Supervisor Health and Safety Inspections

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

DOCUMENTATION

• Act/Regs Posted / Green Book

  Yes

  No

  N/A

• Notice of Project Posted (If Applicable)

  Yes

  No

  N/A

• Reg of Const 1000s Onsite

  Yes

  No

  N/A

• JHSC Meeting Minutes Posted

  Yes

  No

  N/A

• Map to Hospital

  Yes

  No

  N/A

• First Aid Kit (Locations)

  Yes

  No

  N/A

• First Aid / CPR Training Records (min 2 per site)

  Yes

  No

  N/A

• MSDS Available (Up-To-Date)

  Yes

  No

  N/A

• Toolbox Records

  Yes

  No

  N/A

• Form 82 Posted

  Yes

  No

  N/A

• Traffic Control Plan

  Yes

  No

  N/A

• Rescue Plan (i.e falls)

  Yes

  No

  N/A

• Operators Manuals

  Yes

  No

  N/A

• MOL Orders

  Yes

  No

  N/A

• Valid Training Records

  Yes

  No

  N/A

• Competent Supervisor(s) Onsite (List Names)

  Yes

  No

  N/A

• Subcontractor(s) Required Documents (H&S Policy, Proof of Insurance, WSIB Clearance Certificate)

  Yes

  No

  N/A

• Site Specific Procedures (i.e. JSAs, Safety/Emergency Plan, Environmental Plan, ext.)

  Yes

  No

  N/A

• Job Safety Analysis (JSA) Reviewed by All Staff Members On Site.

  Yes

  No

  N/A

• Equipment Checklists Available

  Yes

  No

  N/A

CONDITIONS

• Personal Protective Equipment Worn Correctly/All Times

  Safe

  At Risk

  N/A

• Fall Protection System Used

  Safe

  At Risk

  N/A

• Whip-Checks Installed & Secured Correctly

  Safe

  At Risk

  N/A

• Guardrails Secure

  Safe

  At Risk

  N/A

• Protective Covers Secure

  Safe

  At Risk

  N/A

• Ladder Free of Defects / Used in Compliance

  Safe

  At Risk

  N/A

• Gas Cylinders Secured

  Safe

  At Risk

  N/A

• Fire Extinguishers Available/Inspected

  Safe

  At Risk

  N/A

• Access/Egress Clear

  Safe

  At Risk

  N/A

• Site Housekeeping

  Safe

  At Risk

  N/A

• Material/Equipment Storage

  Safe

  At Risk

  N/A

• Job Site Tool Bins

  Safe

  At Risk

  N/A

• Washroom & Clean Up Facilities

  Safe

  At Risk

  N/A

• All Applicable Safety Signage, Posters & Notices

  Safe

  At Risk

  N/A

• Adequate Lighting Provided

  Safe

  At Risk

  N/A

• Air Quality / Ventilation Meets Requirements

  Safe

  At Risk

  N/A

• Protruding Objects Removed/Covered

  Safe

  At Risk

  N/A

• Adequate Dust Control

  Safe

  At Risk

  N/A

• Guards on Rotating Parts

  Safe

  At Risk

  N/A

• Drinking Water Available

  Safe

  At Risk

  N/A

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