Health and Safety Site Inspection Evaluation - Version 3

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Page 1

Site Access (Sec. 44, 45, 64, 70 to 72)

Site Access (Sec. 44, 45, 64, 70 to 72)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Adequate ramps (Sec. 73 & 74)	Site Access (Sec. 44, 45, 64, 70 to 72): 1. Adequate ramps (Sec. 73 & 74) (OK)	1. Adequate ramps (Sec. 73 & 74) (Substandard)	1. Adequate ramps (Sec. 73 & 74) (Minor Risk)	1. Adequate ramps (Sec. 73 & 74) (Major Risk)	1. Adequate ramps (Sec. 73 & 74) (N/A)
2. Clean level ground (Sec. 72)	2. Clean level ground (Sec. 72) (OK)	2. Clean level ground (Sec. 72) (Substandard)	2. Clean level ground (Sec. 72) (Minor Risk)	2. Clean level ground (Sec. 72) (Major Risk)	2. Clean level ground (Sec. 72) (N/A)
3. On-site traffic control plan - Drive-through operation (Sec. 104(1) (2))	3. On-site traffic control plan - Drive-through operation (Sec. 104(1) (2)) (OK)	3. On-site traffic control plan - Drive-through operation (Sec. 104(1) (2)) (Substandard)	3. On-site traffic control plan - Drive-through operation (Sec. 104(1) (2)) (Minor Risk)	3. On-site traffic control plan - Drive-through operation (Sec. 104(1) (2)) (Major Risk)	3. On-site traffic control plan - Drive-through operation (Sec. 104(1) (2)) (N/A)
4. Adequate ladders (Sec. 70(1))	4. Adequate ladders (Sec. 70(1)) (OK)	4. Adequate ladders (Sec. 70(1)) (Substandard)	4. Adequate ladders (Sec. 70(1)) (Minor Risk)	4. Adequate ladders (Sec. 70(1)) (Major Risk)	4. Adequate ladders (Sec. 70(1)) (N/A)
5. Adequate stairs (Sec. 70(1))	5. Adequate stairs (Sec. 70(1)) (OK)	5. Adequate stairs (Sec. 70(1)) (Substandard)	5. Adequate stairs (Sec. 70(1)) (Minor Risk)	5. Adequate stairs (Sec. 70(1)) (Major Risk)	5. Adequate stairs (Sec. 70(1)) (N/A)
6. Adequate overhead protection at access and hoistways (Sec. 34 (1)(2))	6. Adequate overhead protection at access and hoistways (Sec. 34 (1)(2)) (OK)	6. Adequate overhead protection at access and hoistways (Sec. 34 (1)(2)) (Substandard)	6. Adequate overhead protection at access and hoistways (Sec. 34 (1)(2)) (Minor Risk)	6. Adequate overhead protection at access and hoistways (Sec. 34 (1)(2)) (Major Risk)	6. Adequate overhead protection at access and hoistways (Sec. 34 (1)(2)) (N/A)
7. Adequate lighting (Sec. 45 (1)(2))	7. Adequate lighting (Sec. 45 (1)(2)) (OK)	7. Adequate lighting (Sec. 45 (1)(2)) (Substandard)	7. Adequate lighting (Sec. 45 (1)(2)) (Minor Risk)	7. Adequate lighting (Sec. 45 (1)(2)) (Major Risk)	7. Adequate lighting (Sec. 45 (1)(2)) (N/A)
8. Adequate signage (Sec. 44(1)(2))	8. Adequate signage (Sec. 44(1)(2)) (OK)	8. Adequate signage (Sec. 44(1)(2)) (Substandard)	8. Adequate signage (Sec. 44(1)(2)) (Minor Risk)	8. Adequate signage (Sec. 44(1)(2)) (Major Risk)	8. Adequate signage (Sec. 44(1)(2)) (N/A)
9. Access for emergency vehicles (Sec. 71)	9. Access for emergency vehicles (Sec. 71) (OK)	9. Access for emergency vehicles (Sec. 71) (Substandard)	9. Access for emergency vehicles (Sec. 71) (Minor Risk)	9. Access for emergency vehicles (Sec. 71) (Major Risk)	9. Access for emergency vehicles (Sec. 71) (N/A)
10. Adequate fencing (Sec. 65)	10. Adequate fencing (Sec. 65) (OK)	10. Adequate fencing (Sec. 65) (Substandard)	10. Adequate fencing (Sec. 65) (Minor Risk)	10. Adequate fencing (Sec. 65) (Major Risk)	10. Adequate fencing (Sec. 65) (N/A)
11. Adequate ventilation (Sec. 46(1)(2))	11. Adequate ventilation (Sec. 46(1)(2)) (OK)	11. Adequate ventilation (Sec. 46(1)(2)) (Substandard)	11. Adequate ventilation (Sec. 46(1)(2)) (Minor Risk)	11. Adequate ventilation (Sec. 46(1)(2)) (Major Risk)	11. Adequate ventilation (Sec. 46(1)(2)) (N/A)

Comments

5000 Max Characters

Site Access - Total %

This is the total score for the section above. TOTAL / 11 x 100 = %

Housekeeping (Sec. 35)

Housekeeping (Sec. 35)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Clear walkways (Sec. 72)	Housekeeping (Sec. 35): 1. Clear walkways (Sec. 72) (OK)	1. Clear walkways (Sec. 72) (Substandard)	1. Clear walkways (Sec. 72) (Minor Risk)	1. Clear walkways (Sec. 72) (Major Risk)	1. Clear walkways (Sec. 72) (N/A)
2. Clear work areas (Sec. 72)	2. Clear work areas (Sec. 72) (OK)	2. Clear work areas (Sec. 72) (Substandard)	2. Clear work areas (Sec. 72) (Minor Risk)	2. Clear work areas (Sec. 72) (Major Risk)	2. Clear work areas (Sec. 72) (N/A)
3. Clear access and landing (Sec. 72)	3. Clear access and landing (Sec. 72) (OK)	3. Clear access and landing (Sec. 72) (Substandard)	3. Clear access and landing (Sec. 72) (Minor Risk)	3. Clear access and landing (Sec. 72) (Major Risk)	3. Clear access and landing (Sec. 72) (N/A)
4. Waste removed and disposed of (Sec. 35(1))	4. Waste removed and disposed of (Sec. 35(1)) (OK)	4. Waste removed and disposed of (Sec. 35(1)) (Substandard)	4. Waste removed and disposed of (Sec. 35(1)) (Minor Risk)	4. Waste removed and disposed of (Sec. 35(1)) (Major Risk)	4. Waste removed and disposed of (Sec. 35(1)) (N/A)
5. Material properly stacked and stored (Sec. 39)	5. Material properly stacked and stored (Sec. 39) (OK)	5. Material properly stacked and stored (Sec. 39) (Substandard)	5. Material properly stacked and stored (Sec. 39) (Minor Risk)	5. Material properly stacked and stored (Sec. 39) (Major Risk)	5. Material properly stacked and stored (Sec. 39) (N/A)
6. Are chutes properly used (Sec. 35(2)(3))	6. Are chutes properly used (Sec. 35(2)(3)) (OK)	6. Are chutes properly used (Sec. 35(2)(3)) (Substandard)	6. Are chutes properly used (Sec. 35(2)(3)) (Minor Risk)	6. Are chutes properly used (Sec. 35(2)(3)) (Major Risk)	6. Are chutes properly used (Sec. 35(2)(3)) (N/A)
7. Other:	7. Other: (OK)	7. Other: (Substandard)	7. Other: (Minor Risk)	7. Other: (Major Risk)	7. Other: (N/A)

Housekeeping - Score

1 2 3 4 5 6 7

Select a Score for Housekeeping

Comments

5000 Max Characters

Housekeeping - Total %

This is the total score for the section above. TOTAL / 7 x 100 = %

PPE (Sec. 21 to 27)

PPE (Sec. 21 to 27)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Head protection (Sec. 22 (1)(2))	PPE (Sec. 21 to 27): 1. Head protection (Sec. 22 (1)(2)) (OK)	1. Head protection (Sec. 22 (1)(2)) (Substandard)	1. Head protection (Sec. 22 (1)(2)) (Minor Risk)	1. Head protection (Sec. 22 (1)(2)) (Major Risk)	1. Head protection (Sec. 22 (1)(2)) (N/A)
2. Foot protection (Sec. 23 (1)(2))	2. Foot protection (Sec. 23 (1)(2)) (OK)	2. Foot protection (Sec. 23 (1)(2)) (Substandard)	2. Foot protection (Sec. 23 (1)(2)) (Minor Risk)	2. Foot protection (Sec. 23 (1)(2)) (Major Risk)	2. Foot protection (Sec. 23 (1)(2)) (N/A)
3. Eye protection (Sec. 24)	3. Eye protection (Sec. 24) (OK)	3. Eye protection (Sec. 24) (Substandard)	3. Eye protection (Sec. 24) (Minor Risk)	3. Eye protection (Sec. 24) (Major Risk)	3. Eye protection (Sec. 24) (N/A)
4. Hearing protection (Sec. 21)	4. Hearing protection (Sec. 21) (OK)	4. Hearing protection (Sec. 21) (Substandard)	4. Hearing protection (Sec. 21) (Minor Risk)	4. Hearing protection (Sec. 21) (Major Risk)	4. Hearing protection (Sec. 21) (N/A)
5. Respiratory protection (Sec. 21)	5. Respiratory protection (Sec. 21) (OK)	5. Respiratory protection (Sec. 21) (Substandard)	5. Respiratory protection (Sec. 21) (Minor Risk)	5. Respiratory protection (Sec. 21) (Major Risk)	5. Respiratory protection (Sec. 21) (N/A)
6. Fall protection (Sec. 26.4 (1)(2) / 26.6 (1) to (4) - )	6. Fall protection (Sec. 26.4 (1)(2) / 26.6 (1) to (4) - ) (OK)	6. Fall protection (Sec. 26.4 (1)(2) / 26.6 (1) to (4) - ) (Substandard)	6. Fall protection (Sec. 26.4 (1)(2) / 26.6 (1) to (4) - ) (Minor Risk)	6. Fall protection (Sec. 26.4 (1)(2) / 26.6 (1) to (4) - ) (Major Risk)	6. Fall protection (Sec. 26.4 (1)(2) / 26.6 (1) to (4) - ) (N/A)
7. Skin protection (Sec. 25 - )	7. Skin protection (Sec. 25 - ) (OK)	7. Skin protection (Sec. 25 - ) (Substandard)	7. Skin protection (Sec. 25 - ) (Minor Risk)	7. Skin protection (Sec. 25 - ) (Major Risk)	7. Skin protection (Sec. 25 - ) (N/A)
8. Drowning Protection (Sec. 27(1))	8. Drowning Protection (Sec. 27(1)) (OK)	8. Drowning Protection (Sec. 27(1)) (Substandard)	8. Drowning Protection (Sec. 27(1)) (Minor Risk)	8. Drowning Protection (Sec. 27(1)) (Major Risk)	8. Drowning Protection (Sec. 27(1)) (N/A)
9. Other:	9. Other: (OK)	9. Other: (Substandard)	9. Other: (Minor Risk)	9. Other: (Major Risk)	9. Other: (N/A)

PPE - Score

1 2 3 4 5 6 7 8 9

Select a Score for PPE

Comments

5000 Max Characters

PPE - Total %

This is the total score for the section above. TOTAL / 9 x 100 = %

Page 2

Ladders (Sec. 78 - 84)

