Audit
Advance
Cutting (Saw/Mulching)
Surveying
Drilling
Project Name and GWR Job#
Prime Contractor
Is there an Emergency Response Plan available for this project?
Project Manager and Contact Information
Other Contact People on Prime Contractor's Emergency Response Plan.
GPS coordinates of program staging location and direction from primary lodging.
Describe directions to nearest Hospital or Health Centre from Program Staging Location.
S.T.A.R.S. site location, ID number and expiry
Wildlife
Wet Roads
Icy Roads
Gravel Roads
Winter Access Roads
Seasonal Roads
Radio Access Roads
Steep Road Shoulder
Potholes
Railway Crossings
Blind Corners
Blind Hills
Steep Hills
Narrow Bridges
One Lane Bridges
Ice Bridges
Temporary Creek Crossings
Unmarked Intersections
Gates
Field Crossings
Driving in low light conditions
Oilfield Activity
Farming Activity
Forestry/Logging Activity
School Buses
Add any other Driving Hazards associated to driving to worksite
How far is staging or the worksite from lodging? How long does it take to travel this distance following speed limits and restrictions?
Is there a medic required on program? Refer to OH&S regulations for suggested minimums.
Is there a requirement for an Emergency Medical Transport Vehicle on this program?
Can the medic reach the extremities of the project within the time regulations?
Is there a requirement for a Fire Truck on the worksite?
Is a helicopter required or recommended for this worksite?
Are H2S monitors required on site?
Is Respiratory Equipment required on site?
All Great West Resources employees' vehicles MUST have First Aid Kits as well as Fire Extinguishers.
Are emergency shut off switches required on Diesel Engines?
Is there any other or specialty safety equipment required or recommended on this site?
H2S
SO2 or burning stacks
Gas plants or other production facilities
Active Oil Wells
Abandoned Oil Wells
Oil Well Drilling or site preparation
High, Medium or Low Pressure Pipelines
Other hazardous materials
Crown Land
Dwellings
Acreages
Abandoned homes or buildings
Water Wells
Sceptic Fields
Other Hazards related to properties
Farm Yards
Abandoned Farm Yards
Livestock
Corals
Crops
Grazing Pastures
Humics
Rock Piles
Irrigation Ditches
Dugouts
Other Hazards related to farming and ranching
Badger Holes
Trees
Brush
Muskeg
Slough or Swamp
Water bodies (lakes, rivers, creeks, ponds)
Mountainous area
Cliffs
Hills
Side hills
Weather conditions
Other natural hazards
Buried Facilities (power, telephone, water, fibre optics....)
Overhead Powerlines
Barbwire Fences
Wooden Fences
Junk piles or abandoned large objects (cars...)
Railways
Roads crossing project
Ditches
Other general site hazards
Hunting
Trapping
Bears (if the type is known, please provide)
Felines (cougars, lynx...) precise type
Canines (wolves, coyotes...) precise type
Ungulates (deer, moose, elk...) precise type
Other carnivores (badgers, wolverines, weasels...)
Snakes
Other predatory hazards
Wind
Snow
Ice
Rain
Sun
Extreme Heat
Extreme Cold
Windchill
Flooding
Tornadoes
Avalanches
Blizzards
Insects
Air born or water born Pathogenes
Other environmental Hazards
ALL operators of off-road vehicles (ATV, Snowmobiles...) are REQUIRED to wear CSA or DOT approved helmets.
CSA approved hard hats
Eye Protection
Hearing Protection
Foot Protection
Hand Protection
Personal First-Aid kit
Personal H2S monitor
Fire retardant coveralls
All workers are required to carry an up to date Emergency Response Plan as well as have a copy in their vehicles.
All workers are required to carry their up to date safety tickets.
Is there any other pertinent information about the project?
Are there any preoccupations about the project that require immediate action?
Comments
