Uncle Jed 3

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

POLICY

• Is the Corporate Safety Policy posted in a prominent area?

  Yes

  No

  Not Applicable

  Not Measured

• Is the OHS Act and Regulations readily avaiable?

  Yes

  No

  Not Applicable

  Not Measured

LOSS CONTROL MEETINGS

• If H&S attends the meeting- Complete Observation Form.

  Yes

  No

  Not Applicable

  Not Measured

• Is the meeting attendance being tracked?

  Yes

  No

  Not Applicable

  Not Measured

• Are members of the Senior Management in attendance?

  Yes

  No

  Not Applicable

  Not Measured

JOINT HEALTH & SAFETY COMMITTEE (JHSC)

• If H&S attends the meeting - Complete Observation Form.

  Yes

  No

  Not Applicable

  Not Measured

• Have all members attend the WorkSafeNB Core Training?

  Yes

  No

  Not Applicable

  Not Measured

• Have some members received additional investigation training?

  Yes

  No

  Not Applicable

  Not Measured

• Are members of the JHSC involved in investigations?

  Yes

  No

  Not Applicable

  Not Measured

• Are the issues identified on the minutes less than 120 days?

  Yes

  No

  Not Applicable

  Not Measured

• Have the monthly planned inspections been completed / reviewed?

  Yes

  No

  Not Applicable

  Not Measured

H&S INCIDENT REPORTING FORM (gather information prior to assessment)

• Are the incidents completed within 120 days?

  Yes

  No

  Not Applicable

  Not Measured

TAILBOARD CONFERENCE

• Are the Tailboard Conference Forms being completed as required?

  Yes

  No

  Not Applicable

  Not Measured

TRAINING NEEDS ASSESSMENT (gather information prior to assessment)

• What is the training compliance for this location?

  90%-100%

  80%-90%

  <80%

SAFETY BULLETIN BOARD

• Is there a separate bulletin board for SAFETY?

  Yes

  No

  Not Applicable

  Not Measured

• Are the minutes of the JHSC meetings posted?

  Yes

  No

  Not Applicable

  Not Measured

• Are the members and alternates of the JHSC posted?

  Yes

  No

  Not Applicable

  Not Measured

• Is the emergency plan posted? (communication / transportation)

  Yes

  No

  Not Applicable

  Not Measured

• Are the names of the employees who are first aid trained posted?

  Yes

  No

  Not Applicable

  Not Measured

• Is the information on the bulletin board current? (safety bulletins, safety contests, general safety information)

  Yes

  No

  Not Applicable

  Not Measured

• Are there 9-1-1 Messages, Safety Bulletins, Safety Advisories posted?

  Yes

  No

  Not Applicable

  Not Measured

HEALTH CONTROL

• Are the WHMIS MSDS's up to date?

  Yes

  No

  Not Applicable

  Not Measured

• Is there a hard copy alphabetically indexed?

  Yes

  No

  Not Applicable

  Not Measured

• Are MSDS's easily accessible?

  Yes

  No

  Not Applicable

  Not Measured

• Do containers have supplier or workplace labels?

  Yes

  No

  Not Applicable

  Not Measured

• Is there a documented Asbestos / Lead Management program?

  Yes

  No

  Not Applicable

  Not Measured

• Is there inventory done for the asbestos that is present in the building?

  Yes

  No

  Not Applicable

  Not Measured

• Is there a management document available?

  Yes

  No

  Not Applicable

  Not Measured

COMMUNICATION WITH EMPLOYEES

• Are employees encouraged to use the H&S Incident Reporting Form?

  Yes

  No

  Not Applicable

  Not Measured

• Is Management visible in the field on a regular basis?

  Yes

  No

  Not Applicable

  Not Measured

• Do you identify any barriers to performing your work safely prior to beginning the job? If so, what are some of the barriers?

  Yes

  No

  Not Applicable

  Not Measured

• Do you feel you have adequate training for your job?

  Yes

  No

  Not Applicable

  Not Measured

PERSONAL PROTECTIVE EQUIPMENT (PPE)

• Are all employees wearing the appropriate PPE for the task being carried out?

  Yes

  No

  Not Applicable

  Not Measured

• Is the PPE (that was observed) well maintained?

  Yes

  No

  Not Applicable

  Not Measured

• Are the Rubber Gloves valid? (check date)

  Yes

  No

  Not Applicable

  Not Measured

EMERGENCY PREPAREDNESS

• Does the site have an emergency evacuation plan?

  Yes

  No

  Not Applicable

  Not Measured

• Are emergency phones working?

  Yes

  No

  Not Applicable

  Not Measured

• Do the emergency phones have a current emergency phone list posted?

  Yes

  No

  Not Applicable

  Not Measured

LIGHTING

• Is the emergency lighting tested regularly?

  Yes

  No

  Not Applicable

  Not Measured

• Is the general lighting adequate?

  Yes

  No

  Not Applicable

  Not Measured

FIRE CHECKS

• Are all fire-fighting equipment checked on a regular basis?

