Information
-
Document No.
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Description of Work / Worksitesite
-
Personnel
-
Employees Notified of Visit:
Risk Assessments
-
Is the newest version (version 6) of the risk assessment being used?
-
Has the date been identified?
-
Has equipment been identified?
-
Has the location or Job number been identified?
-
Has the line number been identified?
-
Is the emergency name and number identified (ECC, DCC, Internal communications)?
-
Has the permit information been identified?
-
Is the permit holders name identified?
-
Is the description of work identified?
-
Are all crew members including the supervisor contractors and traffic control listed and Initialed?
-
Has the supervisor signed the risk assessment in the proper location to identify the controls have been implemented?
-
Has the traffic control personnel been identified?
-
Has the traffic control setup been identified?
-
Is traffic control setup appropriate for the day’s activities?
-
If an equipment boom is required to be over a travel lane, has the code of practice been referenced?
-
Have the hazards associated with the task been identified?
-
Has the severity rating of the hazard been identified?
-
Are pre-task controls identified?
-
Does the risk assessment document that an inspection was completed for nesting birds (April 1 – August 31)?
-
Are administrative controls identified and procedures referenced?
-
Has the required PPE been listed?
Documentation
-
Has a site emergency response plan (EUS-OHS-FM38) been developed where the work is off road or at one location for more than five days?
-
Has the appropriate fall protection plan EUS-OHS-FM 61 or 62 been completed for any climbing activities?
-
Are Fall Protection training certificates or cards available at the workplace?
-
Are First Aid training certificates or cards available at the workplace?
-
Has the excavation checklist EUS-OHS-FM 36 been filled out?
-
Has EUS-OHS-FM 13 Railway Crossing Checklist been completed?
-
Have other permits for street closures, water crossings, 100 series highway access or the like been obtained?
-
Are the vehicle operator manuals available on site?
-
Does the vehicle have a current Vehicle Permit, MVI and Insurance Card?
-
Is a copy of the EUS safety manual available?
-
Are vehicle log books completed and up to date?
-
Are Equipment pre trips completed?
-
Do all vehicles contain an Environment Portfolio? And does it contain the following:
-
NSPI Contractor Environmental Handbooks?
-
NSPI ENV 014 Procedure?
-
EUS Environmental Release Flow Chart?
-
Equivalency Certificate SU 6155?
-
NSPI Pole Release and Indemnity Form?
-
EUS Environmental Checklists?
-
Do ROW plans indicate that landowner permission was received if using private roads to access ROW?
Emergency Response
-
Are workers aware of who hold a first aid certificate onsite?
-
Are workers aware of the location of first aid kits?
-
Are all contents of the first aid kit present in the kit?
-
Is the pole top rescue kit location easily identified and accessible?
-
Is the bucket evacuation kit location easily identified and accessible?
-
Is the tower rescue kit location easily identified and accessible?
-
Are Material Safety Data Sheets available on site for all WHMIS products in use?
-
Are Fire extinguishers locations identified and accessible?
-
Are all vehicles equipped with spill kits and bags of absorbent?
-
Do spill kits contain the required inventory (list is on front of bags or inside barrels)?
General Inspection
-
Is housekeeping adequate in the vehicles and onsite?
-
If near the end of the job, has all waste/old poles been removed from site?
-
Are hand/ power tools in safe working condition?
-
Are CSA approved hard hats being worn?
-
Are CSA safety glasses with side shield being worn?
-
Is appropriate hearing protection being used for the tasks being performed?
-
Are CSA safety boots with the “omega” symbol being worn with ankle support?
-
Are gloves specific to the task being worn?
-
Is CSA chainsaw PPE available and used when required?
-
Are chainsaw guards in place?
-
Is high reflective clothing being worn (orange or lime green vest with torso covered below 80 km/h full body above 80km/h) while working around traffic areas?
-
Are vehicles backed in to parking areas?
-
Is protective cover up inspected with the proper date stamped?
-
Is rubber cover up sufficient to prevent second point of contact?
-
Are rubber gloves of the appropriate class in use and have a valid inspection date?
-
Has hoisting and rigging gear been inspected with proper inspection color?
-
Has fall protection equipment been inspected with proper color identifying inspection?
-
Are signalers being used for equipment operations?
-
Is water available to employees on site?
-
Are glass and mirrors in good shape and not damaged?
-
Are backup alarms functioning on heavy equipment and commercial vehicles?
-
Is material being stored in a secure and appropriate manner?
-
Can an employee on site identify a joint occupational health and safety committee member?
-
Has appropriate sediment and erosion control been used to ensure no sediment can make its way to watercourses or wetlands?
-
If a bridge or swamp mats are in place, were pictures taken before, during, and after mat installation?
-
Has the proper type of pole/anchor been used (needs to be untreated if within 15 metres from freshwater resource)?
-
Have any ruts been smoothed out and hay spread on exposed soil (Where applicable)?
Behavior Assessment (Safe Start)
-
Do employees appear to have their mind on task, their eyes on task not working in the line-of-fire with balance traction and grip?
-
Do employees appear to be working safely without rushing, frustration, fatigue or complacency?
-
Additional Comments
Signatures
-
Auditor
-
Site Representative