TC-20

• Audit location

• Add media

  Media

• Date of inspection -

• Location of the Audit:

• Prepared by

• Location
  Address

• Personnel

1.0 - Initial Comment?

• 1.1 - Are additional comments applicable?

  Yes

  No

  N/A

2.0. Site Trailer Audit Inspection (monthly frequency).

• Is this applicable or not applicable?

  Yes

  No

  N/A

• 2.1 - Has the last site inspection been reviewed?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.2 - Is the Safety board mounted? (Reg. 1101 1 (1) (b))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.3. - Is the WSIB - 1234 poster posted? (Form 82) As per (Reg. 1101 1 (1) (b) (I))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.4 - Is the Occupational Health and Safety Act/Regulation (Green book) available? (OHS Act 25 (2) (I))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.5. - Stretcher with 2 blankets mounted or available. (Reg. 1101 10 (1))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.6 - Emergency response plan poster posted and rescue procedure available? (OHS. Reg. 17 (1) and 17 (3))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.7 - Eye wash station or eye wash capabilities on site? (OHSA 27 (2) c. - referring to "every precaution reasonable . . . . ")

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.8 - Materials safety data sheets? (OHS Reg. 37 (1) (b) and Reg.38 (1) (a))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.9 - TACC procedure manual? (OHS 26 (k))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.10 - Hospital map with directions to nearest local hospital?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.11 - Clinic map or directions posted?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.12 - TACC safety program posted?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.13 - Are emergency contact numbers posted?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.14 - Are Health and Safety committee member's name and contact numbers posted or available? (OHS Act 9 (32))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.15 - Is the Fire extinguisher mounted and appearing to be in functional use? (O. Reg. 213/91 s. 52 (1)).

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.16 - Does the Fire Extinguisher have the attached inspection card and is it up date with monthly inspections? (O. Reg. 219/91 S. 55).

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.17 - Is TACC's safety policy and Violence and Harassment commitment statement posted? (OHS 32.0.1 (2))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.18 - Is the trailer in a reasonable state of cleanliness? (O. Reg. 213/91 s. 35 (1)).

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.19. - Is a First Aid kit present? (Regulation 1101 8(1), 9(1), 10(1)

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.20. - Is the First Aid kit's content inspections up to date? (Completed quarterly - 4X's a year). Regulation 1101 5.

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.21. - Is Regulation 1101 (First Aid Requirements) posted?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.22. - Are the valid First Aid certificates of qualification of trained workers on duty posted or available on site? (Regulation 1101 - 1(1)b(I))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.23 - Is a copy of the TACC's Confined Spaces program posted or available? (OHS Reg 221.5 (5))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.24. - Is the notice of project posted? (OHS Act 23 (2))

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.25. - Is TACC's Health and Safety policy posted or available as per OHS Act 25 (2) (j).

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.26 - Is the "Employment Standards in Ontario" notice on ESA 2000 posted?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.27 - Is the "Health and Safety at work - Prevention Starts Here" poster?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.28 - Are necessary locates on site as required (if needed)? (O. Reg. 213/91 228 (1)).

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.29 - Is drinking water in the trailer or available on site? (O Reg. 213/91 s. 28 (1)).

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.30 - If required, are trench box / slide rail support system engineered drawings posted or available and on-site? (O. Reg. 213/91 236 (7)).

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.31. - Are Safety Tool Box talks posted? (OHSA 27 (2) a)

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.32. - If there is a portable toilet at the trailer, is appear properly maintained? (O. Reg. 29)

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.33. - Is the parking area for the trailer and its entrance appear properly maintained?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.34. - Are workplace inspections posted on site? (O. Reg. 213/91, s 19)

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.35 - 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)).

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.36 - Is Site specific JHA (job Hazard Analysis) posted on site?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.37 - Is the training matrix available on site to verify a worker's training and or competence?

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.38 - Is the Workplace Violence and Harassment assessment posted and recent within one month? OHSA 32.0.3 (1) and Act 55.1

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.39 - Is the Lock Out and Tag out kit stocked and on site? (O. Reg. 213/91, 67 (5) (b)).

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.40 - Is a spill kit on site either in the trailer or with the Earthworks crew? (O. Reg. 213/91, 67 (5) (b)).

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.41 - As required, are "Working near overhead power lines" documents posted ? (O. Reg. 213/91, 67 (5) (b)).

  Yes

  No

  N/A
Completed by: Date of completion:

• 2.42. - Are MOL notices posted (if any have been received)? O. Reg. S. 57(9), 57(10)a

  Yes

  No

  N/A
Completed by: Date of completion:

3.0. Workplace audit.

• Is this applicable or not applicable?

  yes

  no

3.1. - Site Work:

• 3.1.1 Trench excavation - Is the trench acceptably sloped?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.1.2. - Is the trench excavation acceptably dry?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.1.3. - Is the trench box installed to the engineered and regulatory spec?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.1.4. - Is the housekeeping on site acceptably clean?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.1.5. - Are Confined Spaces identified and proper protocol being followed?

