additional follow up Does not apply to this work group

  • Verified
  • Need additional follow up
  • Does not apply to this work group

• Have you reviewed the PPE Hazard Assessment for your trades?

  Yes

  No

  N/A

• Do you provide the necessary PPE for your employees?

  Yes

  No

  N/A

Summary/ Final Thoughts

• Add additional items, questions, concerns, comments here.