Please enable JavaScript in your browser to complete this form.
1.1 Does the company have a written health and safety policy? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
1.1.2 Do supervisors and managers effectively communicate the OHS policy to workers? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
1.2.1 Has senior management identified a high level person to oversee the health & safety program (e.g. health & safety manager) and ensured that the individual has adequate training and experience? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
1.2.2 Roles and responsibilities of managers and supervisors in managing health & safety at the workplace: * Choose One Not Applicable Nonconformity Partial Conformity Conformity
1.2.3 Are supervisors monitoring the health and safety of all workers under their direct supervision? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
1.2.4 Does the organization have a process for ensuring compliance with the health and safety rules and regulations? Is the process being followed as outlined? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
1.2.5 Does senior managers measure and evaluate the performance of the company’s safety program? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
1.2.8 Have workers been advised of their responsibilities and accountability with regard to complying with the health & safety program and regulations? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
1.2.10 Does top management (CEO, President or the most senior manager) responsible for the overall safety program of the company meet with the workers at least annually and communicate why safety is important? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
1.2.11 Do managers, supervisors communicate health & safety information to workers on a regular and ongoing basis? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
1.2.12 Does the company have a wellness initiative to encourage employees to maintain a healthy lifestyle? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
2.1.1 Have safe work practices and safe work procedures been developed for the job tasks identified as required in the hazard process? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
2.1.5 Have procedures been developed for the provision of first aid in the workplace? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
2.3.1 Does the organization have emergency preparedness procedures appropriate to the size, complexity of the organization and as legally required? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
2.3.2 Are there written emergency response plans for the identified risks? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
2.3.3 Does the emergency preparedness policy identify the responsibilities and training of workers, managers and supervisors? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
2.3.4 Are the emergency preparedness procedures, equipment/supplies periodically tested and inspected for adequacy and effectiveness? Are the tests reviewed and evaluated to identify potential deficiencies and areas of improvement? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
3.1.1 Are all new hires provided a detailed orientation on their first day or prior to commencing their job duties? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
3.1.2 Does the orientation include a general overview of the organization’s health & safety policies, procedures, job specific hazards and rights and responsibilities? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
3.1.4 Do employees receive re-orientation when they are returning to the worksite after an extended period of time, when they are transferred to a new job, assigned new tasks or when there is a change in the process? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
3.2.2 Does the organization have a process to ensure that workers are competent after receipt of training? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.1.2 Has the organization compiled an occupation/task/hazard inventory list showing all occupations, all tasks carried out by people in each occupation? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.1.3 Are hazard identification and risk assessments being conducted prior to the commencement of a job task or when there is a change in process impacting safety? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.1.4 Are documented hazards, risks and controls communicated to all workers before a new work process is implemented or when there is a change in the work process and as they become identified during day to day operations? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.1.5 Is training provided to employees responsible for carrying out and reviewing the results of hazard identification and risk assessment? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.2.2 Is there a policy on managing the identified risks according to risk ranking? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.2.3 Does the organization have a process for the development of control measures? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.2.4 Have the various control measures been identified for the health & safety hazards listed in the risk assessment and have engineering and administrative controls been implemented? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.2.5 Is there a system in place to regularly inspect and maintain basic/ specialized PPE? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.2.7 Are PPE controls identified and implemented for the hazards cited in the hazard recognition and risk assessment reports? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.3.1 Does the company have a MSI Prevention Policy? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
completed to be
4.3.2 Does the company have a MSI Prevention Program in place measuring and analyzing MSI duties with risk factors? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.4.1 Has the organization developed safe work procedures for each type of mobile equipment in the workplace? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.4.3 Does the organization have a maintenance program in place to ensure an equipment maintenance program is established meeting manufacturer and regulatory standards? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.5.1 Does the company have a fall protection program to control fall hazards in the workplace? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
4.5.2 Does the company have a written bullying and harassment prevention plan with policies, procedures and training? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
5.4 Is there a system in the workplace inspection program to ensure that deficiencies are reported? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
5.5 Does the system ensure that any deficiencies identified are corrected in a timely manner? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
5.7 Does the organization have a system in place for workers to report hazards in the workplace? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
5.8 Does the organization have a system in place for management to ensure that the inspection process is being effectively followed? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
5.9 Does the organization Inspection schedule comply with the applicable regulations; (e.g. Canada Labour Code, OH&S Regulations) regarding frequency of inspections? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
6.2 Does the company have specific forms developed that identify the steps in the incident investigation process? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
6.3 Does the incident investigation policy outline the requirement for employees to report all occupational incidents, near misses, accidents and illnesses? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
6.4 Are all reported incidents investigated by the company? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
6.5 When corrective action recommendations are made is the organization ensuring the corrective actions are implemented in a timely manner? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
6.6 Are the individuals responsible for incident investigations trained? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
6.8 Do managers/supervisors review incident investigations? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
6.9 Does the organization clearly communicate the root cause and/or results of the incident investigations to all affected personnel? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
7.2 Are all applicable acts and regulations identified in the health & safety program? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
7.4 Does the organization have a health and safety continuous improvement plan and/or action plan? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
8.3 Are the JHSC meeting minutes recorded, posted and communicated to employees? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
8.4 Do the JHSC committee members receive training as required? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
8.5 Does management support the recommendations put forth by the JHSC? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
9.2 Are contractors advised of all applicable worksite hazards and safe work procedures? * Choose One Not Applicable Nonconformity Partial Conformity Conformity
9.4 Does the company include contractors in ongoing safety management ensuring that they are consistently aware of any changes in applicable procedures, hazards and/or other safety initiatives. * Choose One Not Applicable Nonconformity Partial Conformity Conformity