  Yes

  No

  Not Applicable

  Not Measured

• Are fire doors closed and not blocked open?

  Yes

  No

  Not Applicable

  Not Measured

• Are flammable cabinets grounded?

  Yes

  No

  Not Applicable

  Not Measured

• Is there clear access to fire equipment?

  Yes

  No

  Not Applicable

  Not Measured

PRE-USE INSPECTION

• Where appropriate, are logbooks present?

  Yes

  No

  Not Applicable

  Not Measured

• Are logbooks being completed as required?

  Yes

  No

  Not Applicable

  Not Measured

• Are hoisting equipment inspected?<br>(capacity above 2 tons)

  Yes

  No

  Not Applicable

  Not Measured

• Are the fall protection components inspected?<br>(this includes harnesses, lanyards, regularly used anchor points, etc.)

  Yes

  No

  Not Applicable

  Not Measured

HOUSEKEEPING

• Is the work area clear of clutter?

  Yes

  No

  Not Applicable

  Not Measured

• Are extension cords in good condition?

  Yes

  No

  Not Applicable

  Not Measured

• Are welding cables / cords / hoses properly secured and protected?

  Yes

  No

  Not Applicable

  Not Measured

• Are whip-checks used?

  Yes

  No

  Not Applicable

  Not Measured

SECURITY

• Were fences and gates in good condition?

  Yes

  No

  Not Applicable

  Not Measured

• Were the gates secured?

  Yes

  No

  Not Applicable

  Not Measured

SCAFFOLD

• Is the scaffold tagged?

  Yes

  No

  Not Applicable

  Not Measured

VEHICLES

• Are vehicles backed in?

  Yes

  No

  Not Applicable

  Not Measured

• Are the loads secured?

  Yes

  No

  Not Applicable

  Not Measured

• Do they have first aid kits and fire extinguishers?<br>

  Yes

  No

  Not Applicable

  Not Measured

• Are the fire extinguishers inspected?

  Yes

  No

  Not Applicable

  Not Measured

• Are the employees wearing seatbelts?

  Yes

  No

  Not Applicable

  Not Measured

COMPRESSED GAS CYLINDERS

• Are compressed gas cylinders stored properly?

  Yes

  No

  Not Applicable

  Not Measured

• Are compressed gas cylinders properly secured?

  Yes

  No

  Not Applicable

  Not Measured

SIGNAGE / LABELS

• Is the proper signage posted? (noise, radiation, confined space, asbestos)

  Yes

  No

  Not Applicable

  Not Measured

• Are containers properly labeled?

  Yes

  No

  Not Applicable

  Not Measured

MISCELLANEOUS

• Are portable ladders in good condition?<br>(feet, rungs, blooming (spider web), etc.)

  Yes

  No

  Not Applicable

  Not Measured

• Are the portable ladders in use, secured?

  Yes

  No

  Not Applicable

  Not Measured

• Are fixed ladders in good condition?<br>(rungs, safety chains, rust, anchored securely, etc.)

  Yes

  No

  Not Applicable

  Not Measured

• Does the shelving in the Stores area meet requirements?<br>(secured to the structure (floor, wall))

  Yes

  No

  Not Applicable

  Not Measured

New Brunswick Regulation - 91-191

91-191 - Eyewash / Showers - Section 11

91-191 - Housekeeping - Section 15-17

91-191 - Lighting - Section 26

91-191 - Emergency Lighting - Section 27

91-191 - Hearing Protection - Section 48

91-191 - Fall Protection - Section 49-50

91-191 - Water Safety Equipment - Section 51

91-191 - Hazardous Material - Section 58-69

91-191 - Storage Batteries - Section 70-71

91-191 - Compressed Gas Cylinders - Section 74-79

91-191 - Portable Power Hand Tools - Section 83

91-191 - Machine Guards - Section 85

91-191 - Powdered Actuated Tools - Section 87

91-191 - Guardrails - Section 97

91-191 - Walking Surfaces - Section 102(1)

91-191 - Outdoor Walkways - Section 102(8)

91-191 - Access / Egress - Section 113

91-191 - Ladders (portable) - Section 122

91-191 - Work Platforms - Section 127-128

91-191 - Scaffold - Section 131

91-191 - Boom Trucks - Section 207

91-191 - Slings Section - 207(1)

91-191 - Hoisting Apparatus (log) - Section 210(3)

Corporate Safety Manual

CSM - Personal Protective Equipment - Section 3

CSM - Fall Protection - Section 4-5

CSM - Confined Space Entry - Section 4.8

CSM - Fire Extinguisher Maintenance - Section 4.9

CSM - Tools & Equipment - Section 5

CSM - Fibreglass Ladders - Section 5.6

CSM - Vehicles - Section 6

CSM - Forklifts - Section 6.3

CSM - Load Charts - Section 6.5

CSM - Emergency Equipment (vehicles) - Section 6.12

CSM - Occupational Health - Section 8

Asbestos Regulation - 92-106

First Aid Regulation - 2004-130

WHMIS Regulation - 88-221

Code of Practice for Working Alone - 92-133