Weekly/Monthly Inspections

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Public

• Proper and visible signage in place

  Yes

  No

  N/A

• Free of Obstacles

  Yes

  No

  N/A

• Traffic control when required

  Yes

  No

  N/A

• Access to site controlled

  Yes

  No

  N/A

Safety Board

• Copies of the rescue plan procedures signed by the employer and supervisor of the underground workers shall be posted in conspicuous place on the project<br>Section 264(2).

  Yes

  No

  N/A

• Notice of project and any other Ministerial documents (MOL)

  Yes

  No

  N/A

• Notices describing how to sound a fire alarm posted in a conspicuous place<br>Section 248

  Yes

  No

  N/A

Safety Board Contents

• Health and Safety at Work: Prevention Starts Here

  Yes

  No

  N/A

• What You Should Know About The Ontario Employment Standards Act

  Yes

  No

  N/A

• Occupational Health and Safety Act and Construction Regulations (Green Book)

  Yes

  No

  N/A

• WHMIS Regulations<br>Reg 860

  Yes

  No

  N/A

• Company Occupational Health and Safety Policy

  Yes

  No

  N/A

• Work Place Violence and Harassment Policy

  Yes

  No

  N/A

• JHSC or Safety Rep Poster and posted, minutes, meetings

  Yes

  No

  N/A

• In Case of Injury Poster

  Yes

  No

  N/A

• First Aid Regulations 1101

  Yes

  No

  N/A

• Names and Location of trained first aid rep and copies of tickets posted?

  Yes

  No

  N/A

• WHMIS Binder

  Yes

  No

  N/A

• Emergency Procedures (including Fire Plan, and rally points)

  Yes

  No

  N/A

• ERP in place

  Yes

  No

  N/A

Hygiene Section 260

• Heated Change Rooms<br>Section 260(1)

  Yes

  No

  N/A

• Change room available and cleaned every 24 hours<br>Section 260(4)

  Yes

  No

  N/A

• 1 shower and 1 wash basin with hot water for every 10 workers.<br>Section 260(6)

  Yes

  No

  N/A

Emergency Responce

• Emergency plan in place, communicated, signed and posted.<br>Section 264

  Yes

  No

  N/A

• Emergency numbers posted along with location description.<br>

  Yes

  No

  N/A

• First Aiders on site.<br>Section 261

  Yes

  No

  N/A

• 1 first aid kit at entrance and in every shaft/tunnel<br>Section 262

  Yes

  No

  N/A

• First aid kits and rescue equipment inspected monthly.

  Yes

  No

  N/A

• At least 1 basket stretcher<br>Section 263

  Yes

  No

  N/A

• Rescue tanks available in appropriate location<br>

  Yes

  No

  N/A

• Tank capacity appropriate for tunnel length <br>Section 266

  Yes

  No

  N/A

• Rescue tank inspected within last 30 days<br>Section 266

  Yes

  No

  N/A

• At least 4 rescuers available on site. Check current training and practice records (refresh within last 30 days)<br>Section 265

  Yes

  No

  N/A

• Is there an effective communications system while underground (tunnel phone)<br>Section 269

  Yes

  No

  N/A

Fall Protection Plan

• Must have a written plan provided for a workplace by the employer, which must specify fall hazards, fall protection and procedures for rescue.

  Yes

  No

  N/A

• Lifelines and safety harnesses are inspected per use and are being used according to manufacturers manual.

  Yes

  No

  N/A

• Lifelines attaches to an independent firm structural member.

  Yes

  No

  N/A

• Are openings controlled to prevent unauthorized acess

  Safe

  At Risk

  N/A

• Lifelines have adequate breaking strength and documentation on site?

  Yes

  No

  N/A

Access and Egress

• Check to see if check in/out procedure that accounts for all underground personnel is being used

  Yes

  No

  N/A

• Safe means of entrance and egress including latching gate and railing at top shaft.<br>Section 282(4)

  Yes

  No

  N/A

• Handrails/guardrails in place.<br>Section 282

  Yes

  No

  N/A

• Hoist required if shaft is more than 30m.

  Yes

  No

  N/A

• Adequate lighting in tunnel (1 light every 10’)

  Yes

  No

  N/A

• No ice or loose objects at top of shaft<br>Section 283

  Safe

  At Risk

  N/A

• Walkway provided in tunnel (at least 1 foot wide)<br>Section 313(2)

  Yes

  No

  N/A

• Top worker on site when workers below<br>Section 246

  Yes

  No

  N/A

Atmospheric Conditions

• Air monitoring in effect<br>Section 330

  Yes

  No

  N/A

• Dust, fumes, vapours etc., controlled at source.

  Yes

  No

  N/A

• Adequate ventilation in the tunnel<br>Section 329

  Yes

  No

  N/A

• Air monitor calibrated and bump checked as schedules

  Yes

  No

  N/A

Onsite Vehicles

• Traffic plan followed, signallers used as required

  Yes

  No

  N/A

• Operated at safe speed and manner

  Yes

  No

  N/A

Air Tools

• Air supply disconnected for servicing and adjustments

  Yes

  No

  N/A

• Trigger mechanism operating correctly

  Yes

  No

  N/A

• Hoses do not present tripping hazard

  Safe

  At Risk

  N/A

• Hoses wired together and stacked neatly out of the way

  Yes

  No

  N/A

WHMIS

• Appropriate WHMIS labels

  Yes

  No

  N/A

• Contents on Label

  Yes

  No

  N/A

• Stored in a manner compatible with contents

  Yes

  No

  N/A

• No leaks

  Yes

  No

  N/A

Personal Protective Equipment

• No loose clothing near moving equipment

  Safe

  At Risk

  N/A

• Green patch boots with steel shank and metatarsal protection

  Yes

  No

  N/A

• Hard hat, eye protection, hearing and realities protection all available

  Yes

  No

  N/A

• Safety Harness and lanyards

  Yes

  No

  N/A

• High visibility clothing worn

  Yes

  No

  N/A

• Self rescue devices inspected and “at hand” in the tunnel<br>Section 268

  Yes

  No

  N/A

Compressed Gas Cylinders

• Secured, standing on end, empties capped<br>

  Yes

  No

  N/A

• Stored away from heat and sparks.