Ladders (Sec. 78 - 84)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Adequate ramps (Sec. 73 & 74)	Ladders (Sec. 78 - 84): 1. Adequate ramps (Sec. 73 & 74) (OK)	1. Adequate ramps (Sec. 73 & 74) (Substandard)	1. Adequate ramps (Sec. 73 & 74) (Minor Risk)	1. Adequate ramps (Sec. 73 & 74) (Major Risk)	1. Adequate ramps (Sec. 73 & 74) (N/A)
2. Properly secured (Sec. 80 (d))	2. Properly secured (Sec. 80 (d)) (OK)	2. Properly secured (Sec. 80 (d)) (Substandard)	2. Properly secured (Sec. 80 (d)) (Minor Risk)	2. Properly secured (Sec. 80 (d)) (Major Risk)	2. Properly secured (Sec. 80 (d)) (N/A)
3. Proper angle (extension ladders) (Sec. 78 (2))	3. Proper angle (extension ladders) (Sec. 78 (2)) (OK)	3. Proper angle (extension ladders) (Sec. 78 (2)) (Substandard)	3. Proper angle (extension ladders) (Sec. 78 (2)) (Minor Risk)	3. Proper angle (extension ladders) (Sec. 78 (2)) (Major Risk)	3. Proper angle (extension ladders) (Sec. 78 (2)) (N/A)
4. Proper size and type (Sec. 78 (3))	4. Proper size and type (Sec. 78 (3)) (OK)	4. Proper size and type (Sec. 78 (3)) (Substandard)	4. Proper size and type (Sec. 78 (3)) (Minor Risk)	4. Proper size and type (Sec. 78 (3)) (Major Risk)	4. Proper size and type (Sec. 78 (3)) (N/A)
5. Proper handrails and landings (Sec. 84 (1) (d))	5. Proper handrails and landings (Sec. 84 (1) (d)) (OK)	5. Proper handrails and landings (Sec. 84 (1) (d)) (Substandard)	5. Proper handrails and landings (Sec. 84 (1) (d)) (Minor Risk)	5. Proper handrails and landings (Sec. 84 (1) (d)) (Major Risk)	5. Proper handrails and landings (Sec. 84 (1) (d)) (N/A)
6. Safe, usable condition (Sec. 78 (1)(2))	6. Safe, usable condition (Sec. 78 (1)(2)) (OK)	6. Safe, usable condition (Sec. 78 (1)(2)) (Substandard)	6. Safe, usable condition (Sec. 78 (1)(2)) (Minor Risk)	6. Safe, usable condition (Sec. 78 (1)(2)) (Major Risk)	6. Safe, usable condition (Sec. 78 (1)(2)) (N/A)
7. Properly used (Sec. 80 / 83)	7. Properly used (Sec. 80 / 83) (OK)	7. Properly used (Sec. 80 / 83) (Substandard)	7. Properly used (Sec. 80 / 83) (Minor Risk)	7. Properly used (Sec. 80 / 83) (Major Risk)	7. Properly used (Sec. 80 / 83) (N/A)
8. Access and egress areas clear of debris (Sec. 72)	8. Access and egress areas clear of debris (Sec. 72) (OK)	8. Access and egress areas clear of debris (Sec. 72) (Substandard)	8. Access and egress areas clear of debris (Sec. 72) (Minor Risk)	8. Access and egress areas clear of debris (Sec. 72) (Major Risk)	8. Access and egress areas clear of debris (Sec. 72) (N/A)
9. Use of non conductive ladders in electrically hazardous areas (Sec. 187)	9. Use of non conductive ladders in electrically hazardous areas (Sec. 187) (OK)	9. Use of non conductive ladders in electrically hazardous areas (Sec. 187) (Substandard)	9. Use of non conductive ladders in electrically hazardous areas (Sec. 187) (Minor Risk)	9. Use of non conductive ladders in electrically hazardous areas (Sec. 187) (Major Risk)	9. Use of non conductive ladders in electrically hazardous areas (Sec. 187) (N/A)
10. Hazard Assessment completed (Sec. 3)	10. Hazard Assessment completed (Sec. 3) (OK)	10. Hazard Assessment completed (Sec. 3) (Substandard)	10. Hazard Assessment completed (Sec. 3) (Minor Risk)	10. Hazard Assessment completed (Sec. 3) (Major Risk)	10. Hazard Assessment completed (Sec. 3) (N/A)
11. Alternative method to ladders considered (Sec. 125(1) / 3)	11. Alternative method to ladders considered (Sec. 125(1) / 3) (OK)	11. Alternative method to ladders considered (Sec. 125(1) / 3) (Substandard)	11. Alternative method to ladders considered (Sec. 125(1) / 3) (Minor Risk)	11. Alternative method to ladders considered (Sec. 125(1) / 3) (Major Risk)	11. Alternative method to ladders considered (Sec. 125(1) / 3) (N/A)
12. Other	12. Other (OK)	12. Other (Substandard)	12. Other (Minor Risk)	12. Other (Major Risk)	12. Other (N/A)

Comments

5000 Max Characters

Ladders - Total %

This is the total score for the section above. TOTAL / 12 x 100 = %

Frame Scaffold Erection (Sec. 125 to 136)

Frame Scaffold Erection (Sec. 125 to 136)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Properly erected (pins, braces etc.) (Sec. 128 (1)(2))	Frame Scaffold Erection (Sec. 125 to 136): 1. Properly erected (pins, braces etc.) (Sec. 128 (1)(2)) (OK)	1. Properly erected (pins, braces etc.) (Sec. 128 (1)(2)) (Substandard)	1. Properly erected (pins, braces etc.) (Sec. 128 (1)(2)) (Minor Risk)	1. Properly erected (pins, braces etc.) (Sec. 128 (1)(2)) (Major Risk)	1. Properly erected (pins, braces etc.) (Sec. 128 (1)(2)) (N/A)
2. Properly secured (Tie in 3:1) (Sec. 128 (1)(g))	2. Properly secured (Tie in 3:1) (Sec. 128 (1)(g)) (OK)	2. Properly secured (Tie in 3:1) (Sec. 128 (1)(g)) (Substandard)	2. Properly secured (Tie in 3:1) (Sec. 128 (1)(g)) (Minor Risk)	2. Properly secured (Tie in 3:1) (Sec. 128 (1)(g)) (Major Risk)	2. Properly secured (Tie in 3:1) (Sec. 128 (1)(g)) (N/A)
3. Properly planked (scaffold planks) (Sec. 135 (1)(2) -)	3. Properly planked (scaffold planks) (Sec. 135 (1)(2) -) (OK)	3. Properly planked (scaffold planks) (Sec. 135 (1)(2) -) (Substandard)	3. Properly planked (scaffold planks) (Sec. 135 (1)(2) -) (Minor Risk)	3. Properly planked (scaffold planks) (Sec. 135 (1)(2) -) (Major Risk)	3. Properly planked (scaffold planks) (Sec. 135 (1)(2) -) (N/A)
4. Proper access/egress to platform (Sec. 70 (1))	4. Proper access/egress to platform (Sec. 70 (1)) (OK)	4. Proper access/egress to platform (Sec. 70 (1)) (Substandard)	4. Proper access/egress to platform (Sec. 70 (1)) (Minor Risk)	4. Proper access/egress to platform (Sec. 70 (1)) (Major Risk)	4. Proper access/egress to platform (Sec. 70 (1)) (N/A)
5. Acceptable loading (Sec. 126 / 136)	5. Acceptable loading (Sec. 126 / 136) (OK)	5. Acceptable loading (Sec. 126 / 136) (Substandard)	5. Acceptable loading (Sec. 126 / 136) (Minor Risk)	5. Acceptable loading (Sec. 126 / 136) (Major Risk)	5. Acceptable loading (Sec. 126 / 136) (N/A)
6. Proper guardrails and toe boards (Sec. 135 (1) -)	6. Proper guardrails and toe boards (Sec. 135 (1) -) (OK)	6. Proper guardrails and toe boards (Sec. 135 (1) -) (Substandard)	6. Proper guardrails and toe boards (Sec. 135 (1) -) (Minor Risk)	6. Proper guardrails and toe boards (Sec. 135 (1) -) (Major Risk)	6. Proper guardrails and toe boards (Sec. 135 (1) -) (N/A)
7. Ground Conditions (Sec. 128 (1))	7. Ground Conditions (Sec. 128 (1)) (OK)	7. Ground Conditions (Sec. 128 (1)) (Substandard)	7. Ground Conditions (Sec. 128 (1)) (Minor Risk)	7. Ground Conditions (Sec. 128 (1)) (Major Risk)	7. Ground Conditions (Sec. 128 (1)) (N/A)
8. Continuous sills (Sec. 128 (1))	8. Continuous sills (Sec. 128 (1)) (OK)	8. Continuous sills (Sec. 128 (1)) (Substandard)	8. Continuous sills (Sec. 128 (1)) (Minor Risk)	8. Continuous sills (Sec. 128 (1)) (Major Risk)	8. Continuous sills (Sec. 128 (1)) (N/A)
9. Competent worker supervises (Sec. 131)	9. Competent worker supervises (Sec. 131) (OK)	9. Competent worker supervises (Sec. 131) (Substandard)	9. Competent worker supervises (Sec. 131) (Minor Risk)	9. Competent worker supervises (Sec. 131) (Major Risk)	9. Competent worker supervises (Sec. 131) (N/A)
10. Designed by Professional Engineer (Sec. 130 (1))	10. Designed by Professional Engineer (Sec. 130 (1)) (OK)	10. Designed by Professional Engineer (Sec. 130 (1)) (Substandard)	10. Designed by Professional Engineer (Sec. 130 (1)) (Minor Risk)	10. Designed by Professional Engineer (Sec. 130 (1)) (Major Risk)	10. Designed by Professional Engineer (Sec. 130 (1)) (N/A)

Comments

5000 Max Characters

Frame Scaffold Erection - Total %

This is the total score for the section above. TOTAL / 10 x 100 = %

Warning Lines (Sec. 207)

Warning Lines (Sec. 207)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Located where required (at least 2m from the edge) (Sec. 207 (1) -)	Warning Lines (Sec. 207): 1. Located where required (at least 2m from the edge) (Sec. 207 (1) -) (OK)	1. Located where required (at least 2m from the edge) (Sec. 207 (1) -) (Substandard)	1. Located where required (at least 2m from the edge) (Sec. 207 (1) -) (Minor Risk)	1. Located where required (at least 2m from the edge) (Sec. 207 (1) -) (Major Risk)	1. Located where required (at least 2m from the edge) (Sec. 207 (1) -) (N/A)
2. Properly erected (Sec. 207 (2))	2. Properly erected (Sec. 207 (2)) (OK)	2. Properly erected (Sec. 207 (2)) (Substandard)	2. Properly erected (Sec. 207 (2)) (Minor Risk)	2. Properly erected (Sec. 207 (2)) (Major Risk)	2. Properly erected (Sec. 207 (2)) (N/A)
3. Proper signage (Sec. 44)	3. Proper signage (Sec. 44) (OK)	3. Proper signage (Sec. 44) (Substandard)	3. Proper signage (Sec. 44) (Minor Risk)	3. Proper signage (Sec. 44) (Major Risk)	3. Proper signage (Sec. 44) (N/A)

Warning Lines - Score

1 2 3

Select a Score for Warning Lines

Comments

5000 Max Characters

Warning Lines - Total %

This is the total score for the section above. TOTAL / 3 x 100 = %

Guardrails and Covers (Sec. 26.3)

