Information

  • Review Date

  • Store

  • Address
  • Completed By

Joint Health & Safety Committee

  • Are the names of all JHSC members posted on the Health and Safety Board?

  • Is one member is management and the other is non-management?

  • Ask 1 employee - "Name 2 employees on the Joint Health & Safety Committee". Did the employee answer correctly? (Note all responses)

Accident Reporting

  • 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

  • Is the store over 95% in E-learning completion for H&S Compliance quizzes? [Check E-learning Scorecard]

Health & Safety Board

  • Is the current month safety inspection (plus last 2 month’s) posted?

  • Is the current month meeting minutes (plus last 2 month’s) posted?

  • Is the Workplace Injury Poster posted?

  • Is the joint Company Health and Safety Policy and Violence and Harassment Policy posted?

  • Is the Occupational Health and Safety Act posted?

  • Are the names of all First Aid Attendants listed and certificates posted?

  • Is the First Aid poster posted?

  • Is the First Aid poster posted?

  • Are all Lift Truck training certificates posted?

  • Is the map to the nearest hospital posted?

  • Alberta Only: Is the province specific poster, ‘If you are injured at work,’ posted?

First Aid

  • Is there a First Aid certified employee in the store at all times?

  • Are the GM, AM (SM & OPPM for S1&S2), Mobile Manager (Mobile Lead for S4), Supervisors and all key holders First Aid Certified?

  • 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

  • Do all Lift Trucks (WAVE/ Big Joe/Pallet Stacker/JLG/Blue Giant) have up to date checklists?

  • Does all equipment (Ladders/Vertical Baler/Compactor/Pallet Jacks/Dock Leveler) have up to date checklists?

  • 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?).

  • Are keys for all motorized equipment kept in a secure place (SDR/LP room) and not left in the equipment?

Personal Protective Equipment

  • Is protective eyewear (safety glasses/goggles) present near the bailer and compactor for employee use? Are they in good condition?

  • Are protective gloves available for employee use in the warehouse?

  • Are all Product Process Employees wearing Steel Toe shoes? If not, are they aware of our reimbursement policy of $80 every two years?

  • 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?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.