  Yes

  No

  N/A

Electrical

• Ground fault circuit interrupters

  Yes

  No

  N/A

• Cords elevated or covered, “no tripping hazards”, insulation intact

  Yes

  No

  N/A

• Energized rooms are locked

  Yes

  No

  N/A

• Temporary lighting does not have broken or missing bulbs

  Yes

  No

  N/A

• Emergency lights tested<br>Section 276

  Yes

  No

  N/A

Fire Protection

• Fire extinguishers are accessible, in working order and inspected

  Yes

  No

  N/A

• Fire extinguishers at the top and bottom of every shaft

  Yes

  No

  N/A

• Fire extinguishers at each electrical panel, TBM and locomotive

  Yes

  No

  N/A

• Standpipe, fire line and hose as required in tunnel<br>Section 251-254

  Yes

  No

  N/A

• Fire line outlet and valve every 45 metres

  Yes

  No

  N/A

• Hose every 46 metres

  Yes

  No

  N/A

• Hose stored on rack

  Yes

  No

  N/A

• Siamese connection at the surface of the shaft

  Yes

  No

  N/A

• Gasoline and flammable also stored in approved containers away from the shaft.<br>Section 255-256

  Yes

  No

  N/A

• Maximum 8 hours worth of fuel underground in storage<br>Section 255(4)

  Yes

  No

  N/A

• No combustibles stored underground other than for immediate use<br>Section 258

  Yes

  No

  N/A

• Emergency phone numbers listed

  Yes

  No

  N/A

• Temporary heating devices provided with adequate clearance.

  Yes

  No

  N/A

• Danger signs in hazard area

  Yes

  No

  N/A

Hazard Controls

• Lock out procedure being adhered to when applicable

  Yes

  No

  N/A

• WHMIS and SDS is current (within last 3 years)

  Yes

  No

  N/A

• Signs and tags are in use for lock out/ tag out

  Yes

  No

  N/A

Housekeeping

• Work area is clean and free of debris.

  Yes

  No

  N/A

• Spilled or leaked liquids are cleaned up.

  Yes

  No

  N/A

• Adequate garbage containers available.

  Yes

  No

  N/A

• Nails are bent over

  Yes

  No

  N/A

• Materials and equipment stored in a safe manner.

  Yes

  No

  N/A

• Combustible waste materials stored safely and removed from work site.

  Yes

  No

  N/A

Ladders

• Rings, rails and rope in good condition.

  Yes

  No

  N/A

• Placed 1 foot away from the base for every 4 feet in height.

  Yes

  No

  N/A

• Extends 3 feet above platform being accessed.

  Yes

  No

  N/A

• Barricaded when used in passageways and stairwells.

  Yes

  No

  N/A

• Secured ladder at top and bottom.

  Yes

  No

  N/A

• Remove broken ladders from site

  Yes

  No

  N/A

Machine Guards

• Prevent any contact with moving parts.

  Safe

  At Risk

  N/A

• Prevent access to danger area during operation.

  Safe

  At Risk

  N/A

Powder Actuated Tools

• Hearing and eye protection being worn.

  Yes

  No

  N/A

• Operators trained and authorized to use.

  Yes

  No

  N/A

Repairs to Equipment

• Out of order equipment is shut down and locked out

  Yes

  No

  N/A

• Suitable signs have been posted

  Yes

  No

  N/A

• Suspended and raised equipment is blocked prior to work.

  Safe

  At Risk

  N/A

• All repaired equipment to be tagged and identified

  Yes

  No

  N/A

Crane, Rigging Equipment and Slings

• Crane inspection done

  Yes

  No

  N/A

• Qualified crane operator

  Yes

  No

  N/A

• Loaded in accordance with allowable workloads rated capacities. Is rigger qualified

  Yes

  No

  N/A

• Check for wear, safe workload tags on slings/chains

  Yes

  No

  N/A

• Check storage area -chains/slings should be hung up in dry, covered area.

  Yes

  No

  N/A

• Tag line is being used for all lifts

  Yes

  No

  N/A

Scaffolds

• All braces, connectors on, guard rails on open sides and ends, toe boards, planks of minimum 2”-10” width with 6”-12” overhang

  Yes

  No

  N/A

• Plumb and tied to structure

  Yes

  No

  N/A

Inspection of Haulage Equipment

• No internal combustion engines shall be used in a tunnel on a project without the prior written consent of a director.<br>Section 36

  Yes

  No

  N/A

• A haulage locomotive shall have suitable brakes, an audible bell and controls that can be operated only by a worker at the drivers station.<br>Section 310

  Yes

  No

  N/A

• You the inspector had inspected such job location to the best of your knowledge

  Sign

• Co-Inspector

  Sign