Guardrails and Covers (Sec. 26.3)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Located where required (Sec. 26.1 (1) / 26.3 (1))	Guardrails and Covers (Sec. 26.3): 1. Located where required (Sec. 26.1 (1) / 26.3 (1)) (OK)	1. Located where required (Sec. 26.1 (1) / 26.3 (1)) (Substandard)	1. Located where required (Sec. 26.1 (1) / 26.3 (1)) (Minor Risk)	1. Located where required (Sec. 26.1 (1) / 26.3 (1)) (Major Risk)	1. Located where required (Sec. 26.1 (1) / 26.3 (1)) (N/A)
2. Inspected (Sec. 14 (3))	2. Inspected (Sec. 14 (3)) (OK)	2. Inspected (Sec. 14 (3)) (Substandard)	2. Inspected (Sec. 14 (3)) (Minor Risk)	2. Inspected (Sec. 14 (3)) (Major Risk)	2. Inspected (Sec. 14 (3)) (N/A)
3. Proper signage (Sec. 26.3 (2) (2) (iii))	3. Proper signage (Sec. 26.3 (2) (2) (iii)) (OK)	3. Proper signage (Sec. 26.3 (2) (2) (iii)) (Substandard)	3. Proper signage (Sec. 26.3 (2) (2) (iii)) (Minor Risk)	3. Proper signage (Sec. 26.3 (2) (2) (iii)) (Major Risk)	3. Proper signage (Sec. 26.3 (2) (2) (iii)) (N/A)
4. Properly constructed (Sec. 26.3 (2) / 26.3 (4) to (6))	4. Properly constructed (Sec. 26.3 (2) / 26.3 (4) to (6)) (OK)	4. Properly constructed (Sec. 26.3 (2) / 26.3 (4) to (6)) (Substandard)	4. Properly constructed (Sec. 26.3 (2) / 26.3 (4) to (6)) (Minor Risk)	4. Properly constructed (Sec. 26.3 (2) / 26.3 (4) to (6)) (Major Risk)	4. Properly constructed (Sec. 26.3 (2) / 26.3 (4) to (6)) (N/A)
5. Adequately secured (Sec. 26.3 (2) (2) (iii))	5. Adequately secured (Sec. 26.3 (2) (2) (iii)) (OK)	5. Adequately secured (Sec. 26.3 (2) (2) (iii)) (Substandard)	5. Adequately secured (Sec. 26.3 (2) (2) (iii)) (Minor Risk)	5. Adequately secured (Sec. 26.3 (2) (2) (iii)) (Major Risk)	5. Adequately secured (Sec. 26.3 (2) (2) (iii)) (N/A)
6. Metal Guardrails - meet the specified loading requirements	6. Metal Guardrails - meet the specified loading requirements (OK)	6. Metal Guardrails - meet the specified loading requirements (Substandard)	6. Metal Guardrails - meet the specified loading requirements (Minor Risk)	6. Metal Guardrails - meet the specified loading requirements (Major Risk)	6. Metal Guardrails - meet the specified loading requirements (N/A)
7. Wood Guardrails - constructed and installed so that it is capable of resisting all loads that it may be subjected to (Sec. 26.3 (5)(7))	7. Wood Guardrails - constructed and installed so that it is capable of resisting all loads that it may be subjected to (Sec. 26.3 (5)(7)) (OK)	7. Wood Guardrails - constructed and installed so that it is capable of resisting all loads that it may be subjected to (Sec. 26.3 (5)(7)) (Substandard)	7. Wood Guardrails - constructed and installed so that it is capable of resisting all loads that it may be subjected to (Sec. 26.3 (5)(7)) (Minor Risk)	7. Wood Guardrails - constructed and installed so that it is capable of resisting all loads that it may be subjected to (Sec. 26.3 (5)(7)) (Major Risk)	7. Wood Guardrails - constructed and installed so that it is capable of resisting all loads that it may be subjected to (Sec. 26.3 (5)(7)) (N/A)
8. Slab/roof openings guarded or securely covered (26.3 (1))	8. Slab/roof openings guarded or securely covered (26.3 (1)) (OK)	8. Slab/roof openings guarded or securely covered (26.3 (1)) (Substandard)	8. Slab/roof openings guarded or securely covered (26.3 (1)) (Minor Risk)	8. Slab/roof openings guarded or securely covered (26.3 (1)) (Major Risk)	8. Slab/roof openings guarded or securely covered (26.3 (1)) (N/A)

Guardrails and Covers - Score

1 2 3 4 5 6 7 8

Select a Score for Guardrails and Covers

Comments

5000 Max Characters

Guardrails and Covers - Total %

This is the total score for the section above. TOTAL / 8 x 100 = %

Page 3

Power & Hand Tools (Sec. 78 - 84)

Power & Hand Tools (Sec. 78 - 84)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Good General condition (Sec. 93 (1))	Power & Hand Tools (Sec. 78 - 84): 1. Good General condition (Sec. 93 (1)) (OK)	1. Good General condition (Sec. 93 (1)) (Substandard)	1. Good General condition (Sec. 93 (1)) (Minor Risk)	1. Good General condition (Sec. 93 (1)) (Major Risk)	1. Good General condition (Sec. 93 (1)) (N/A)
2. Proper guards (Sec. 109 / 119 (1))	2. Proper guards (Sec. 109 / 119 (1)) (OK)	2. Proper guards (Sec. 109 / 119 (1)) (Substandard)	2. Proper guards (Sec. 109 / 119 (1)) (Minor Risk)	2. Proper guards (Sec. 109 / 119 (1)) (Major Risk)	2. Proper guards (Sec. 109 / 119 (1)) (N/A)
3. Use of defective tags (Sec. 93 (2) / 195.3(1))	3. Use of defective tags (Sec. 93 (2) / 195.3(1)) (OK)	3. Use of defective tags (Sec. 93 (2) / 195.3(1)) (Substandard)	3. Use of defective tags (Sec. 93 (2) / 195.3(1)) (Minor Risk)	3. Use of defective tags (Sec. 93 (2) / 195.3(1)) (Major Risk)	3. Use of defective tags (Sec. 93 (2) / 195.3(1)) (N/A)
4. Inspections performed (Sec. 94(1)(2) / 93(1))	4. Inspections performed (Sec. 94(1)(2) / 93(1)) (OK)	4. Inspections performed (Sec. 94(1)(2) / 93(1)) (Substandard)	4. Inspections performed (Sec. 94(1)(2) / 93(1)) (Minor Risk)	4. Inspections performed (Sec. 94(1)(2) / 93(1)) (Major Risk)	4. Inspections performed (Sec. 94(1)(2) / 93(1)) (N/A)
5. Electrical cords (Sec. 195 / 93(1))	5. Electrical cords (Sec. 195 / 93(1)) (OK)	5. Electrical cords (Sec. 195 / 93(1)) (Substandard)	5. Electrical cords (Sec. 195 / 93(1)) (Minor Risk)	5. Electrical cords (Sec. 195 / 93(1)) (Major Risk)	5. Electrical cords (Sec. 195 / 93(1)) (N/A)
6. Trained in use (Sec. 93(3) / 96(1))	6. Trained in use (Sec. 93(3) / 96(1)) (OK)	6. Trained in use (Sec. 93(3) / 96(1)) (Substandard)	6. Trained in use (Sec. 93(3) / 96(1)) (Minor Risk)	6. Trained in use (Sec. 93(3) / 96(1)) (Major Risk)	6. Trained in use (Sec. 93(3) / 96(1)) (N/A)
7. Other	7. Other (OK)	7. Other (Substandard)	7. Other (Minor Risk)	7. Other (Major Risk)	7. Other (N/A)

Power & Hand Tools - Score

1 2 3 4 5 6 7

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Power & Hand Tools - Total %

This is the total score for the section above. TOTAL / 7 x 100 = %

Fire Prevention (Sec. 52 to 58)

Fire Prevention (Sec. 52 to 58)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Master emergency site plan (Sec. 17(1))	Fire Prevention (Sec. 52 to 58): 1. Master emergency site plan (Sec. 17(1)) (OK)	1. Master emergency site plan (Sec. 17(1)) (Substandard)	1. Master emergency site plan (Sec. 17(1)) (Minor Risk)	1. Master emergency site plan (Sec. 17(1)) (Major Risk)	1. Master emergency site plan (Sec. 17(1)) (N/A)
2. Extinguishers where required (Sec. 52(1) to (4))	2. Extinguishers where required (Sec. 52(1) to (4)) (OK)	2. Extinguishers where required (Sec. 52(1) to (4)) (Substandard)	2. Extinguishers where required (Sec. 52(1) to (4)) (Minor Risk)	2. Extinguishers where required (Sec. 52(1) to (4)) (Major Risk)	2. Extinguishers where required (Sec. 52(1) to (4)) (N/A)
3. Proper type & fully charged (Sec. 53(1) / 54(2))	3. Proper type & fully charged (Sec. 53(1) / 54(2)) (OK)	3. Proper type & fully charged (Sec. 53(1) / 54(2)) (Substandard)	3. Proper type & fully charged (Sec. 53(1) / 54(2)) (Minor Risk)	3. Proper type & fully charged (Sec. 53(1) / 54(2)) (Major Risk)	3. Proper type & fully charged (Sec. 53(1) / 54(2)) (N/A)
4. Monthly inspections (see tags) (Sec. 55)	4. Monthly inspections (see tags) (Sec. 55) (OK)	4. Monthly inspections (see tags) (Sec. 55) (Substandard)	4. Monthly inspections (see tags) (Sec. 55) (Minor Risk)	4. Monthly inspections (see tags) (Sec. 55) (Major Risk)	4. Monthly inspections (see tags) (Sec. 55) (N/A)
5. Adequately identified (Sec. 52 (1))	5. Adequately identified (Sec. 52 (1)) (OK)	5. Adequately identified (Sec. 52 (1)) (Substandard)	5. Adequately identified (Sec. 52 (1)) (Minor Risk)	5. Adequately identified (Sec. 52 (1)) (Major Risk)	5. Adequately identified (Sec. 52 (1)) (N/A)
6. Standpipe when required (Sec. 57 (1))	6. Standpipe when required (Sec. 57 (1)) (OK)	6. Standpipe when required (Sec. 57 (1)) (Substandard)	6. Standpipe when required (Sec. 57 (1)) (Minor Risk)	6. Standpipe when required (Sec. 57 (1)) (Major Risk)	6. Standpipe when required (Sec. 57 (1)) (N/A)

Fire Prevention - Score

1 2 3 4 5 6

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Temporary Power Supplies (Sec. 181 to 195)

Temporary Power Supplies (Sec. 181 to 195)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Overhead lines flagged (identified) (Sec. 44 (3))	Temporary Power Supplies (Sec. 181 to 195): 1. Overhead lines flagged (identified) (Sec. 44 (3)) (OK)	1. Overhead lines flagged (identified) (Sec. 44 (3)) (Substandard)	1. Overhead lines flagged (identified) (Sec. 44 (3)) (Minor Risk)	1. Overhead lines flagged (identified) (Sec. 44 (3)) (Major Risk)	1. Overhead lines flagged (identified) (Sec. 44 (3)) (N/A)
2. Barried cables located and marked (Sec. 228 (1)(a))	2. Barried cables located and marked (Sec. 228 (1)(a)) (OK)	2. Barried cables located and marked (Sec. 228 (1)(a)) (Substandard)	2. Barried cables located and marked (Sec. 228 (1)(a)) (Minor Risk)	2. Barried cables located and marked (Sec. 228 (1)(a)) (Major Risk)	2. Barried cables located and marked (Sec. 228 (1)(a)) (N/A)
3. Surface cables protected (Sec. 183)	3. Surface cables protected (Sec. 183) (OK)	3. Surface cables protected (Sec. 183) (Substandard)	3. Surface cables protected (Sec. 183) (Minor Risk)	3. Surface cables protected (Sec. 183) (Major Risk)	3. Surface cables protected (Sec. 183) (N/A)
4. GFCI's where required (Sec. 195.2)	4. GFCI's where required (Sec. 195.2) (OK)	4. GFCI's where required (Sec. 195.2) (Substandard)	4. GFCI's where required (Sec. 195.2) (Minor Risk)	4. GFCI's where required (Sec. 195.2) (Major Risk)	4. GFCI's where required (Sec. 195.2) (N/A)
5. Supply cables properly identified	5. Supply cables properly identified (OK)	5. Supply cables properly identified (Substandard)	5. Supply cables properly identified (Minor Risk)	5. Supply cables properly identified (Major Risk)	5. Supply cables properly identified (N/A)

Temporary Power Supplies - Score

1 2 3 4 5

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Temporary Power Supplies - Total %

This is the total score for the section above. TOTAL / 5 x 100 = %

Power Extension Cords (Sec. 195)

Power Extension Cords (Sec. 195)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. General condition of casing (Sec. 93 (1))	Power Extension Cords (Sec. 195): 1. General condition of casing (Sec. 93 (1)) (OK)	1. General condition of casing (Sec. 93 (1)) (Substandard)	1. General condition of casing (Sec. 93 (1)) (Minor Risk)	1. General condition of casing (Sec. 93 (1)) (Major Risk)	1. General condition of casing (Sec. 93 (1)) (N/A)
2. Condition of connections (grounds) (Sec. 195)	2. Condition of connections (grounds) (Sec. 195) (OK)	2. Condition of connections (grounds) (Sec. 195) (Substandard)	2. Condition of connections (grounds) (Sec. 195) (Minor Risk)	2. Condition of connections (grounds) (Sec. 195) (Major Risk)	2. Condition of connections (grounds) (Sec. 195) (N/A)
3. Other	3. Other (OK)	3. Other (Substandard)	3. Other (Minor Risk)	3. Other (Major Risk)	3. Other (N/A)

Power Extension Cords - Score

1 2 3

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Page 4

Compressed Gas Cylinders (Sec. 42, 122)

