Worksite Safety Compliance Inspection

• Project

• Conducted on

  Date

• Prepared by

• Location
  Address

• Contractors on site

• Number of personnel on site

• Document No.

Pre-Inspection Review

• Previous Inspection Review

  Off

  On

• Has the previous inspection report been closed out?

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Have all previous corrective actions been completed?

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

Public Safety and Security

• Public Exposed to Site

  Off

  On

• Site perimeter secure

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Public protected from construction hazards

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Adequate signage

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

Orientation

• Site Specific Orientation Required?

  Off

  On

• Young or new worker orientation provided [OHSR 3.23]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Record of orientation [OHSR 3.25]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

First Aid

• First Aid Provisions Required

  Off

  On

• First aid attendant qualification [OHSR 3.15]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• First aid procedures [OHSR 3.17]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• First aid communication method in place [OHSR 3.18]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• First aid records [OHSR 3.19]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

General Conditions

• General Conditions Reviewed

  Off

  On

• Safe building and structures [OHSR 4.2]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Workplace illumination levels [OHSR 4.65]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Emergency lighting in place if required [OHSR 4.69]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Discharge air away from workers and public [OHSR 4.77]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Indoor air quality free of contaminants [OHSR 4.72]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Indoor temperature and humidity within acceptable comfort zone [OHSR 4.80]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Environmental Tobacco Smoke controlled [OHSR 4.81]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• • Prohibited in workplace
  • Outdoor smoking area designated (min 3 meters from an opening to an indoor workplace)
  

• Eating area hygiene [OHSR 4.84]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Washroom facilities sufficient in number [OHSR 4.85 (1)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Washroom facilities in proper working order, clean, sanitary, and supplied [OHSR 4.85 (3)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Non-potable water sources notices in place as required [OHSR 4.87]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Noise hazard warning signs in required areas [OHSR 7.7 (1)(b)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Equipment, Machinery, and tools on Site

  Off

  On

• Safe machinery and equipment [OHSR 4.3]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Machinery, equipment and tools manuals available [OHSR 4.5]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Machinery, equipment and tools inspection and maintenance records [OHSR 4.9]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Machinery, equipment and tools safeguards [OHSR 4.12]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Curb installed where danger of vehicle or equipment running off edge of elevated area exists [OHSR 4.63]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

Work Area Requirements

• Work Area Requirements Reviewed

  Off

  On

• Access to work areas [OHSR 4.32]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Arrangement of work areas [OHSR 4.33]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Restricted entry to hazardous areas [OHSRS 4.34]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Extreme temperature hazards isolated [OHSR 4.38]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Slipping and tripping hazard control [OHSR 4.39]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Waste material removal/control [OHSR 4.41]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Wet floor control [OHSR 4.40]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

Storing and Handling Materials

• Storange and Handling of Materials Reivewed

  Off

  On

• Material stacking (stable, secure) [OHSR 4.43]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Entrapment or engulfment risk controlled [OHSR 4.44]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Falling materials prevention [OHSR 4.45]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

Ergonomics

• Workplace Ergnomics Reviewed

  Off

  On

• Ergonomic Risk assessment [OHSR 4.48]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Ergonomic Risk Control [OHSR 4.50]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

Work Area Guards and Handrails

• Work Area Guards and Handrails Reviewed

  Off

  On

• Guardrails have top rail 102cm to 112 cm (40 in to 44 in) above work surface and midrail midway [OHSR 4.54]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Guardrails in work areas above 122 cm (4 ft) [OHSR 4.55 (a)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Guardrails on both sides of walkways with substance or machinery fall hazards [OHSR 4.55 (b)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Guardrails around any containment area over 122 cm (4 ft) [OHSR 4.44 (c)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Guardrails in place if a stairway ends in direct proximity to dangerous traffic or other hazards [OHSR 4.55 (d)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Additional guardrails added if required due to worker elevation [OHSR 4.57]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Floor and roof openings securely covered or guarded [OHSR 4.59]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Toeboards in place if danger of tools, materials, equipment or debris falling or a danger of slipping off the work surface exists [OHSR 4.60]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Elevated walkways 50 cm (20 in) wide minimum [OHSR 4.61]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Stairways with more than 4 risers have continuous handrails [OHSR 4.62]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

Emergency Preparedness and Response

• Emergency Preparedness Reviewed

  Off

  On

• Workplace risk assessment [OHSR 4.13]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Emergency procedures [OHSR 4.14]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Emergency training [OHSR 4.16]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

Chemical and Biological Agents

• Hazardous Materials on Site

  Off

  On

• Safety Data Sheet (SDS) readily available for all hazardous materials [OHSR 5.16]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Workplace labels on decanted products [OHSR 5.10]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Hazardous material containers sealed if not in use [OHSR 5.22]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Incompatible materials stored separately [OHSR 5.24]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Hazardous material storage area [OHSR 5.26]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Hazardous material inventory [OHSR 5.98]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Hazardous substance exposure controlled within exposure limits [OHSR 5.48]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Emergency washing facilities available if worker’s eyes or skin may be exposed to harmful or corrosive materials [OHSR 5.85]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Emergency plan [OHSR 5.97]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Flammable or Combustible Materials on Site

