Senior Leadership Workplace Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1 Project info

• Project Name

• Date of inspection (MM-DD-YY)

• Area of project inspected (provide specific comments)

• Senior project manager

• Date of last SUM workplace inspection

• H&S Rep / Co-chair

• Project H&S coordinator

2 H & S program execution

• 1. Does health and safety communication board meet H&S standards?

  Yes

  No

  N/A

• 2. Date of last JHSC meeting? meeting minutes posted?<br>Recommendations made by JHSC and reviewed by senior leadership?

  Yes

  No

  N/A

• 3. Fire drill with full evacuation?<br> Fire drill with no evacuation?

  Yes

  No

  N/A

• 4. Does the project have enough certified first aiders to ensure there is a minimum of two on shift at all time?

  Yes

  No

  N/A

• 5. Review incident reports- Has an investigation been conducted which identifies contributing factors and root causes?

  Yes

  No

  N/A

• 6. Review the Audit Action plan to see if gaps are being addressed<br>7. Compare the project H & S report with JHSC.

  Yes

  No

  N/A

• 7. Compare the project H & S report with JHSC for discrepancies.

  Yes

  No

  N/A

3 Area inspected

• 1. Does area meet housekeeping standards?

  Yes

  No

  N/A

• 2. Are aisle/walk ways clear and free of obstructions?

  Yes

  No

  N/A

• 3. Is there adequate lighting to perform tasks safely?<br>

  Yes

  No

  N/A

• 4. Are emergency exits clear of obstructions to allow easy access in an emergency situation?

  Yes

  No

  N/A

• 5. Are fire extinguisher mounted, signed and easily accessible? Has monthly report be printed?

  Yes

  No

  N/A

4 Employees

• 1. Randomly interview an employee during the inspection to confirm transfer of H & S knowledge (I.e. Toolbox talks, CRCP's etc)

  Yes

  No

  N/A

Inspection review

• Comments

• Executive Manager

  Sign

• Senior project manager

  Sign

• Project H&S Manager/coordinator

  Sign