Safety Engagement Audit (V2)

• Audit Title

• Conducted on

  Date

Safety Culture

• Name of employee:

  Yes

  No

  N/A

• Do you have any safey concerns you would like to discuss?<br>

  Yes

  No

  N/A

• Do you have all the PPE required to do your job safely?

  Yes

  No

  N/A

• Do you inspect your PPE prior to using it?

  Yes

  No

  N/A

• Do you inspect and ensure all equipment, tools, or safety devices are tagged with the proper color code (of the quarter) before using?

  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 have any questions about the Stepback card?<br>

  Yes

  No

  N/A

• What, if any changes, would you like to see at Sunday Safety?

  Yes

  No

  N/A

• Do you know where to find the Blue Book (SNC Global Safety management System Guide)?

  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
  
  

• Have you reviewed the safety board this rotation?

  Yes

  No

  N/A

• General Comments?

• Supervisor / Manager conducting audit

  Sign