Information
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Review Date
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Store
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Address
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Completed By
Joint Health & Safety Committee
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Are the names of all JHSC members posted on the Health and Safety Board?
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Is one member is management and the other is non-management?
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Ask 1 employee - "Name 2 employees on the Joint Health & Safety Committee". Did the employee answer correctly? (Note all responses)
Accident Reporting
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Ask 1 employee – ‘Do you know how to report an injury?’ [Correct response – Inform MOD and follow steps on Injury Reporting Poster on H&S Board] Did the employee answer correctly? (Note all responses)w
E-learning
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Is the store over 95% in E-learning completion for H&S Compliance quizzes? [Check E-learning Scorecard]
Health & Safety Board
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Is the current month safety inspection (plus last 2 month’s) posted?
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Is the current month meeting minutes (plus last 2 month’s) posted?
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Is the Workplace Injury Poster posted?
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Is the joint Company Health and Safety Policy and Violence and Harassment Policy posted?
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Is the Occupational Health and Safety Act posted?
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Are the names of all First Aid Attendants listed and certificates posted?
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Is the First Aid poster posted?
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Is the First Aid poster posted?
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Are all Lift Truck training certificates posted?
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Is the map to the nearest hospital posted?
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Alberta Only: Is the province specific poster, ‘If you are injured at work,’ posted?
First Aid
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Is there a First Aid certified employee in the store at all times?
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Are the GM, AM (SM & OPPM for S1&S2), Mobile Manager (Mobile Lead for S4), Supervisors and all key holders First Aid Certified?
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Are all First Aid Kits in good condition? If not, does the MOD knows how to order supplies from My Store?
Equipment and Lift Trucks
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Do all Lift Trucks (WAVE/ Big Joe/Pallet Stacker/JLG/Blue Giant) have up to date checklists?
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Does all equipment (Ladders/Vertical Baler/Compactor/Pallet Jacks/Dock Leveler) have up to date checklists?
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If the store has a Big Joe – Is the life line system and harness in good condition? (Check expiration – should not be more than 5 years old. If expired, does the AM/OPPM know how to order from My Store?).
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Are keys for all motorized equipment kept in a secure place (SDR/LP room) and not left in the equipment?
Personal Protective Equipment
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Is protective eyewear (safety glasses/goggles) present near the bailer and compactor for employee use? Are they in good condition?
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Are protective gloves available for employee use in the warehouse?
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Are all Product Process Employees wearing Steel Toe shoes? If not, are they aware of our reimbursement policy of $80 every two years?
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Are all eye wash bottles in good condition, full and not expired? If not, does the MOD know how to order new one from My Store?