Safety Engagement Audit - Q1 & Q2 2018

• Audit Title

• Conducted on

  Date

Safety Culture

• Name of employee:

  Yes

  No

  N/A

• If you could suggest changes to make us better at safety what would they be?<br>

  Yes

  No

  N/A

• Do you feel everyone shares the same responsibility when it comes to health and safety?

  Yes

  No

  N/A

• What do you do daily to be a safety leader?

  Yes

  No

  N/A

• Do you have a good understanding of the difference between health and safety being a “right" vs “obligation”? <br>By law legislation now dictates that it is a workers "obligation" not 'right' to refuse un-safe work.

  Yes

  No

  N/A

• Have you read the applicable JSA(s) for your job within the last 3 months?

  Yes

  No

  N/A

• Did you complete a BIPS/NM/CC in the last week?

  Yes

  No

  N/A

• Have you raised any safety issues/concerns with your JHSC rep? if so have you received an update?

  Yes

  No

  N/A

• Do you believe any health and safety concern I raise would be made a high priority?<br>

  Yes

  No

  N/A

• Is there regular communication between your supervisor and yourself concerning health and safety issues.

  Yes

  No

  N/A

• What are your specific training requirements for your job (i.e. Food Safe, first aid, confined space ticket, etc.) are your training requirements up to date?

  Yes

  No

  N/A

• Can you list 3 "Blue Rules"?<br>

  Yes

  No

  N/A

• BLUE RULES:
  Always:
  - Conduct a StepBack prior to starting work
  - Use fall protection when working above 1.8m (6’)
  - Wear a seatbelt when in any moving vehicle
  - Use a spotter/flag person as required
  - Verify isolation of all energy sources
  - Comply with the scaffold color tag system
  - Hold the handrail when using stairs
  Never:
  - Work from a ladder without maintaining 3 points of contact
  - Drive above speed limits or while using a mobile phone
  - Work under the effects of drugs or alcohol
  - Modify, remove or override any machine guards
  - Commence work without wearing required PPE
  - Enter an excavation, confined space, exclusion zone without authorization
  - Walk under a suspended load
  
  

• In your experience are incidents and accidents investigated quickly in order to improve workplace health and safety here at Surmont?

  Yes

  No

  N/A

• General Comments?

• Supervisor / Manager conducting audit

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