Compressed Gas Cylinders (Sec. 42, 122)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Properly located and stored (Sec. 42(1) / 122(2))	Compressed Gas Cylinders (Sec. 42, 122): 1. Properly located and stored (Sec. 42(1) / 122(2)) (OK)	1. Properly located and stored (Sec. 42(1) / 122(2)) (Substandard)	1. Properly located and stored (Sec. 42(1) / 122(2)) (Minor Risk)	1. Properly located and stored (Sec. 42(1) / 122(2)) (Major Risk)	1. Properly located and stored (Sec. 42(1) / 122(2)) (N/A)
2. Properly secured (Sec. 42(1))	2. Properly secured (Sec. 42(1)) (OK)	2. Properly secured (Sec. 42(1)) (Substandard)	2. Properly secured (Sec. 42(1)) (Minor Risk)	2. Properly secured (Sec. 42(1)) (Major Risk)	2. Properly secured (Sec. 42(1)) (N/A)
3. Properly lifted and moved (Sec. 37(1) / 42(1) / 122(2))	3. Properly lifted and moved (Sec. 37(1) / 42(1) / 122(2)) (OK)	3. Properly lifted and moved (Sec. 37(1) / 42(1) / 122(2)) (Substandard)	3. Properly lifted and moved (Sec. 37(1) / 42(1) / 122(2)) (Minor Risk)	3. Properly lifted and moved (Sec. 37(1) / 42(1) / 122(2)) (Major Risk)	3. Properly lifted and moved (Sec. 37(1) / 42(1) / 122(2)) (N/A)
4. Proper caps and labels (Sec. 42(2) / OHSA-37(1)(a))	4. Proper caps and labels (Sec. 42(2) / OHSA-37(1)(a)) (OK)	4. Proper caps and labels (Sec. 42(2) / OHSA-37(1)(a)) (Substandard)	4. Proper caps and labels (Sec. 42(2) / OHSA-37(1)(a)) (Minor Risk)	4. Proper caps and labels (Sec. 42(2) / OHSA-37(1)(a)) (Major Risk)	4. Proper caps and labels (Sec. 42(2) / OHSA-37(1)(a)) (N/A)
5. Other	5. Other (OK)	5. Other (Substandard)	5. Other (Minor Risk)	5. Other (Major Risk)	5. Other (N/A)

Compressed Gas Cylinders - Score

1 2 3 4 5

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Compressed Gas Cylinders - Total %

This is the total score for the section above. TOTAL / 5 x 100 = %

Stairwells & Ramps (Sec. 70 to 74)

Stairwells & Ramps (Sec. 70 to 74)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Proper filler blocks in treads (Sec. 77(5))	Stairwells & Ramps (Sec. 70 to 74): 1. Proper filler blocks in treads (Sec. 77(5)) (OK)	1. Proper filler blocks in treads (Sec. 77(5)) (Substandard)	1. Proper filler blocks in treads (Sec. 77(5)) (Minor Risk)	1. Proper filler blocks in treads (Sec. 77(5)) (Major Risk)	1. Proper filler blocks in treads (Sec. 77(5)) (N/A)
2. Proper cleats on ramps (Sec. 74(1)(2))	2. Proper cleats on ramps (Sec. 74(1)(2)) (OK)	2. Proper cleats on ramps (Sec. 74(1)(2)) (Substandard)	2. Proper cleats on ramps (Sec. 74(1)(2)) (Minor Risk)	2. Proper cleats on ramps (Sec. 74(1)(2)) (Major Risk)	2. Proper cleats on ramps (Sec. 74(1)(2)) (N/A)
3. Ramps are proper width (Sec. 73(4))	3. Ramps are proper width (Sec. 73(4)) (OK)	3. Ramps are proper width (Sec. 73(4)) (Substandard)	3. Ramps are proper width (Sec. 73(4)) (Minor Risk)	3. Ramps are proper width (Sec. 73(4)) (Major Risk)	3. Ramps are proper width (Sec. 73(4)) (N/A)
4. Proper hand & guardrails where required (Sec. 77(4) / 77(2) / 26.3(1) - )	4. Proper hand & guardrails where required (Sec. 77(4) / 77(2) / 26.3(1) - ) (OK)	4. Proper hand & guardrails where required (Sec. 77(4) / 77(2) / 26.3(1) - ) (Substandard)	4. Proper hand & guardrails where required (Sec. 77(4) / 77(2) / 26.3(1) - ) (Minor Risk)	4. Proper hand & guardrails where required (Sec. 77(4) / 77(2) / 26.3(1) - ) (Major Risk)	4. Proper hand & guardrails where required (Sec. 77(4) / 77(2) / 26.3(1) - ) (N/A)
5. Properly Maintained so as not to endanger a worker (Sec. 72)	5. Properly Maintained so as not to endanger a worker (Sec. 72) (OK)	5. Properly Maintained so as not to endanger a worker (Sec. 72) (Substandard)	5. Properly Maintained so as not to endanger a worker (Sec. 72) (Minor Risk)	5. Properly Maintained so as not to endanger a worker (Sec. 72) (Major Risk)	5. Properly Maintained so as not to endanger a worker (Sec. 72) (N/A)
6. Stairs properly constructed (Sec. 77 (2))	6. Stairs properly constructed (Sec. 77 (2)) (OK)	6. Stairs properly constructed (Sec. 77 (2)) (Substandard)	6. Stairs properly constructed (Sec. 77 (2)) (Minor Risk)	6. Stairs properly constructed (Sec. 77 (2)) (Major Risk)	6. Stairs properly constructed (Sec. 77 (2)) (N/A)
7. Landing provided when required (Sec. 77 (2)(d))	7. Landing provided when required (Sec. 77 (2)(d)) (OK)	7. Landing provided when required (Sec. 77 (2)(d)) (Substandard)	7. Landing provided when required (Sec. 77 (2)(d)) (Minor Risk)	7. Landing provided when required (Sec. 77 (2)(d)) (Major Risk)	7. Landing provided when required (Sec. 77 (2)(d)) (N/A)
8. Adequate lighting in stairwells (Sec. 45)	8. Adequate lighting in stairwells (Sec. 45) (OK)	8. Adequate lighting in stairwells (Sec. 45) (Substandard)	8. Adequate lighting in stairwells (Sec. 45) (Minor Risk)	8. Adequate lighting in stairwells (Sec. 45) (Major Risk)	8. Adequate lighting in stairwells (Sec. 45) (N/A)
9. Other	9. Other (OK)	9. Other (Substandard)	9. Other (Minor Risk)	9. Other (Major Risk)	9. Other (N/A)

Stairwells & Ramps - Score

1 2 3 4 5 6 7 8 9

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Stairwells & Ramps - Total %

This is the total score for the section above. TOTAL / 9 x 100 = %

Materials Storage (Sec. 39 to 41)

Materials Storage (Sec. 39 to 41)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Safely piled, stacked, stored etc. (Sec. 39)	Materials Storage (Sec. 39 to 41): 1. Safely piled, stacked, stored etc. (Sec. 39) (OK)	1. Safely piled, stacked, stored etc. (Sec. 39) (Substandard)	1. Safely piled, stacked, stored etc. (Sec. 39) (Minor Risk)	1. Safely piled, stacked, stored etc. (Sec. 39) (Major Risk)	1. Safely piled, stacked, stored etc. (Sec. 39) (N/A)
2. Properly located (away from traffic) (Sec. 66)	2. Properly located (away from traffic) (Sec. 66) (OK)	2. Properly located (away from traffic) (Sec. 66) (Substandard)	2. Properly located (away from traffic) (Sec. 66) (Minor Risk)	2. Properly located (away from traffic) (Sec. 66) (Major Risk)	2. Properly located (away from traffic) (Sec. 66) (N/A)
3. Properly labeled (WHMIS) (Sec. OHSA - 37(1)(a))	3. Properly labeled (WHMIS) (Sec. OHSA - 37(1)(a)) (OK)	3. Properly labeled (WHMIS) (Sec. OHSA - 37(1)(a)) (Substandard)	3. Properly labeled (WHMIS) (Sec. OHSA - 37(1)(a)) (Minor Risk)	3. Properly labeled (WHMIS) (Sec. OHSA - 37(1)(a)) (Major Risk)	3. Properly labeled (WHMIS) (Sec. OHSA - 37(1)(a)) (N/A)
4. Other	4. Other (OK)	4. Other (Substandard)	4. Other (Minor Risk)	4. Other (Major Risk)	4. Other (N/A)

Materials Storage - Score

1 2 3 4

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Materials Storage - Total %

This is the total score for the section above. TOTAL / 4 x 100 = %

Page 5

Welding (Sec. 21, 42, 122 to 124)

Welding (Sec. 21, 42, 122 to 124)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Proper eye/face protection (Sec. 21)	Welding (Sec. 21, 42, 122 to 124): 1. Proper eye/face protection (Sec. 21) (OK)	1. Proper eye/face protection (Sec. 21) (Substandard)	1. Proper eye/face protection (Sec. 21) (Minor Risk)	1. Proper eye/face protection (Sec. 21) (Major Risk)	1. Proper eye/face protection (Sec. 21) (N/A)
2. Respiratory protection (Sec. 21)	2. Respiratory protection (Sec. 21) (OK)	2. Respiratory protection (Sec. 21) (Substandard)	2. Respiratory protection (Sec. 21) (Minor Risk)	2. Respiratory protection (Sec. 21) (Major Risk)	2. Respiratory protection (Sec. 21) (N/A)
3. Cylinders upright & secured (Sec. 42(1))	3. Cylinders upright & secured (Sec. 42(1)) (OK)	3. Cylinders upright & secured (Sec. 42(1)) (Substandard)	3. Cylinders upright & secured (Sec. 42(1)) (Minor Risk)	3. Cylinders upright & secured (Sec. 42(1)) (Major Risk)	3. Cylinders upright & secured (Sec. 42(1)) (N/A)
4. Cylinder valves protected (Sec. 42(2) / 122(3))	4. Cylinder valves protected (Sec. 42(2) / 122(3)) (OK)	4. Cylinder valves protected (Sec. 42(2) / 122(3)) (Substandard)	4. Cylinder valves protected (Sec. 42(2) / 122(3)) (Minor Risk)	4. Cylinder valves protected (Sec. 42(2) / 122(3)) (Major Risk)	4. Cylinder valves protected (Sec. 42(2) / 122(3)) (N/A)
5. Fire extinguishers readily available (Sec. 52(2) / 123)	5. Fire extinguishers readily available (Sec. 52(2) / 123) (OK)	5. Fire extinguishers readily available (Sec. 52(2) / 123) (Substandard)	5. Fire extinguishers readily available (Sec. 52(2) / 123) (Minor Risk)	5. Fire extinguishers readily available (Sec. 52(2) / 123) (Major Risk)	5. Fire extinguishers readily available (Sec. 52(2) / 123) (N/A)
6. Proper screens and exhaust where required (Sec. 46(1))	6. Proper screens and exhaust where required (Sec. 46(1)) (OK)	6. Proper screens and exhaust where required (Sec. 46(1)) (Substandard)	6. Proper screens and exhaust where required (Sec. 46(1)) (Minor Risk)	6. Proper screens and exhaust where required (Sec. 46(1)) (Major Risk)	6. Proper screens and exhaust where required (Sec. 46(1)) (N/A)
7. Properly secured ground cables (Sec. 183)	7. Properly secured ground cables (Sec. 183) (OK)	7. Properly secured ground cables (Sec. 183) (Substandard)	7. Properly secured ground cables (Sec. 183) (Minor Risk)	7. Properly secured ground cables (Sec. 183) (Major Risk)	7. Properly secured ground cables (Sec. 183) (N/A)
8. MSDS's readily available (Sec. 38 (1)(a))	8. MSDS's readily available (Sec. 38 (1)(a)) (OK)	8. MSDS's readily available (Sec. 38 (1)(a)) (Substandard)	8. MSDS's readily available (Sec. 38 (1)(a)) (Minor Risk)	8. MSDS's readily available (Sec. 38 (1)(a)) (Major Risk)	8. MSDS's readily available (Sec. 38 (1)(a)) (N/A)
9. Rods and cylinders properly labeled (WHMIS) (Sec. 37(1))	9. Rods and cylinders properly labeled (WHMIS) (Sec. 37(1)) (OK)	9. Rods and cylinders properly labeled (WHMIS) (Sec. 37(1)) (Substandard)	9. Rods and cylinders properly labeled (WHMIS) (Sec. 37(1)) (Minor Risk)	9. Rods and cylinders properly labeled (WHMIS) (Sec. 37(1)) (Major Risk)	9. Rods and cylinders properly labeled (WHMIS) (Sec. 37(1)) (N/A)
10. Receptacle for electrode stubs (Sec. 124(3))	10. Receptacle for electrode stubs (Sec. 124(3)) (OK)	10. Receptacle for electrode stubs (Sec. 124(3)) (Substandard)	10. Receptacle for electrode stubs (Sec. 124(3)) (Minor Risk)	10. Receptacle for electrode stubs (Sec. 124(3)) (Major Risk)	10. Receptacle for electrode stubs (Sec. 124(3)) (N/A)
11. Other	11. Other (OK)	11. Other (Substandard)	11. Other (Minor Risk)	11. Other (Major Risk)	11. Other (N/A)

