RMC Worker Safety Audit
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Document No.
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Worker being audited:
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Job Title:
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Audit Conducted by:
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Client:
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Date Conducted on:
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Location
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Worker has reviewed and signed off on Job Safety Breakdown for current job description?
Personal Protective Equipment
Personal Protective Equipment
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Caulk boots in good condition and full set of sharp caulks?
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Hard Hat in good condition, CSA Approved, and within expiry period?
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Eye protection carried and worn when required?
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Hi-Viz vest and/or clothing worn and in good condition?
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Whistle carried, and easily accessible?
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Worker has fully charged radio, is on correct channel, and can identify and tune to important alternate channels for area?
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Personal First Aid kit fully stocked and in good condition?
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Survival Blanket carried and in good condition?
Optional PPE
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Knife?
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Layered or extra clothing?
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Fire starter?
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Gloves?
Worker Preparedness
Worker Preparedness
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Worker is current in First Aid Training?
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Level trained in?
- Emergency First Aid w/ CPR C & AED
- Standard First Aid w/ CPR C & AED
- OFA Level 1
- OFA Level 2
- OFA Level 3
- MED A3 (marine)
- H2S Alive (Oil & Gas)
- Other
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Expiry Date of most relative Certificate?
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Transportation endorsement?
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Worker has reviewed and signed off on Safety Plan?
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Worker is rested, fit, and ready for work?
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Worker is aware of daily weather forecasts and is prepared accordingly?
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Worker is aware of local, active operations and relative supervisor contact details?
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Worker can identify first aid contact for project/area?
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Worker can identify Heli-evacuation locations relative to worksite?
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Worker has proper map(s) of area and can locate themselves?<br>Overview Map?
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Worker carries written ERP documentation for area/project?
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Worker understands ERP and can describe procedure and locate relative designated safety locations?
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Worker dresses adequately for conditions?
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Worker has appropriate tools for the job and is trained in their use?
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Worker has adequate rain gear and is in good condition?
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Worker trained in WHIMIS?
Field Observations
Field Safety Observations
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Worker understands work plan for the day and is adequately prepared?
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Worker moves in woods with caution and manages risk accordingly?
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Worker uses three point contact when traversing steep or unstable terrain?
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Worker travels at safe distances between other crew members?
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Worker communicates hazards to coworkers?
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Worker chooses safe crossings on streams?
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Worker avoids jumping off logs or from heights?
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Worker uses only safe walk logs that suspend the worker less than 3m from ground?
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When crossing hazardous areas alone, worker notifies partner/crew of location and confirms safe passage?
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On steep ground, where debris could be knocked free onto coworkers below, worker takes measures to minimize this risk?
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Worker sets a reasonable pace and waits for last worker if falling behind?
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Worker avoids bumping or leaning on hazardous snags and chooses resting areas free from these hazards?
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Worker uses eye protection when navigating brushy areas?
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Worker follows check-in procedures?
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Worker signs out on daily sign-out board/map (where applicable).
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Worker maintains hourly check-ins when working alone?
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Worker updates location and intended direction of travel/progress at hourly check-ins?
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Worker able to describe response procedure when hourly checks are missed?
Driving and Vehicle Awareness and Maintenance
Driving and Vehicle Awareness and Maintenance
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Worker has valid drivers licence?
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Worker is trained in specific vehicle operation?
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Worker trained in operation of standard transmission?
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Vehicle inspections completed prior to operating?
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Worker aware of vehicle fluids locations, critical components, and safety requirements?
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Vehicle locked out (parking brake, wheel chock, etc.) when parked?
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Worker parks vehicle facing camp and clear of traffic?
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Worker drives with headlights on at all times?
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Worker drives to road conditions and at safe speeds?
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Worker uses 4x4 gearing when required?
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Worker aware of local operations and traffic in area prior to trip?
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Worker aware of local radio channels/frequencies in area and monitors while driving?
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Worker transmits call points as per local road traffic procedures?
Helicopter Safety
Helicopter Safety
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Section Not Applicable
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Worker trained in Helicopter use?
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Worker trained in hover entry/exit?
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Current machine(s) worker is exposed to:
- Bell 206B JetRanger
- Bell 206L LongRanger
- Bell 407 (4-Blade LongRanger)
- Eurocopter AS350 (AStar)
- Hughes 500
- Robinson R44
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Worker familiar with current machine limitations and function?
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Worker familiar with Location of fuel shut-off Switch?
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Worker familiar with Location of ELT switch?
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Worker familiar with location of Survival Kit?
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Worker understands flight plan for day prior to departure?
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Worker communicates with pilot in a timely and accurate manner?
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Worker identifies and establishes safe drop-off and pick-up zones prior to flight?
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Worker remains calm when working around helicopters?
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Worker waits for pilot's signal to approach helicopter?
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Worker ensures all loose clothing or materials are stowed away fastened down before approaching or exiting helicopter?
Comments
Comments
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Comments regarding audited worker's safety culture, attitude, and leadership:
Signatures
Signatures
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Audited Worker Signature
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Supervisor/Auditor's Signature