  Off

  On

• Ignition sources controlled during flammable material handling [OHSR 5.27]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Conductive (Metallic) containers grounded and bonded if transferring flammable material [OHSR 5.28]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Containers with substances under pressure protected [OHSR 5.36]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Compressed gas cylinders handling and securing [OHSR 5.38]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

Personal Protective Equipment

• Personal Protective Equipment Reivewed

  Off

  On

• Workers wearing hearing protection when required [OHSR 7.7 (2)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Safety headgear worn in work areas where there is a danger of head injury from falling, flying or thrown objects [OHSR 8.11]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Workers wearing safety eyewear appropriate to the conditions of the workplace [OHSR 8.14]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Workers wearing face protection when at risk of a face injury [OHSR 8.17]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Workers wearing appropriate skin, hand, foot or body protection if exposed to a substance or condition which is likely to harm the skin [OHSR 8.19]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Leg protection worn by workers operating a chain saw [OHSR 8.21]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Workers wearing appropriate protective footwear [OHSR 8.22]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Workers exposed to vehicles travelling at speeds greater than 30 km/h wearing Type 1 or Type 2 high visibility clothing [OHSR 8.24 (2)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Workers exposed to mobile equipment wearing at minimum Type 3 high visibility clothing [OHSR 8.24(3)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Workers exposed to the risk of drowning wearing a personal flotation device (PFD) [OHSR 8.26]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Workers exposed to flash fires, molten metal, welding or burning operations wearing required flame resistant clothing [OHSR 8.31]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Workers exposed to air contamination that exceeds the exposure limits wearing appropriate respiratory protection [OHSR 8.32]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

Traffic Control

• Traffic Control Required

  Off

  On

• Traffic control management plan

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Traffic control person qualifications

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Traffic control set up

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

Fall Protection

• Worker required to work at heights

  Off

  On

• Fall protection system in use by workers exposed to a fall hazard equal or greater than 3 m (10 ft) [OHSR 11.2 (1)(a)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Worker training in fall protection verified.

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Fall protection plan in place if workers may be exposed to a fall hazard equal or greater than 7.5 m (25 ft) exists [OHSR 11.3]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Protection from falling materials in place where required.

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Workers at heights have tethered equipment, or established a control zone below to prevent or protect others in the event work materials, or equipment were to fall.

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

Ladders, Scaffolding, Elevated Work Platforms

• Ladders used in the workplace

  Off

  On

• Ladders marked for the grade of material and the use [OHSR 13.4]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Portable ladders used are appropriate length for the work, and place on firm and level surface [OHSR 13.5 (1)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Portable non-self supporting ladder positioned at approximately 75° from the horizontal plane of support [OHSR 13.5 (2)(a)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Ladders providing access to or egress from an upper landing project approximately 1 m (3 ft) and sufficiently secured in place [OHSR 13.5 (2)(b)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Scaffold

  Off

  On

• Scaffold in safe condition and able to withstand load [OHSR 13.13]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Scaffold connections between part secured [OHSR 13.18]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Scaffold effectively grounded if in close proximity to high voltage conductors or equipment [OHSR 13.1]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

Construction, Excavation, and Demolition

• General Requirements Reviewed

  Off

  On

• Qualified Contractor [OHSR 20.1A]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Notice of project posted on site [OHSR 20.2]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Qualified coordinator for the purpose of ensuring the coordination of health and safety activities apoointed. [OHSR 20.3(2)(a)(i)

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• All contractors on site have appointed a qualified person to be responsible for their health and safety activities. [OHSR 20.3(2)(b)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• 20.3 Coordination of multiple employer workplaces
  
  (1) If a construction project involves the work of 2 or more employers or their workers, each employer must notify the owner, or the person engaged by the owner to be the prime contractor, in advance of any undertaking likely to create a hazard for a worker of another employer.
  
  (2) If a work location has overlapping or adjoining work activities of 2 or more employers that create a hazard to workers, and the combined workforce at the workplace is more than 5,
  
  (a) the owner, or if the owner engages another person to be the prime contractor, then that person must
  
  (i) appoint a qualified coordinator for the purpose of ensuring the coordination of health and safety activities for the location, and
  
  (ii) provide up-to-date information as specified in subsection (4), readily available on site, and
  
  (b) each employer must give the coordinator appointed under paragraph (a)(i) the name of a qualified person designated to be responsible for that employer's site health and safety activities.
  
  (3) The duties of the qualified coordinator appointed under paragraph (2)(a)(i) include
  
  (a) informing employers and workers of the hazards created, and
  
  (b) ensuring that the hazards are addressed throughout the duration of the work activities.
  