Comments

5000 Max Characters

Welding - Total %

This is the total score for the section above. TOTAL / 11 x 100 = %

Suspended Work Platform Systems (SWPS)(Sec. 137 to 142.06)

Suspended Work Platform Systems (SWPS)(Sec. 137 to 142.06)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. P. Eng. Report available at the project to confirm Work Platform meets design Requirements (Sec.137 & 137.1)(Sec. 137.3(2)(3)(6))	Suspended Work Platform Systems (SWPS)(Sec. 137 to 142.06): 1. P. Eng. Report available at the project to confirm Work Platform meets design Requirements (Sec.137 & 137.1)(Sec. 137.3(2)(3)(6)) (OK)	1. P. Eng. Report available at the project to confirm Work Platform meets design Requirements (Sec.137 & 137.1)(Sec. 137.3(2)(3)(6)) (Substandard)	1. P. Eng. Report available at the project to confirm Work Platform meets design Requirements (Sec.137 & 137.1)(Sec. 137.3(2)(3)(6)) (Minor Risk)	1. P. Eng. Report available at the project to confirm Work Platform meets design Requirements (Sec.137 & 137.1)(Sec. 137.3(2)(3)(6)) (Major Risk)	1. P. Eng. Report available at the project to confirm Work Platform meets design Requirements (Sec.137 & 137.1)(Sec. 137.3(2)(3)(6)) (N/A)
2. Manufacturer's Instructions for the assembly Work Platform available at the project (Sec. 137.3(6))	2. Manufacturer's Instructions for the assembly Work Platform available at the project (Sec. 137.3(6)) (OK)	2. Manufacturer's Instructions for the assembly Work Platform available at the project (Sec. 137.3(6)) (Substandard)	2. Manufacturer's Instructions for the assembly Work Platform available at the project (Sec. 137.3(6)) (Minor Risk)	2. Manufacturer's Instructions for the assembly Work Platform available at the project (Sec. 137.3(6)) (Major Risk)	2. Manufacturer's Instructions for the assembly Work Platform available at the project (Sec. 137.3(6)) (N/A)
3. SWPS User training records signed by the training provider (valid within 3 years) available at the project (Sec. 138)	3. SWPS User training records signed by the training provider (valid within 3 years) available at the project (Sec. 138) (OK)	3. SWPS User training records signed by the training provider (valid within 3 years) available at the project (Sec. 138) (Substandard)	3. SWPS User training records signed by the training provider (valid within 3 years) available at the project (Sec. 138) (Minor Risk)	3. SWPS User training records signed by the training provider (valid within 3 years) available at the project (Sec. 138) (Major Risk)	3. SWPS User training records signed by the training provider (valid within 3 years) available at the project (Sec. 138) (N/A)
4. SWPS Installer training records signed by the training provider (valid within 3 years) available at the project (Sec. 138.1)	4. SWPS Installer training records signed by the training provider (valid within 3 years) available at the project (Sec. 138.1) (OK)	4. SWPS Installer training records signed by the training provider (valid within 3 years) available at the project (Sec. 138.1) (Substandard)	4. SWPS Installer training records signed by the training provider (valid within 3 years) available at the project (Sec. 138.1) (Minor Risk)	4. SWPS Installer training records signed by the training provider (valid within 3 years) available at the project (Sec. 138.1) (Major Risk)	4. SWPS Installer training records signed by the training provider (valid within 3 years) available at the project (Sec. 138.1) (N/A)
5. Records of annual inspections/testing/maintanence (as applicable to components) available to inspector (Sec. 139, 139.1)	5. Records of annual inspections/testing/maintanence (as applicable to components) available to inspector (Sec. 139, 139.1) (OK)	5. Records of annual inspections/testing/maintanence (as applicable to components) available to inspector (Sec. 139, 139.1) (Substandard)	5. Records of annual inspections/testing/maintanence (as applicable to components) available to inspector (Sec. 139, 139.1) (Minor Risk)	5. Records of annual inspections/testing/maintanence (as applicable to components) available to inspector (Sec. 139, 139.1) (Major Risk)	5. Records of annual inspections/testing/maintanence (as applicable to components) available to inspector (Sec. 139, 139.1) (N/A)
6. All SWPS components marked/labelled (in accordance with CSA Z271-10)(Sec. 141(1))	6. All SWPS components marked/labelled (in accordance with CSA Z271-10)(Sec. 141(1)) (OK)	6. All SWPS components marked/labelled (in accordance with CSA Z271-10)(Sec. 141(1)) (Substandard)	6. All SWPS components marked/labelled (in accordance with CSA Z271-10)(Sec. 141(1)) (Minor Risk)	6. All SWPS components marked/labelled (in accordance with CSA Z271-10)(Sec. 141(1)) (Major Risk)	6. All SWPS components marked/labelled (in accordance with CSA Z271-10)(Sec. 141(1)) (N/A)
7. Structural components of SWPS (trusses, end frames, stirrups, module connector, corner sections) unique identifier/serialization (Sec. 141(2))	7. Structural components of SWPS (trusses, end frames, stirrups, module connector, corner sections) unique identifier/serialization (Sec. 141(2)) (OK)	7. Structural components of SWPS (trusses, end frames, stirrups, module connector, corner sections) unique identifier/serialization (Sec. 141(2)) (Substandard)	7. Structural components of SWPS (trusses, end frames, stirrups, module connector, corner sections) unique identifier/serialization (Sec. 141(2)) (Minor Risk)	7. Structural components of SWPS (trusses, end frames, stirrups, module connector, corner sections) unique identifier/serialization (Sec. 141(2)) (Major Risk)	7. Structural components of SWPS (trusses, end frames, stirrups, module connector, corner sections) unique identifier/serialization (Sec. 141(2)) (N/A)
8. Fixed Supports/Anchors desisigned by P.Eng. and Roof Plan or Design Drawings (as applicable) available (Sec. 141.1, 141.2, 141.3)	8. Fixed Supports/Anchors desisigned by P.Eng. and Roof Plan or Design Drawings (as applicable) available (Sec. 141.1, 141.2, 141.3) (OK)	8. Fixed Supports/Anchors desisigned by P.Eng. and Roof Plan or Design Drawings (as applicable) available (Sec. 141.1, 141.2, 141.3) (Substandard)	8. Fixed Supports/Anchors desisigned by P.Eng. and Roof Plan or Design Drawings (as applicable) available (Sec. 141.1, 141.2, 141.3) (Minor Risk)	8. Fixed Supports/Anchors desisigned by P.Eng. and Roof Plan or Design Drawings (as applicable) available (Sec. 141.1, 141.2, 141.3) (Major Risk)	8. Fixed Supports/Anchors desisigned by P.Eng. and Roof Plan or Design Drawings (as applicable) available (Sec. 141.1, 141.2, 141.3) (N/A)
9. Permanent Fixed Supports/Anchors identified on Roof Plans inspected/tested/maintained (at least annually) P.Eng report available (Sec. 141.4)	9. Permanent Fixed Supports/Anchors identified on Roof Plans inspected/tested/maintained (at least annually) P.Eng report available (Sec. 141.4) (OK)	9. Permanent Fixed Supports/Anchors identified on Roof Plans inspected/tested/maintained (at least annually) P.Eng report available (Sec. 141.4) (Substandard)	9. Permanent Fixed Supports/Anchors identified on Roof Plans inspected/tested/maintained (at least annually) P.Eng report available (Sec. 141.4) (Minor Risk)	9. Permanent Fixed Supports/Anchors identified on Roof Plans inspected/tested/maintained (at least annually) P.Eng report available (Sec. 141.4) (Major Risk)	9. Permanent Fixed Supports/Anchors identified on Roof Plans inspected/tested/maintained (at least annually) P.Eng report available (Sec. 141.4) (N/A)
10. Written Rescue Procedures available (included in the Site Specific Work Plan)(Sec. 141.5(1)(a))	10. Written Rescue Procedures available (included in the Site Specific Work Plan)(Sec. 141.5(1)(a)) (OK)	10. Written Rescue Procedures available (included in the Site Specific Work Plan)(Sec. 141.5(1)(a)) (Substandard)	10. Written Rescue Procedures available (included in the Site Specific Work Plan)(Sec. 141.5(1)(a)) (Minor Risk)	10. Written Rescue Procedures available (included in the Site Specific Work Plan)(Sec. 141.5(1)(a)) (Major Risk)	10. Written Rescue Procedures available (included in the Site Specific Work Plan)(Sec. 141.5(1)(a)) (N/A)
11. Risk Assessment conducted to identify hazards arising from the use of SWPS (Sec. 141.5(1)(b))	11. Risk Assessment conducted to identify hazards arising from the use of SWPS (Sec. 141.5(1)(b)) (OK)	11. Risk Assessment conducted to identify hazards arising from the use of SWPS (Sec. 141.5(1)(b)) (Substandard)	11. Risk Assessment conducted to identify hazards arising from the use of SWPS (Sec. 141.5(1)(b)) (Minor Risk)	11. Risk Assessment conducted to identify hazards arising from the use of SWPS (Sec. 141.5(1)(b)) (Major Risk)	11. Risk Assessment conducted to identify hazards arising from the use of SWPS (Sec. 141.5(1)(b)) (N/A)
12. Written Site Specific Work Plan is available, implemented and reviewed with workers before a SWPS is used or installed at a project (Sec. 141.5(1)©, 141.5(4)(5))	12. Written Site Specific Work Plan is available, implemented and reviewed with workers before a SWPS is used or installed at a project (Sec. 141.5(1)©, 141.5(4)(5)) (OK)	12. Written Site Specific Work Plan is available, implemented and reviewed with workers before a SWPS is used or installed at a project (Sec. 141.5(1)©, 141.5(4)(5)) (Substandard)	12. Written Site Specific Work Plan is available, implemented and reviewed with workers before a SWPS is used or installed at a project (Sec. 141.5(1)©, 141.5(4)(5)) (Minor Risk)	12. Written Site Specific Work Plan is available, implemented and reviewed with workers before a SWPS is used or installed at a project (Sec. 141.5(1)©, 141.5(4)(5)) (Major Risk)	12. Written Site Specific Work Plan is available, implemented and reviewed with workers before a SWPS is used or installed at a project (Sec. 141.5(1)©, 141.5(4)(5)) (N/A)
13. Assessment to determine Generic or Site-Specific Installation of a SWPS is required (included in the Site Specific Work Plan)(Sec. 141.5 (3)(d) & 141.6)	13. Assessment to determine Generic or Site-Specific Installation of a SWPS is required (included in the Site Specific Work Plan)(Sec. 141.5 (3)(d) & 141.6) (OK)	13. Assessment to determine Generic or Site-Specific Installation of a SWPS is required (included in the Site Specific Work Plan)(Sec. 141.5 (3)(d) & 141.6) (Substandard)	13. Assessment to determine Generic or Site-Specific Installation of a SWPS is required (included in the Site Specific Work Plan)(Sec. 141.5 (3)(d) & 141.6) (Minor Risk)	13. Assessment to determine Generic or Site-Specific Installation of a SWPS is required (included in the Site Specific Work Plan)(Sec. 141.5 (3)(d) & 141.6) (Major Risk)	13. Assessment to determine Generic or Site-Specific Installation of a SWPS is required (included in the Site Specific Work Plan)(Sec. 141.5 (3)(d) & 141.6) (N/A)
14. Written report of the Designated Competent Worker to confirm the inspection and compliance of a Generic Installation (Sec. 141.7)	14. Written report of the Designated Competent Worker to confirm the inspection and compliance of a Generic Installation (Sec. 141.7) (OK)	14. Written report of the Designated Competent Worker to confirm the inspection and compliance of a Generic Installation (Sec. 141.7) (Substandard)	14. Written report of the Designated Competent Worker to confirm the inspection and compliance of a Generic Installation (Sec. 141.7) (Minor Risk)	14. Written report of the Designated Competent Worker to confirm the inspection and compliance of a Generic Installation (Sec. 141.7) (Major Risk)	14. Written report of the Designated Competent Worker to confirm the inspection and compliance of a Generic Installation (Sec. 141.7) (N/A)
15. Written report of P. Eng. to confirm the inspection and compliance of a Site Specific Installation (Sec. 141.8)	15. Written report of P. Eng. to confirm the inspection and compliance of a Site Specific Installation (Sec. 141.8) (OK)	15. Written report of P. Eng. to confirm the inspection and compliance of a Site Specific Installation (Sec. 141.8) (Substandard)	15. Written report of P. Eng. to confirm the inspection and compliance of a Site Specific Installation (Sec. 141.8) (Minor Risk)	15. Written report of P. Eng. to confirm the inspection and compliance of a Site Specific Installation (Sec. 141.8) (Major Risk)	15. Written report of P. Eng. to confirm the inspection and compliance of a Site Specific Installation (Sec. 141.8) (N/A)
16. Rated Platform Capacity posted on the Work Platform (Sec. 142)	16. Rated Platform Capacity posted on the Work Platform (Sec. 142) (OK)	16. Rated Platform Capacity posted on the Work Platform (Sec. 142) (Substandard)	16. Rated Platform Capacity posted on the Work Platform (Sec. 142) (Minor Risk)	16. Rated Platform Capacity posted on the Work Platform (Sec. 142) (Major Risk)	16. Rated Platform Capacity posted on the Work Platform (Sec. 142) (N/A)
17. U type wire rope clamps not to be used on Suspension lines or Tiebacks (Sec. 142.01 (3))	17. U type wire rope clamps not to be used on Suspension lines or Tiebacks (Sec. 142.01 (3)) (OK)	17. U type wire rope clamps not to be used on Suspension lines or Tiebacks (Sec. 142.01 (3)) (Substandard)	17. U type wire rope clamps not to be used on Suspension lines or Tiebacks (Sec. 142.01 (3)) (Minor Risk)	17. U type wire rope clamps not to be used on Suspension lines or Tiebacks (Sec. 142.01 (3)) (Major Risk)	17. U type wire rope clamps not to be used on Suspension lines or Tiebacks (Sec. 142.01 (3)) (N/A)
18. Hoisting Devices/Motors have legible operating instructions on them (Sec. 141.01(4)(a))	18. Hoisting Devices/Motors have legible operating instructions on them (Sec. 141.01(4)(a)) (OK)	18. Hoisting Devices/Motors have legible operating instructions on them (Sec. 141.01(4)(a)) (Substandard)	18. Hoisting Devices/Motors have legible operating instructions on them (Sec. 141.01(4)(a)) (Minor Risk)	18. Hoisting Devices/Motors have legible operating instructions on them (Sec. 141.01(4)(a)) (Major Risk)	18. Hoisting Devices/Motors have legible operating instructions on them (Sec. 141.01(4)(a)) (N/A)
19. SWSP not to be used when the wind speed exceeds 40km/h (Sec. 141.01(6))	19. SWSP not to be used when the wind speed exceeds 40km/h (Sec. 141.01(6)) (OK)	19. SWSP not to be used when the wind speed exceeds 40km/h (Sec. 141.01(6)) (Substandard)	19. SWSP not to be used when the wind speed exceeds 40km/h (Sec. 141.01(6)) (Minor Risk)	19. SWSP not to be used when the wind speed exceeds 40km/h (Sec. 141.01(6)) (Major Risk)	19. SWSP not to be used when the wind speed exceeds 40km/h (Sec. 141.01(6)) (N/A)
20. Daily inspections and function tests performed and documented (Sec. 142.04, 142.05)	20. Daily inspections and function tests performed and documented (Sec. 142.04, 142.05) (OK)	20. Daily inspections and function tests performed and documented (Sec. 142.04, 142.05) (Substandard)	20. Daily inspections and function tests performed and documented (Sec. 142.04, 142.05) (Minor Risk)	20. Daily inspections and function tests performed and documented (Sec. 142.04, 142.05) (Major Risk)	20. Daily inspections and function tests performed and documented (Sec. 142.04, 142.05) (N/A)
21. Workers tied off to a fall arrest system when getting on or off and at all times when using a SWPS (Sec. 142.06)	21. Workers tied off to a fall arrest system when getting on or off and at all times when using a SWPS (Sec. 142.06) (OK)	21. Workers tied off to a fall arrest system when getting on or off and at all times when using a SWPS (Sec. 142.06) (Substandard)	21. Workers tied off to a fall arrest system when getting on or off and at all times when using a SWPS (Sec. 142.06) (Minor Risk)	21. Workers tied off to a fall arrest system when getting on or off and at all times when using a SWPS (Sec. 142.06) (Major Risk)	21. Workers tied off to a fall arrest system when getting on or off and at all times when using a SWPS (Sec. 142.06) (N/A)
22. SWPS restrained to structure when suspension height is greater than 15 metres (Sec. 142.06)	22. SWPS restrained to structure when suspension height is greater than 15 metres (Sec. 142.06) (OK)	22. SWPS restrained to structure when suspension height is greater than 15 metres (Sec. 142.06) (Substandard)	22. SWPS restrained to structure when suspension height is greater than 15 metres (Sec. 142.06) (Minor Risk)	22. SWPS restrained to structure when suspension height is greater than 15 metres (Sec. 142.06) (Major Risk)	22. SWPS restrained to structure when suspension height is greater than 15 metres (Sec. 142.06) (N/A)
23. SWPS restrained to structure when top rail of guardrail on front of the platform is lowered (Sec. 142.06)	23. SWPS restrained to structure when top rail of guardrail on front of the platform is lowered (Sec. 142.06) (OK)	23. SWPS restrained to structure when top rail of guardrail on front of the platform is lowered (Sec. 142.06) (Substandard)	23. SWPS restrained to structure when top rail of guardrail on front of the platform is lowered (Sec. 142.06) (Minor Risk)	23. SWPS restrained to structure when top rail of guardrail on front of the platform is lowered (Sec. 142.06) (Major Risk)	23. SWPS restrained to structure when top rail of guardrail on front of the platform is lowered (Sec. 142.06) (N/A)
24. Boatswain Chair (BC) using fibre ropes have ropes marked with date of first use and not older than 2 years or retested (Sec. 142.03)	24. Boatswain Chair (BC) using fibre ropes have ropes marked with date of first use and not older than 2 years or retested (Sec. 142.03) (OK)	24. Boatswain Chair (BC) using fibre ropes have ropes marked with date of first use and not older than 2 years or retested (Sec. 142.03) (Substandard)	24. Boatswain Chair (BC) using fibre ropes have ropes marked with date of first use and not older than 2 years or retested (Sec. 142.03) (Minor Risk)	24. Boatswain Chair (BC) using fibre ropes have ropes marked with date of first use and not older than 2 years or retested (Sec. 142.03) (Major Risk)	24. Boatswain Chair (BC) using fibre ropes have ropes marked with date of first use and not older than 2 years or retested (Sec. 142.03) (N/A)
25. Boatswain Chair (BC) using fibre ropes have ropes doubled from point of suspension (fixed support/anchor)(Sec. 142.03)	25. Boatswain Chair (BC) using fibre ropes have ropes doubled from point of suspension (fixed support/anchor)(Sec. 142.03) (OK)	25. Boatswain Chair (BC) using fibre ropes have ropes doubled from point of suspension (fixed support/anchor)(Sec. 142.03) (Substandard)	25. Boatswain Chair (BC) using fibre ropes have ropes doubled from point of suspension (fixed support/anchor)(Sec. 142.03) (Minor Risk)	25. Boatswain Chair (BC) using fibre ropes have ropes doubled from point of suspension (fixed support/anchor)(Sec. 142.03) (Major Risk)	25. Boatswain Chair (BC) using fibre ropes have ropes doubled from point of suspension (fixed support/anchor)(Sec. 142.03) (N/A)
26. Distance between the BC and Fixed support not to exceed 90 metres (Sec. 142.03)	26. Distance between the BC and Fixed support not to exceed 90 metres (Sec. 142.03) (OK)	26. Distance between the BC and Fixed support not to exceed 90 metres (Sec. 142.03) (Substandard)	26. Distance between the BC and Fixed support not to exceed 90 metres (Sec. 142.03) (Minor Risk)	26. Distance between the BC and Fixed support not to exceed 90 metres (Sec. 142.03) (Major Risk)	26. Distance between the BC and Fixed support not to exceed 90 metres (Sec. 142.03) (N/A)
27. Seat of a BC at least 250mm wide X 600mm length (Sec. 142.03)	27. Seat of a BC at least 250mm wide X 600mm length (Sec. 142.03) (OK)	27. Seat of a BC at least 250mm wide X 600mm length (Sec. 142.03) (Substandard)	27. Seat of a BC at least 250mm wide X 600mm length (Sec. 142.03) (Minor Risk)	27. Seat of a BC at least 250mm wide X 600mm length (Sec. 142.03) (Major Risk)	27. Seat of a BC at least 250mm wide X 600mm length (Sec. 142.03) (N/A)
28. NO corrosive substances, mechanical grinding or flame cutting when using fibre ropes (Sec. 142.03)	28. NO corrosive substances, mechanical grinding or flame cutting when using fibre ropes (Sec. 142.03) (OK)	28. NO corrosive substances, mechanical grinding or flame cutting when using fibre ropes (Sec. 142.03) (Substandard)	28. NO corrosive substances, mechanical grinding or flame cutting when using fibre ropes (Sec. 142.03) (Minor Risk)	28. NO corrosive substances, mechanical grinding or flame cutting when using fibre ropes (Sec. 142.03) (Major Risk)	28. NO corrosive substances, mechanical grinding or flame cutting when using fibre ropes (Sec. 142.03) (N/A)

