Information
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Client / Site
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Add media
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Date of inspection -
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Prepared by
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Location
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Personnel
1.0 - Initial Comment?
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1.1 - Add initial comment?
2.0 - Previous inspection
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2.1 - Has the last site inspection been reviewed?
Completed by: Date of completion:
3.0. Materials required and or posted in a work area or site trailer.
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3.1 - Is the Safety board mounted? (Reg. 1101 1 (1) (b))
Completed by: Date of completion:
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3.2. - Is the WSIB - 1234 poster posted? (Form 82) As per (Reg. 1101 1 (1) (b) (I))
Completed by: Date of completion:
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3.3. - Is the Occupational Health and Safety Act/Regulation (Green book) available? (OHS Act 25 (2) (I))
Completed by: Date of completion:
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3.4. - Stretcher with 2 blankets mounted or available. (Reg. 1101 10 (1))
Completed by: Date of completion:
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3.5. - Emergency response plan poster posted and rescue procedure available? (OHS. Reg. 17 (1) and 17 (3))
Completed by: Date of completion:
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3.6. - Eye wash station or eye wash capabilities on site?
Completed by: Date of completion:
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3.7 - Materials safety data sheets? (OHS Reg. 37 (1) (b) and Reg.38 (1) (a))
Completed by: Date of completion:
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3.8. - TACC procedure manual? (OHS 26 (k))
Completed by: Date of completion:
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3.9. - Hospital map with directions to nearest local hospital?
Completed by: Date of completion:
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3.10 - Clinic map or directions posted?
Completed by: Date of completion:
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3.11 - TACC safety program posted?
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3.12. - Are emergency contact numbers posted?
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3.13 - Are Health and Safety committee member's name and contact numbers posted or available? (OHS Act 9 (32))
Completed by: Date of completion:
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3.14 - Is the Fire extinguisher mounted and appearing to be in functional use? (O. Reg. 213/91 s. 52 (1)).
Completed by: Date of completion:
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3.15 - Does the Fire Extinguisher have the attached inspection card and is it up date with monthly inspections? (O. Reg. S. 55).
Completed by: Date of completion:
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3.16 - Is TACC's safety policy and Violence and Harassment commitment statement posted? (OHS 32.0.1 (2))
Completed by: Date of completion:
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3.17. - Are MOL notices posted (if they have been received)?
Completed by: Date of completion:
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3.18 - Is the trailer in a reasonable state of cleanliness? (O. Reg. 213/91 s. 35).
Completed by: Date of completion:
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3.19. - Is a First Aid kit present?
Completed by: Date of completion:
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3.20. - Is the First Aid kit's content inspections up to date? (Completed quarterly - 4X's a year).
Completed by: Date of completion:
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3.21. - Is Regulation 1101 (First Aid Requirements) posted?
Completed by: Date of completion:
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3.22. - Are the valid First Aid certificates of qualification of trained workers on duty posted or available on site? (Regulation 1101 - 1(1)b(I))
Completed by: Date of completion:
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3.23 - Is a copy of the TACC's Confined Spaces program posted or available? (OHS Reg 221.5 (5))
Completed by: Date of completion:
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3.24. - Is the notice of project posted? (OHS Act 23 (2))
Completed by: Date of completion:
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3.25. - Is TACC's Health and Safety policy posted or available as per OHS Act 25 (2) (j).
Completed by: Date of completion:
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3.26 - Is the "Employment Standards in Ontario" notice on ESA 2000 posted?
Completed by: Date of completion:
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3.27 - Is the "Health and Safety at work - Prevention Starts Here" poster?
Completed by: Date of completion:
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3.28 - Are necessary locates on site as required (if needed)?
Completed by: Date of completion:
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3.29 - Is drinking water in the trailer or available on site? (O Reg. 213/91 s. 28 (1)).
Completed by: Date of completion:
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3.30 - If required, are trench box engineered drawings posted or available?
Completed by: Date of completion:
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3.31. - Are Safety Tool Box talks posted?
Completed by: Date of completion:
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3.32. - If there is a portable toilet at the trailer, is appear properly maintained? (O. Reg. 29)
Completed by: Date of completion:
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3.33. - Is the parking area for the trailer and its entrance appear properly maintained?
Completed by: Date of completion:
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3.34. - Are workplace inspections posted on site? (O. Reg. 213/91, s 19)
Completed by: Date of completion:
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3.35 - If required are Traffic Control Plans posted or on the project to be ". . . made available to an inspector or a worker on request."? ? (O. Reg. 213/91, 67 (5) (b)).
Completed by: Date of completion:
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3.36 - Is Site specific JHA (job Hazard Analysis) posted on site? O. Reg. 213/91, 67 (5) (b)).
Completed by: Date of completion:
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3.37 - Is the training matrix available on site to verify a worker's training and or competence? (O. Reg. 213/91, 67 (5) (b)).
Completed by: Date of completion:
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3.38 - Are actual First Aid certificates posted or on site for competent First Aiders that are on site at time of inspection? (O. Reg. 213/91, 67 (5) (b)).
Completed by: Date of completion:
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3.39 - Is the Workplace Violence and Harassment assessment posted and recent within one month? (O. Reg. 213/91, 67 (5) (b)).
Completed by: Date of completion:
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3.40 - Is the Lock Out and Tag out kit stocked and on site? (O. Reg. 213/91, 67 (5) (b)).
Completed by: Date of completion:
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3.41 - Is a spill kit on site either in the trailer or with the Earthworks crew? (O. Reg. 213/91, 67 (5) (b)).
Completed by: Date of completion:
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3.42 - Are the toilets marked on a site plan or on a map? (O. Reg. 213/91, 67 (5) (b)).
Completed by: Date of completion:
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3.43 - As required, are "Working near overhead power lines" documents posted ? (O. Reg. 213/91, 67 (5) (b)).
Completed by: Date of completion:
4.0. Additional comments or concerns.
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4.1. - Are there no additional comments
Completed by: Date of completion:
5.0. Sign Off
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On site representative
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Auditor's signature
