Information
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Town Of Westlock Site.
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Conducted on
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Prepared by
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Location
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Inspectors and site representative
2.0 - Work Environment
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2.1 - Are the Floors/aisles/stairs free of tripping hazards
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2.2 - Are the hand rails/ guard rails in place
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2.3 - Are Extinguishers in place, clearly marked for type of fire?
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2.4 - Is the Floor/ground in good repair ( no heaving, cracks, uneven surfaces)
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2.5 - Are their floor openings/ trenches barricaded
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2.6 - Do the Floors have no slipping hazards
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2.7 - Are the Overhead utilities located
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2.8 - Are Gases/vapors/fumes controlled
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2.9 Are the Noise levels acceptable
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2.10 - Are the Heat/cold extremes controlled
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2.11 - Are the Exits clearly marked
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2.12 Are all Exits free of clutter - good access ( snow removed from emergency exits )
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2.13. Are the Materials /equipment stored Appropriately
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2.14. Does the Facility protects staff from violent clients
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2.15. Is the Work environment free of ergonomic issues
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2.16. Are their Damaged cords or electrical hazards
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2.17. Is the Building is in overall clean / sanitary condition
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2.18. Are the Arena boards glass and netting are even and secure
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2.19. Are the Brine and antifreeze containers leaking
3.0 - Task
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3.1 - Are their Mechanical assists are available for heavy lifting
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3.2 - Are any written procedures are in place for critical tasks ( eg lockouts )
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3.3 - are. The Workers following appropriate procedures
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3.4 - Were any unsafe actions noted
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3.5. Was their No evidence of horse play
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3.6. Occupational Health and Safety Legislation is available and current
4.0 - Sanitization
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4.1 Drinking water Is available
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4.2 - toilets are sanitary
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4.3 - hand sanitizer is available
5.0 - Hazardous Materials
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5.1 - Appropriate safety containers are used ( eg for flammables, fire cabinets )
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5.2 - Are Incompatible materials are stored separately
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5.3 - Are hazardous materials are stored properly & below eye level
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5.4 - Are the Compressed gas cylinders restrained and capped
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5.5 - Are M.S.D.S are available and current ( within three years )
6.0- Equipment
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6.1- Are the Correct equipment and tools are available for task
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6.2- Is Heavy equipment maintained as per maintenance program
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6.3- Are the Equipment guards in place
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6.4- Are the hand tools in good repair
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6.5- Are any Defective/ damaged hand tools are not in use and are stored away from functioning tools ( lock out box )
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6.6- Are Equipment and tools stored appropriately ( not blocking exits access to other materials or equipment)
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6.7- Is equipment blocked or secured against unplanned energy release
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6.8- Is Personal protective equipment available appropriate, and maintained
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6.9- Elevator inspected yearly
7.0. Emergency response
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7.1- Is the Emergency response plan in place and appropriate to worksite
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7.2- Do the Workers know what to do in a emergency
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7.3- Is the Emergency lighting in place and operational
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7.4- Is the Emergency shower /eye wash station available , working & within expiry date
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7.5- Are the First aid supplies stocked.
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7.6- Are their adequate number of fire extinguishers in place and inspected monthly
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7.7- Are there Other specialized plans in place and tested ( eg confined space rescue )
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7.8- Are Emergency drills completed as per schedule. State last drill.
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7.9- Does the staff have first aid training ?
8.0-Vehicle Condition
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8.1-Schedule maintenance performed?
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8.2- Is their a spill kit
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8.3- Is their a fire extinguisher?
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8.4 -First aid kit supplied and adequate?
What is working well?
Sign Off
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On site representative
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Auditor's signature