Comments

5000 Max Characters

Suspended Work Platform Systems - Total %

This is the total score for the section above. TOTAL / 28 x 100 = %

Page 6

Public Way Protection (Sec. 64 to 66)

Public Way Protection (Sec. 64 to 66)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Cover where required (Sec. 64(1) to (3))	Public Way Protection (Sec. 64 to 66): 1. Cover where required (Sec. 64(1) to (3)) (OK)	1. Cover where required (Sec. 64(1) to (3)) (Substandard)	1. Cover where required (Sec. 64(1) to (3)) (Minor Risk)	1. Cover where required (Sec. 64(1) to (3)) (Major Risk)	1. Cover where required (Sec. 64(1) to (3)) (N/A)
2. 1.8 m high fence between public way and work area (Sec. 65)	2. 1.8 m high fence between public way and work area (Sec. 65) (OK)	2. 1.8 m high fence between public way and work area (Sec. 65) (Substandard)	2. 1.8 m high fence between public way and work area (Sec. 65) (Minor Risk)	2. 1.8 m high fence between public way and work area (Sec. 65) (Major Risk)	2. 1.8 m high fence between public way and work area (Sec. 65) (N/A)
3. Properly hoarded (Sec. 65)	3. Properly hoarded (Sec. 65) (OK)	3. Properly hoarded (Sec. 65) (Substandard)	3. Properly hoarded (Sec. 65) (Minor Risk)	3. Properly hoarded (Sec. 65) (Major Risk)	3. Properly hoarded (Sec. 65) (N/A)
4. Proper guardrail on street side (Sec. 64(3)(f))	4. Proper guardrail on street side (Sec. 64(3)(f)) (OK)	4. Proper guardrail on street side (Sec. 64(3)(f)) (Substandard)	4. Proper guardrail on street side (Sec. 64(3)(f)) (Minor Risk)	4. Proper guardrail on street side (Sec. 64(3)(f)) (Major Risk)	4. Proper guardrail on street side (Sec. 64(3)(f)) (N/A)
5. Equipment and material that can that poses a hazard to traffic marked with flashing device (Sec. 66)	5. Equipment and material that can that poses a hazard to traffic marked with flashing device (Sec. 66) (OK)	5. Equipment and material that can that poses a hazard to traffic marked with flashing device (Sec. 66) (Substandard)	5. Equipment and material that can that poses a hazard to traffic marked with flashing device (Sec. 66) (Minor Risk)	5. Equipment and material that can that poses a hazard to traffic marked with flashing device (Sec. 66) (Major Risk)	5. Equipment and material that can that poses a hazard to traffic marked with flashing device (Sec. 66) (N/A)
6. Proper lighting where required (Sec. 64(3)(g))	6. Proper lighting where required (Sec. 64(3)(g)) (OK)	6. Proper lighting where required (Sec. 64(3)(g)) (Substandard)	6. Proper lighting where required (Sec. 64(3)(g)) (Minor Risk)	6. Proper lighting where required (Sec. 64(3)(g)) (Major Risk)	6. Proper lighting where required (Sec. 64(3)(g)) (N/A)

Public Way Protection - Score

1 2 3 4 5 6

Select a Score for Public Way Protection

Comments

5000 Max Characters

Public Way Protection - Total %

This is the total score for the section above. TOTAL / 6 x 100 = %

Worker Education (Refer to Training Requirements Chart W001)

