Worksite Inspection Report - duplicate

• Job No.

• Worksite Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Legislative Requirements

• Bulletin board

  Select Policies and Rules Emergency Plan Emergency Contacts Site Specific Orientation inspections Hazard Assessment Tool Box Talk JSHC Minutes

  • Policies and Rules
  • Emergency Plan
  • Emergency Contacts
  • Site Specific Orientation
  • inspections
  • Hazard Assessment
  • Tool Box Talk
  • JSHC Minutes

• New and existing worker orientations

  Yes

  No

  N/A

• Manuals

  Select Parkwest Manual WSH Act and Regs Subcontractor Manual Parkwest Supervisor Manual

  • Parkwest Manual
  • WSH Act and Regs
  • Subcontractor Manual
  • Parkwest Supervisor Manual

• Adequate amount of fire extinguishers<br>

  Yes

  No

  N/A

• Monthly inspection completed

  Yes

  No

  N/A

• Signage for location

  Yes

  No

  N/A

• 15 minutes eyewash station with inspections

  Yes

  No

  N/A

• First aid kit and log book inspected

  Yes

  No

  N/A

• Site Signage correct and visible<br>

  Yes

  No

  N/A

• Adequate amount posted at all entrances

  Yes

  No

  N/A

• Correct number of toilet facilities

  Yes

  No

  N/A

• Clean

  Yes

  No

  N/A

• Heat and lighting

  Yes

  No

  N/A

• Clean drinking water

  Yes

  No

  N/A