Information

  • Committee member(s) conducting this inspection:

  • Inspection Area:

  • Year:

  • Month:

  • Contact Person for the area inspected:

  • The 'person(s) in charge' of the area(s) was contacted prior to the inspection.

  • Person(s) responsible for, or in charge of, the area inspected:

  • The 'person(s) in charge' of the area(s) was contacted prior to the inspection.

  • Once the 'person in charge' has received a copy of this report, the expectation is that they will provide a response within 3 weeks to the BLASH Safety & Health Committee Co-chairs. This may include statements on what and how concerns were corrected, or what was delegated or redirected. For example, "first aid kits were ordered and should be in place by Aug 2" or "a Work Order request was made to install emergency lighting". The intent is to document corrective actions are taking place.

  • Interviewed persons

  • If the Safety and Health Committee member has observed a situation or hazard that may be an imminent danger to any person or has a high level risk, they must immediately report it to the person in charge of the area. This person is expected to resolve the issue, not the safety committee member. The University's Environmental Health and Safety Office may be contacted or consultation.

  • Contact information:
    Emergency Services (Fire, Paramedic, Police): 911
    Security Services: 555 Fort Garry: 474-9312 Bannatyne: 789-3330
    Physical Plant: 474-6281
    EHSO: 474-6633

  • Description of answers to audit's questions:

    Yes - satisfactory; may not be perfect but can be reasonably expected to protect the safety and health of all persons, or meets compliance to legislation and the University's policies and procedures.

    No - poor or non-existent; cannot be expected to protect the safety and health of persons, doesn't meet compliance.
    NOTE: Drop down text box will appear; detailed information is expected to be entered and possible corrective actions suggested. At the left of the text box is an option to take a photograph to be included in the report. This information is needed to assist others is revolving the concern promptly and effectively.

    N/A - not applicable to the area.

SAFETY & HEALTH COMMITTEE BULLETIN BOARD

  • 1.1 Is it accessible and visible to all students, faculty, staff?

  • 1.2 Does it display only workplace safety and health matters?

  • 1.3 Are the most recent copy of the Committee's meeting minutes posted?

  • 1.4 Are the Committee members, WHMIS Coordinators, and First Aider's names and contact information posted?

  • 1.5. Ask: Can a student, faculty, or staff describe or show the location of a board?

FIRE SAFETY

  • 2.1 Are building floor maps with high-lighted evacuation paths current and posted in highly visible locations?

  • 2.2 Are fire extinguishers mounted securely, clear of obstructions, and immediately accessible?

  • 2.3 Are flammable material storage cabinets free of any nearby combustible material (paper, cardboard, etc.)?

  • 2.4 Ask: Can persons in the area describe an emergency evacuation route of the building - one the don't regularly use?

  • 2.5 Ask: Can a person state when the last evacuation (practice or real) took place?

FIRST AID

  • 3.1 Are certified First Aiders available nearby?

  • 3.2 Ask: How are First Aiders contacted in case of a medical emergency?

  • 3.3 Are fully stocked first aid kits available and accessible at all times? This includes common areas.

EMERGENCY EYEWASH and SHOWER

  • 4.1 Are eyewashes and showers easily accessible and free of all obstructions?

  • 4.2 Are they kept clean and are eyewash covers in place?

  • 4.3 Are eyewashes inspected, tested, and flushed weekly?

PERSONAL PROTECTIVE EQUIPMENT (PPE)

  • 5.1 Are persons wearing the appropriate PPE where required?<br>(eyewear, footwear, respiratory, gloves, clothing, hearing, etc. suitable for the task they are performing )

  • 5.2 Is PPE being used and stored to prevent contamination; in both work and public areas?

  • 5.3 Have persons wearing respirators (not surgical masks) been fit-tested within the past 2 years?

WORKING ALONE or in ISOLATION

  • 6.1 Ask: Can a student, faculty, or staff member describe a (documented) working alone policy or procedure?

VIOLENCE and HARASSMENT

  • 7.1 Ask: Can the student, faculty, or staff member describe a violence and/or harassment prevention policy and what training they have received?

  • 7.2 Ask: Can the person describe the procedure for reporting a violence or harassment complaint?

LABORATORY

  • 8.1 Are WHIP placards current and located next to all lab doors?

  • 8.2 Are MSDSs readily accessible to all users of controlled products at all times?

  • 8.3 Are lab freezers and refrigerators that are located in hallways locked securely?

  • 8.4 Are electrical power cords placed so as not to create a tripping hazard, not have any materials or equipment placed upon them, and free of extension cords?

  • 8.5 Are appropriate hazardous material spill kits immediately accessible?

ENTRANCES, EXITS, WALKWAYS, STAIRWAYS

  • 9.1 Are entrances, emergency exits, and pathways kept clear of snow, ice, and other accumulations?

  • 9.2 Are all means of access and egress free from obstructions including materials and equipment?

  • 9.3 Are floors, walkways, ramps, and stairs in good condition and clear of slipping and tripping hazards?

  • 9.4 Are persons who are smoking at least 8 meters (25 feet) away from building entrances?

LIGHTING

  • 10.1 Ask: Does the worker feel they have appropriate lighting to work safely?<br> (consider brightness, glare, contrast, etc.)

  • 10.2 Is there adequate amount of emergency lighting to exit the area if the regular lighting fails?

  • 10.3 Are emergency exit signs placed at exits, lighted, be clearly visible?

STORAGE of MATERIALS, EQUIPMENT, MACHINES, and TOOLS

  • 11.1 Are these stored so as not to create a risk to the safety of a person or safe operation?

  • 11.2 Is racking, frames, and shelves in good condition, not damaged, and not overloaded?

  • 11.3 Are they secured to the floor or building if they exceed a 3:1 height to depth ratio?

ELECTRICAL, GENERAL

  • 12.1 Are work areas free from the use of electrical extension cords (except for temporary use)?

  • 12.2 Are areas near space heaters free from combustible materials (paper, cardboard, etc.)?

  • 12.3 Are areas free from excessive use of high wattage devices such as toasters, coffee makers, etc.

  • 12.4 Are electrical panels, switch gear, and similar equipment easily accessible and a minimum of 1 meter clearance?

MAINTENANCE and CONSTRUCTION WORK

  • 13.1 Is fencing or similar methods in place to prevent unauthorized access by students, faculty, and staff to these areas?

  • 13.2 Is there a system in place to prevent materials or debris from falling onto persons where workers are working at heights?

  • 13.3 Are areas fenced (or similar) or a flag person in place where materials are being hoisted?

  • 13.4 Are areas around construction and maintenance sites reasonably clean and free of debris?

REPORTING SAFETY CONCERNS and INCIDENT REPORTING

  • 14.1 Ask: Can the person describe who they need to first contact for their safety or health concerns?

  • 14.2 Ask: Can the person describe the process for reporting an accident or near-miss?

  • 14.3 Ask: Does the person feel they have received adequate and current safety training? (consider: WHMIS, Biological, Radiation, Emergency procedures, equipment, etc.)

Additional Information:

  • Notes & Comments:

  • Additional Photographs:

  • Diagrams:

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.