Worker Education (Refer to Training Requirements Chart W001)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. WHMIS trained (site specific) (Sec. OHSA - 25(2)(d) / O.Reg 860 - 6&7)	Worker Education (Refer to Training Requirements Chart W001): 1. WHMIS trained (site specific) (Sec. OHSA - 25(2)(d) / O.Reg 860 - 6&7) (OK)	1. WHMIS trained (site specific) (Sec. OHSA - 25(2)(d) / O.Reg 860 - 6&7) (Substandard)	1. WHMIS trained (site specific) (Sec. OHSA - 25(2)(d) / O.Reg 860 - 6&7) (Minor Risk)	1. WHMIS trained (site specific) (Sec. OHSA - 25(2)(d) / O.Reg 860 - 6&7) (Major Risk)	1. WHMIS trained (site specific) (Sec. OHSA - 25(2)(d) / O.Reg 860 - 6&7) (N/A)
2. Familiar with company policy (Sec. OHSA - 25(2)(a))	2. Familiar with company policy (Sec. OHSA - 25(2)(a)) (OK)	2. Familiar with company policy (Sec. OHSA - 25(2)(a)) (Substandard)	2. Familiar with company policy (Sec. OHSA - 25(2)(a)) (Minor Risk)	2. Familiar with company policy (Sec. OHSA - 25(2)(a)) (Major Risk)	2. Familiar with company policy (Sec. OHSA - 25(2)(a)) (N/A)
3. Certified member (Sec. OHSA - 9(2))	3. Certified member (Sec. OHSA - 9(2)) (OK)	3. Certified member (Sec. OHSA - 9(2)) (Substandard)	3. Certified member (Sec. OHSA - 9(2)) (Minor Risk)	3. Certified member (Sec. OHSA - 9(2)) (Major Risk)	3. Certified member (Sec. OHSA - 9(2)) (N/A)
4. Aware of duties for workers, H&S rep. and/or committee member (Sec. O.Reg 297/13 - 1(1) & 2(1) / OHSA 25(2)(a) / 25(2)(d))	4. Aware of duties for workers, H&S rep. and/or committee member (Sec. O.Reg 297/13 - 1(1) & 2(1) / OHSA 25(2)(a) / 25(2)(d)) (OK)	4. Aware of duties for workers, H&S rep. and/or committee member (Sec. O.Reg 297/13 - 1(1) & 2(1) / OHSA 25(2)(a) / 25(2)(d)) (Substandard)	4. Aware of duties for workers, H&S rep. and/or committee member (Sec. O.Reg 297/13 - 1(1) & 2(1) / OHSA 25(2)(a) / 25(2)(d)) (Minor Risk)	4. Aware of duties for workers, H&S rep. and/or committee member (Sec. O.Reg 297/13 - 1(1) & 2(1) / OHSA 25(2)(a) / 25(2)(d)) (Major Risk)	4. Aware of duties for workers, H&S rep. and/or committee member (Sec. O.Reg 297/13 - 1(1) & 2(1) / OHSA 25(2)(a) / 25(2)(d)) (N/A)
5. Aware of the company's accident & incident reporting procedures (Sec. OHSA - 25(2)(a))	5. Aware of the company's accident & incident reporting procedures (Sec. OHSA - 25(2)(a)) (OK)	5. Aware of the company's accident & incident reporting procedures (Sec. OHSA - 25(2)(a)) (Substandard)	5. Aware of the company's accident & incident reporting procedures (Sec. OHSA - 25(2)(a)) (Minor Risk)	5. Aware of the company's accident & incident reporting procedures (Sec. OHSA - 25(2)(a)) (Major Risk)	5. Aware of the company's accident & incident reporting procedures (Sec. OHSA - 25(2)(a)) (N/A)
6. Properly trained in fall protection (WAH From an Approvced Training Provider) (Sec. O.Reg 252/14 section 1 / 213/ 91 - 26.2 (1.1))	6. Properly trained in fall protection (WAH From an Approvced Training Provider) (Sec. O.Reg 252/14 section 1 / 213/ 91 - 26.2 (1.1)) (OK)	6. Properly trained in fall protection (WAH From an Approvced Training Provider) (Sec. O.Reg 252/14 section 1 / 213/ 91 - 26.2 (1.1)) (Substandard)	6. Properly trained in fall protection (WAH From an Approvced Training Provider) (Sec. O.Reg 252/14 section 1 / 213/ 91 - 26.2 (1.1)) (Minor Risk)	6. Properly trained in fall protection (WAH From an Approvced Training Provider) (Sec. O.Reg 252/14 section 1 / 213/ 91 - 26.2 (1.1)) (Major Risk)	6. Properly trained in fall protection (WAH From an Approvced Training Provider) (Sec. O.Reg 252/14 section 1 / 213/ 91 - 26.2 (1.1)) (N/A)
7. Other training: Propane, PEWP's, emergency plan etc. (Sec. PEWP - 147 / Propane - O.Reg 211/01 sections 6 &8 / Emergency - O.Reg 213/ 91 section 17(1) -)	7. Other training: Propane, PEWP's, emergency plan etc. (Sec. PEWP - 147 / Propane - O.Reg 211/01 sections 6 &8 / Emergency - O.Reg 213/ 91 section 17(1) -) (OK)	7. Other training: Propane, PEWP's, emergency plan etc. (Sec. PEWP - 147 / Propane - O.Reg 211/01 sections 6 &8 / Emergency - O.Reg 213/ 91 section 17(1) -) (Substandard)	7. Other training: Propane, PEWP's, emergency plan etc. (Sec. PEWP - 147 / Propane - O.Reg 211/01 sections 6 &8 / Emergency - O.Reg 213/ 91 section 17(1) -) (Minor Risk)	7. Other training: Propane, PEWP's, emergency plan etc. (Sec. PEWP - 147 / Propane - O.Reg 211/01 sections 6 &8 / Emergency - O.Reg 213/ 91 section 17(1) -) (Major Risk)	7. Other training: Propane, PEWP's, emergency plan etc. (Sec. PEWP - 147 / Propane - O.Reg 211/01 sections 6 &8 / Emergency - O.Reg 213/ 91 section 17(1) -) (N/A)

Worker Education - Score

1 2 3 4 5 6 7

Select a Score for Worker Education

Comments

5000 Max Characters

Worker Education - Total %

This is the total score for the section above. TOTAL / 7 x 100 = %

First Aid (Regulation 1101)

First Aid (Regulation 1101)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Adequate number of qualified first aiders on site (Sec. 8(2) / 9(2) / 10(2) / 11(2))	First Aid (Regulation 1101): 1. Adequate number of qualified first aiders on site (Sec. 8(2) / 9(2) / 10(2) / 11(2)) (OK)	1. Adequate number of qualified first aiders on site (Sec. 8(2) / 9(2) / 10(2) / 11(2)) (Substandard)	1. Adequate number of qualified first aiders on site (Sec. 8(2) / 9(2) / 10(2) / 11(2)) (Minor Risk)	1. Adequate number of qualified first aiders on site (Sec. 8(2) / 9(2) / 10(2) / 11(2)) (Major Risk)	1. Adequate number of qualified first aiders on site (Sec. 8(2) / 9(2) / 10(2) / 11(2)) (N/A)
2. Adequate number of first aid kits (Sec. 8(1) / 9(1) / 10(1) / 11(1) / 1(3))	2. Adequate number of first aid kits (Sec. 8(1) / 9(1) / 10(1) / 11(1) / 1(3)) (OK)	2. Adequate number of first aid kits (Sec. 8(1) / 9(1) / 10(1) / 11(1) / 1(3)) (Substandard)	2. Adequate number of first aid kits (Sec. 8(1) / 9(1) / 10(1) / 11(1) / 1(3)) (Minor Risk)	2. Adequate number of first aid kits (Sec. 8(1) / 9(1) / 10(1) / 11(1) / 1(3)) (Major Risk)	2. Adequate number of first aid kits (Sec. 8(1) / 9(1) / 10(1) / 11(1) / 1(3)) (N/A)
3. Adequate contents in first aid kits (Sec. 8(1) / 9(1) / 10(1) / 11(1))	3. Adequate contents in first aid kits (Sec. 8(1) / 9(1) / 10(1) / 11(1)) (OK)	3. Adequate contents in first aid kits (Sec. 8(1) / 9(1) / 10(1) / 11(1)) (Substandard)	3. Adequate contents in first aid kits (Sec. 8(1) / 9(1) / 10(1) / 11(1)) (Minor Risk)	3. Adequate contents in first aid kits (Sec. 8(1) / 9(1) / 10(1) / 11(1)) (Major Risk)	3. Adequate contents in first aid kits (Sec. 8(1) / 9(1) / 10(1) / 11(1)) (N/A)
4. Treatment record form in each kit	4. Treatment record form in each kit (OK)	4. Treatment record form in each kit (Substandard)	4. Treatment record form in each kit (Minor Risk)	4. Treatment record form in each kit (Major Risk)	4. Treatment record form in each kit (N/A)
5. Inspection form in each kit (Sec. 1 (b)(iii))	5. Inspection form in each kit (Sec. 1 (b)(iii)) (OK)	5. Inspection form in each kit (Sec. 1 (b)(iii)) (Substandard)	5. Inspection form in each kit (Sec. 1 (b)(iii)) (Minor Risk)	5. Inspection form in each kit (Sec. 1 (b)(iii)) (Major Risk)	5. Inspection form in each kit (Sec. 1 (b)(iii)) (N/A)
6. Other	6. Other (OK)	6. Other (Substandard)	6. Other (Minor Risk)	6. Other (Major Risk)	6. Other (N/A)

First Aid - Score

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Page 7

Hygiene (Sec. 28 to 30)

Hygiene (Sec. 28 to 30)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Cleanliness of toilet & wash-up facilities (Sec. 29(11))	Hygiene (Sec. 28 to 30): 1. Cleanliness of toilet & wash-up facilities (Sec. 29(11)) (OK)	1. Cleanliness of toilet & wash-up facilities (Sec. 29(11)) (Substandard)	1. Cleanliness of toilet & wash-up facilities (Sec. 29(11)) (Minor Risk)	1. Cleanliness of toilet & wash-up facilities (Sec. 29(11)) (Major Risk)	1. Cleanliness of toilet & wash-up facilities (Sec. 29(11)) (N/A)
2. Adequate number of toilets (Sec. 29.1(5) (7))	2. Adequate number of toilets (Sec. 29.1(5) (7)) (OK)	2. Adequate number of toilets (Sec. 29.1(5) (7)) (Substandard)	2. Adequate number of toilets (Sec. 29.1(5) (7)) (Minor Risk)	2. Adequate number of toilets (Sec. 29.1(5) (7)) (Major Risk)	2. Adequate number of toilets (Sec. 29.1(5) (7)) (N/A)
3. Cleanup facilities have hot and cold running water, soap, paper towels (Sec. 29.2 (2)(1)(2)(3))	3. Cleanup facilities have hot and cold running water, soap, paper towels (Sec. 29.2 (2)(1)(2)(3)) (OK)	3. Cleanup facilities have hot and cold running water, soap, paper towels (Sec. 29.2 (2)(1)(2)(3)) (Substandard)	3. Cleanup facilities have hot and cold running water, soap, paper towels (Sec. 29.2 (2)(1)(2)(3)) (Minor Risk)	3. Cleanup facilities have hot and cold running water, soap, paper towels (Sec. 29.2 (2)(1)(2)(3)) (Major Risk)	3. Cleanup facilities have hot and cold running water, soap, paper towels (Sec. 29.2 (2)(1)(2)(3)) (N/A)
4. Facilities heated and illuminated (Sec. 29.1(1) (4) (i)(ii))	4. Facilities heated and illuminated (Sec. 29.1(1) (4) (i)(ii)) (OK)	4. Facilities heated and illuminated (Sec. 29.1(1) (4) (i)(ii)) (Substandard)	4. Facilities heated and illuminated (Sec. 29.1(1) (4) (i)(ii)) (Minor Risk)	4. Facilities heated and illuminated (Sec. 29.1(1) (4) (i)(ii)) (Major Risk)	4. Facilities heated and illuminated (Sec. 29.1(1) (4) (i)(ii)) (N/A)
5. Facilities services at intervals necessary to maintain clean and sanitary (Sec. 29 (11)(12))	5. Facilities services at intervals necessary to maintain clean and sanitary (Sec. 29 (11)(12)) (OK)	5. Facilities services at intervals necessary to maintain clean and sanitary (Sec. 29 (11)(12)) (Substandard)	5. Facilities services at intervals necessary to maintain clean and sanitary (Sec. 29 (11)(12)) (Minor Risk)	5. Facilities services at intervals necessary to maintain clean and sanitary (Sec. 29 (11)(12)) (Major Risk)	5. Facilities services at intervals necessary to maintain clean and sanitary (Sec. 29 (11)(12)) (N/A)
6. Provision and cleanliness of potable dring water stations (Sec. 28 (1) to (4))	6. Provision and cleanliness of potable dring water stations (Sec. 28 (1) to (4)) (OK)	6. Provision and cleanliness of potable dring water stations (Sec. 28 (1) to (4)) (Substandard)	6. Provision and cleanliness of potable dring water stations (Sec. 28 (1) to (4)) (Minor Risk)	6. Provision and cleanliness of potable dring water stations (Sec. 28 (1) to (4)) (Major Risk)	6. Provision and cleanliness of potable dring water stations (Sec. 28 (1) to (4)) (N/A)
7. Cleanliness of lunch room etc. (Sec. 35)	7. Cleanliness of lunch room etc. (Sec. 35) (OK)	7. Cleanliness of lunch room etc. (Sec. 35) (Substandard)	7. Cleanliness of lunch room etc. (Sec. 35) (Minor Risk)	7. Cleanliness of lunch room etc. (Sec. 35) (Major Risk)	7. Cleanliness of lunch room etc. (Sec. 35) (N/A)
8. Other	8. Other (OK)	8. Other (Substandard)	8. Other (Minor Risk)	8. Other (Major Risk)	8. Other (N/A)

