Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Vehicle / Pedestrian Traffic

  • Signage to notify logging trucks and recreational users of field workers on FSRs

  • Parking area is free of collision hazards and dangerous driving surfaces

  • Parking area is free of fuel and lubricant contamination

  • Do any changes to the Traffic Management plan need to be made?

  • What needs to change?

Cabins

  • General Tidiness

  • Ingress / Egress areas are clear

  • Smoke alarms are in place and operational in each cabin

  • CO detectors are in place and operational in each cabin

  • Fire Extinguishers are operational and accessible

  • ERP and SRP one pagers are posted and visible

  • Is there maximum 1 extension cord per outlet?

  • Are all power bars surge protected?

Emergency Exits

  • Exits are marked with visible signage

  • All exit routes are free of obstruction

Fuel Storage

  • Jerry cans and drums are stored inside of secondary spill containment

  • Spill kits are available and well-marked

  • Fire extinguishers available and free from obstruction

  • Containments are dewatered and free of oily sheen

  • The Emergency Response Plan is in an area that is accessible to employees

  • Jerry cans, drums, and secondary spill containments are free of leaks and in good condition

  • Signage is posted to prohibit smoking in fueling areas, or where flammable and combustible liquids are received, dispensed, or stored

Housekeeping

  • Facility garbage - garbage is temporarily stored in closed top containers or disposed of in Purden Lake Resort garbage facilities

  • Fueling area - no sorbents or oily waste bags are left unattended or unsecured inside of secondary containment

  • Areas around cabins and dry tent are clean and tidy

Radio Communications

  • Radio base chargers are plugged in and operational

  • Radios are stored and charging in proper location

  • Radios power on and maintain charge

PPE Inventory

  • Employees have access to PPE

  • Adequate inventory of hearing protection

  • Adequate inventory of eye protection

  • Adequate inventory of hi-vis vests

  • Adequate inventory of hard hats

  • Adequate inventory of gloves

  • Adequate inventory of bug repellent (spray, nets)

  • Adequate inventory of wildlife deterrents (bear spray, bear spray holsters, bear horns)

  • Adequate inventory of sunscreen

  • Eye wash kit available and its location well marked

Hand and Power Tools

  • Tools are in good condition

  • Tool cords are in good condition

  • All broken/unusable tools have Lock Out tags

Electrical Safety

  • Power cords are maintained in good condition and stored appropriately

  • All power supply systems, electrical circuits, and electrical equipment are properly grounded

  • Lock Out tags are available to workers

Health

  • Hygiene and sanitation control materials are available to workers (hand washing stations, hand sanitizer)

  • First Aid Kits are available and appropriately stocked

  • Muster point signage is posted and visible

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.