  Yes

  No

  N/A

3.2. - Working near underground utilities:

• 3.2.1. - Are locates current for gas, hydro, bell, cable, municipal services . . . . .?

  Yes

  No

  N/A
Completed by: Date of completion: Completed by: Date of completion:

• 3.2.2. - Are locates readily available to workers that need to refer to them?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.2.3. - Are these utilities hand dug to identify before excavating with an excavator ?

  Yes

  No

  N/A
Completed by: Date of completion:

3.3. - Working near overhead Power Lines?

• 3.3.1. - Have workers received on site training to work near overhead power lines?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.3.2. - Is overhead warning signage in place?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.3.3. - Is a "spotter" trained and being utilized as required?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.3.4. - Are truck overhead wire warning signage being utilized as needed?

  Yes

  No

  N/A
Completed by: Date of completion:

3.4. - Work tools:

• 3.4.1. - Rigging inspected and documented as required? O. Reg. 217/91 170 (re:crane)

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.4.2. - Are ladders appropriately maintained (with feet, without damaged sides or rungs) ? O reg. 213/91 s. 78

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.4.3. - Is the ladder secured? O. Reg. 213/91 !!!!!!!!!!!!!

  Safe

  At Risk

  N/A
Completed by: Date of completion:

• 3.4.4. Is the ladder not being used as a work place platform"? O. Reg. 107 !!!!!!!!!!!!

  Yes

  No

  N/A
Completed by: Date of completion:

3.5. - Work practises:

• 3.5.1 - Is proper PPE being used by all on site workers? Reg. Reg. 21 - 25.!!!!!!!!

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.5.2. - Is specialized PPE available and being used as required?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.5.3. - Are workers always clear of overhead loads? O. Reg. 103 !!!!!!!!!!!!!

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.5.4. - Is lock out / tag out being used to take out of usage any broken equipment or tools? O. Reg. 190.

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.5.5 - Are spotters being used for reversing vehicles that are near workers or workplace areas? O. Reg. 106 and Reg. 188(8) !!!!!!!!!!

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.5.6. - Are spotters trained to be spotters?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.5.7. - Is the reversing of vehicles on site being kept to a reasonable minimum?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.5.8. Are MSDS sheets accurately representing any WHMIS identified products?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.5.9. - Is proper WHMIS labelling being used for on site working containers?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.5.10. - Are any extreme temperatures or rain conditions being properly monitored for appropriate response?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.5.11. - Do workers have access to drinking water? O. Reg. 28 !!!!!!!!!

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.5.12. - Does the site appear free from any instances of Workplace Violence and Harassment?

  Yes

  No

  N/A
Completed by: Date of completion:

3.6. - Equipment meeting regulatory requirements.

• 3.6.1. - Is emergency equipment available within minutes should it be needed in the workplace?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.6.2. - Are toilet facilities near to workers and appear in reasonable care? O. Reg. 29. !!!!!!!!

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.6.3. - If being used are both tripod and harness been inspected and in acceptable repair?

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.6.4. - Are air monitor(s) available if required? O. Reg. 221 !!!!!!!!

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.6.5. - Is a fire extinguisher near cutting work when the cutting is done with a gas powered equipment? O. Reg. 52 (2) (b). !!!!!!!!!

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.6.6. - Is emergency equipment available within minutes should it be needed in the workplace?

  Yes

  No

  N/A
Completed by: Date of completion:

3.7. - Public and vehicular Safety:

• 3.7.1. - Is the site entrance well marked with construction signage? ( as needed).

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.7.2 . - re traffic control plan

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.7.3. - re: jersey barrier/ protection of workers from the hazard of vehicles.

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.7.4. - Is the excavation or site secure after hours.

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.7.5. - Re parking away from work area.

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.7.6. - re public right of ways maintained and properly segregated.

  Yes

  No

  N/A
Completed by: Date of completion:

3.8. - Environmental Response:

• 3.8.1. - re spill control capabilities

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.8.2. - re silt fence as needed.

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.8.3 - re dust control appropriate.

  Yes

  No

  N/A
Completed by: Date of completion:

• 3.8.4. - re noise at reasonable level.

  Yes

  No

  N/A
Completed by: Date of completion:

4.0. Additional comments or concerns.

• 4.1. - Are additional comments applicable?

  Yes

  No

  N/A
Completed by: Date of completion:

5.0. Sign Off

• On site representative

  Sign

• Auditor's signature.

  Sign