  (4) The information required by subsection (2)(a)(ii) includes
  
  (a) the name of the qualified coordinator appointed under subsection (2)(a)(i),
  
  (b) a site drawing, which must be posted, showing project layout, first aid location, emergency transportation provisions, and the evacuation marshalling station, and
  
  (c) a set of construction procedures designed to protect the health and safety of workers at the workplace, developed in accordance with the requirements of this Regulation.

• Site drawing posted, showing project layout, first aid location, emergency transportation provisions, and the evacuation marshalling station (muster location) [OHSR 20.3(4)(b)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Safe Work Areas and Safe Access

  Off

  On

• Safe access [OHSR 20.4]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Temporary floors [OHSR 20.5]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• (1) During the erection of a building or structure of skeleton construction, a temporary floor, decking or formwork must be installed at the main working level where work is being done.
  (2) If compliance with subsection (1) is not practicable, a temporary floor or other effective means of protection must be installed not more than two levels or 8 m (25 ft) below the main working level.
  (3) Subsections (1) and (2) do not apply during the initial connection of structural members where it is not practicable to provide a floor or decking.
  (4) There must be a safe means of access and egress to each main working level referred to in subsection (1).
  (5) A stairway comprised of at least framing, treads and a handrail must be provided to each floor level before construction of the next floor or deck surface is undertaken, and the treads on the stairway must not create a tripping or slipping hazard.

• Protection from falling materials

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• (1) If falling material could endanger workers
  (a) the danger area must be barricaded or effectively guarded to prevent entry by workers, and conspicuous warning signs must be displayed on all sides and approaches, or
  (b) adequate protective canopies must be installed over the danger area, or
  (c) adequate catch platforms or nets must be provided to stop materials from falling into areas accessible to workers.
  (2) Temporary washroom facilities, offices and similar structures on a construction site must be
  (a) located outside areas where there is the potential of being hit by falling materials, or
  (b) covered by adequate protective canopies.
  (3) Protective canopies must be designed and constructed to safely support all loads that may reasonably be expected to be applied to them, but in no case less than 2.4 kPa (50 psf).

• Chutes in place if free fall of materials or debris being removed exceeds 6 m (20 ft)

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Concrete Formwork and Falsework

  Off

  On

• Erection drawings and supplementary instructions for concrete formwork, falsework and reshoring must be certified by a professional engineer and available at the site during erection, use and removal of the concrete formwork, falsework and reshoring. [OHSR 20.17 (2)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• The following types of concrete formwork require erection drawings and supplementary information certified by a professional engineer:<br>(a) flyforms;(b) gang forms;(c) jump forms;(d) vertical slip forms;(e) formwork more than 4 m (13 ft) in height;(f) suspended forms for slabs, stairs and landings;(g) beam forms;(h) single sided forms over 2 m (6.5 ft) in height;(i) cantilever forms;(j) bridge deck forms;(k) shaft lining forms;(l) tunnel lining forms;(m) forms so designated by the designer of the structure.

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Protruding ends of reinforcing steel which are hazardous to workers must be removed or effectively guarded. [OHSR 20.23 (1)

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• If a worker is required to be underneath the formwork during a concrete pour or placement of another significant load, the worker must be restricted from the areas where the loads are placed. [OHSR 20.23 (2)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• If loads such as bundles of reinforcing steel are being placed on the formwork, or if concrete has just been placed on the formwork, workers must be restricted from the area under those portions of the formwork until it can be assured that the formwork will withstand the load. [OHSR 20.23 (3)]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Flyform drawings available. [OHSR 20.24]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Flyform handling compliant with: <br>(1) The erection drawings and supplementary instructions for flyforms must show a step by step procedure for all phases of each cycle of assembly, flying, use, dismantling, and reuse of each flyform panel, including special procedures for non-typical floors.<br>(2) If any flyform panel is not inherently stable for all possible conditions of load, special notation on the flyform design documents must draw attention to the procedure for obtaining stability.<br>(3) The erection drawings and supplementary instructions required by subsections (1) and (2), including special procedures required for non-typical floors, must be made available to workers involved in any part of the assembly, flying, use, dismantling and reuse of each flyform panel. [OHSR 20.25]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Inspection:<br>(1) Immediately before placement of concrete or other intended loading, the employer must ensure that the concrete formwork and falsework is inspected and an engineering certificate is issued by a professional engineer, which<br>(a) indicates the specific areas inspected,<br>(b) certifies that the concrete formwork and falsework has been erected in accordance with the latest approved erection drawings and supplementary instructions, and<br>(c) certifies that specified reshoring is in place. [OHSR 20.26]

  Adequate

  Improvement Recommended

  Inadequate

  Not Applicable

  Not Reviewed

• Recommended Improvement:

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours

• Corrective Action:

• Person or Group Responsible:

• Target Completion Date:

  Date

• Date Completed:

  Date

• Compliance Bonus

  Off

  On

• Compliance Bonus

  Achieved during inspection

  Achieved within 48 hours