Hygiene - Score

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On-site Traffic Control (Sec. 104 to 106)

On-site Traffic Control (Sec. 104 to 106)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Traffic protection plan in place where workers are endangered (Sec. 67 (4))	On-site Traffic Control (Sec. 104 to 106): 1. Traffic protection plan in place where workers are endangered (Sec. 67 (4)) (OK)	1. Traffic protection plan in place where workers are endangered (Sec. 67 (4)) (Substandard)	1. Traffic protection plan in place where workers are endangered (Sec. 67 (4)) (Minor Risk)	1. Traffic protection plan in place where workers are endangered (Sec. 67 (4)) (Major Risk)	1. Traffic protection plan in place where workers are endangered (Sec. 67 (4)) (N/A)
2. Proper dress (including retro-reflective vest) (Sec. 106(1.1) to (1.4))	2. Proper dress (including retro-reflective vest) (Sec. 106(1.1) to (1.4)) (OK)	2. Proper dress (including retro-reflective vest) (Sec. 106(1.1) to (1.4)) (Substandard)	2. Proper dress (including retro-reflective vest) (Sec. 106(1.1) to (1.4)) (Minor Risk)	2. Proper dress (including retro-reflective vest) (Sec. 106(1.1) to (1.4)) (Major Risk)	2. Proper dress (including retro-reflective vest) (Sec. 106(1.1) to (1.4)) (N/A)
3. Trained "Back-up" signaller (Sec. 104(3) / 106(1))	3. Trained "Back-up" signaller (Sec. 104(3) / 106(1)) (OK)	3. Trained "Back-up" signaller (Sec. 104(3) / 106(1)) (Substandard)	3. Trained "Back-up" signaller (Sec. 104(3) / 106(1)) (Minor Risk)	3. Trained "Back-up" signaller (Sec. 104(3) / 106(1)) (Major Risk)	3. Trained "Back-up" signaller (Sec. 104(3) / 106(1)) (N/A)
4. Posted speed limits	4. Posted speed limits (OK)	4. Posted speed limits (Substandard)	4. Posted speed limits (Minor Risk)	4. Posted speed limits (Major Risk)	4. Posted speed limits (N/A)
5. Identified overhead powerlines (Sec. 44(3))	5. Identified overhead powerlines (Sec. 44(3)) (OK)	5. Identified overhead powerlines (Sec. 44(3)) (Substandard)	5. Identified overhead powerlines (Sec. 44(3)) (Minor Risk)	5. Identified overhead powerlines (Sec. 44(3)) (Major Risk)	5. Identified overhead powerlines (Sec. 44(3)) (N/A)
6. Dump truck reversing alarm (Sec. 105)	6. Dump truck reversing alarm (Sec. 105) (OK)	6. Dump truck reversing alarm (Sec. 105) (Substandard)	6. Dump truck reversing alarm (Sec. 105) (Minor Risk)	6. Dump truck reversing alarm (Sec. 105) (Major Risk)	6. Dump truck reversing alarm (Sec. 105) (N/A)
7. Other	7. Other (OK)	7. Other (Substandard)	7. Other (Minor Risk)	7. Other (Major Risk)	7. Other (N/A)

On-site Traffic Control - Score

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Page 8

Trenching (Sec. 222 to 242)

Trenching (Sec. 222 to 242)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Locates provided (Sec. 228(1)(a) - )	Trenching (Sec. 222 to 242): 1. Locates provided (Sec. 228(1)(a) - ) (OK)	1. Locates provided (Sec. 228(1)(a) - ) (Substandard)	1. Locates provided (Sec. 228(1)(a) - ) (Minor Risk)	1. Locates provided (Sec. 228(1)(a) - ) (Major Risk)	1. Locates provided (Sec. 228(1)(a) - ) (N/A)
2. Proper angle or cut back of trench (Sec. 234(2)(a) to (h) - )	2. Proper angle or cut back of trench (Sec. 234(2)(a) to (h) - ) (OK)	2. Proper angle or cut back of trench (Sec. 234(2)(a) to (h) - ) (Substandard)	2. Proper angle or cut back of trench (Sec. 234(2)(a) to (h) - ) (Minor Risk)	2. Proper angle or cut back of trench (Sec. 234(2)(a) to (h) - ) (Major Risk)	2. Proper angle or cut back of trench (Sec. 234(2)(a) to (h) - ) (N/A)
3. Trech box inspected and engineered (Sec. 236(1)(2))	3. Trech box inspected and engineered (Sec. 236(1)(2)) (OK)	3. Trech box inspected and engineered (Sec. 236(1)(2)) (Substandard)	3. Trech box inspected and engineered (Sec. 236(1)(2)) (Minor Risk)	3. Trech box inspected and engineered (Sec. 236(1)(2)) (Major Risk)	3. Trech box inspected and engineered (Sec. 236(1)(2)) (N/A)
4. Proper placement of excavated materials (Sec. 233(1))	4. Proper placement of excavated materials (Sec. 233(1)) (OK)	4. Proper placement of excavated materials (Sec. 233(1)) (Substandard)	4. Proper placement of excavated materials (Sec. 233(1)) (Minor Risk)	4. Proper placement of excavated materials (Sec. 233(1)) (Major Risk)	4. Proper placement of excavated materials (Sec. 233(1)) (N/A)
5. Proper storage of materials in and above the trench (Sec. 40(1))	5. Proper storage of materials in and above the trench (Sec. 40(1)) (OK)	5. Proper storage of materials in and above the trench (Sec. 40(1)) (Substandard)	5. Proper storage of materials in and above the trench (Sec. 40(1)) (Minor Risk)	5. Proper storage of materials in and above the trench (Sec. 40(1)) (Major Risk)	5. Proper storage of materials in and above the trench (Sec. 40(1)) (N/A)
6. Appropriate shoring used where required (Sec. 234(1) -)	6. Appropriate shoring used where required (Sec. 234(1) -) (OK)	6. Appropriate shoring used where required (Sec. 234(1) -) (Substandard)	6. Appropriate shoring used where required (Sec. 234(1) -) (Minor Risk)	6. Appropriate shoring used where required (Sec. 234(1) -) (Major Risk)	6. Appropriate shoring used where required (Sec. 234(1) -) (N/A)
7. Proper access and egress to trenches (Sec. 240 -)	7. Proper access and egress to trenches (Sec. 240 -) (OK)	7. Proper access and egress to trenches (Sec. 240 -) (Substandard)	7. Proper access and egress to trenches (Sec. 240 -) (Minor Risk)	7. Proper access and egress to trenches (Sec. 240 -) (Major Risk)	7. Proper access and egress to trenches (Sec. 240 -) (N/A)
8. Proper fall protection around trenches (Sec. 233(4) -)	8. Proper fall protection around trenches (Sec. 233(4) -) (OK)	8. Proper fall protection around trenches (Sec. 233(4) -) (Substandard)	8. Proper fall protection around trenches (Sec. 233(4) -) (Minor Risk)	8. Proper fall protection around trenches (Sec. 233(4) -) (Major Risk)	8. Proper fall protection around trenches (Sec. 233(4) -) (N/A)
9. Other	9. Other (OK)	9. Other (Substandard)	9. Other (Minor Risk)	9. Other (Major Risk)	9. Other (N/A)

Trenching - Score

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Traffic Control (Sec. 67 to 69) & Book 7

Traffic Control (Sec. 67 to 69) & Book 7
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Safe location of TC person (Sec. 69(4) & book 7)	Traffic Control (Sec. 67 to 69) & Book 7: 1. Safe location of TC person (Sec. 69(4) & book 7) (OK)	1. Safe location of TC person (Sec. 69(4) & book 7) (Substandard)	1. Safe location of TC person (Sec. 69(4) & book 7) (Minor Risk)	1. Safe location of TC person (Sec. 69(4) & book 7) (Major Risk)	1. Safe location of TC person (Sec. 69(4) & book 7) (N/A)
2. Properly trained TC person (Sec. 69(4)(a))	2. Properly trained TC person (Sec. 69(4)(a)) (OK)	2. Properly trained TC person (Sec. 69(4)(a)) (Substandard)	2. Properly trained TC person (Sec. 69(4)(a)) (Minor Risk)	2. Properly trained TC person (Sec. 69(4)(a)) (Major Risk)	2. Properly trained TC person (Sec. 69(4)(a)) (N/A)
3. Proper dress (including retro-reflective vest) (Sec. 69.1(1)(2)(3)(4))	3. Proper dress (including retro-reflective vest) (Sec. 69.1(1)(2)(3)(4)) (OK)	3. Proper dress (including retro-reflective vest) (Sec. 69.1(1)(2)(3)(4)) (Substandard)	3. Proper dress (including retro-reflective vest) (Sec. 69.1(1)(2)(3)(4)) (Minor Risk)	3. Proper dress (including retro-reflective vest) (Sec. 69.1(1)(2)(3)(4)) (Major Risk)	3. Proper dress (including retro-reflective vest) (Sec. 69.1(1)(2)(3)(4)) (N/A)
4. Signage is clean and maintained. (Sec. 68(5))	4. Signage is clean and maintained. (Sec. 68(5)) (OK)	4. Signage is clean and maintained. (Sec. 68(5)) (Substandard)	4. Signage is clean and maintained. (Sec. 68(5)) (Minor Risk)	4. Signage is clean and maintained. (Sec. 68(5)) (Major Risk)	4. Signage is clean and maintained. (Sec. 68(5)) (N/A)
5. Traffic control plan available (Sec. 67(5)(b))	5. Traffic control plan available (Sec. 67(5)(b)) (OK)	5. Traffic control plan available (Sec. 67(5)(b)) (Substandard)	5. Traffic control plan available (Sec. 67(5)(b)) (Minor Risk)	5. Traffic control plan available (Sec. 67(5)(b)) (Major Risk)	5. Traffic control plan available (Sec. 67(5)(b)) (N/A)
6. Are measures in place to adequately protect workers (Sec. 67(2) & book 7)	6. Are measures in place to adequately protect workers (Sec. 67(2) & book 7) (OK)	6. Are measures in place to adequately protect workers (Sec. 67(2) & book 7) (Substandard)	6. Are measures in place to adequately protect workers (Sec. 67(2) & book 7) (Minor Risk)	6. Are measures in place to adequately protect workers (Sec. 67(2) & book 7) (Major Risk)	6. Are measures in place to adequately protect workers (Sec. 67(2) & book 7) (N/A)
7. Updated Book 7 is being used (1/1/2014)	7. Updated Book 7 is being used (1/1/2014) (OK)	7. Updated Book 7 is being used (1/1/2014) (Substandard)	7. Updated Book 7 is being used (1/1/2014) (Minor Risk)	7. Updated Book 7 is being used (1/1/2014) (Major Risk)	7. Updated Book 7 is being used (1/1/2014) (N/A)
8. Other	8. Other (OK)	8. Other (Substandard)	8. Other (Minor Risk)	8. Other (Major Risk)	8. Other (N/A)

Traffic Control - Score

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Page 9

Powered Elevator Platforms (Sec. 143 to 149)

Powered Elevator Platforms (Sec. 143 to 149)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Ground Condition (Sec. 148(b))	Powered Elevator Platforms (Sec. 143 to 149): 1. Ground Condition (Sec. 148(b)) (OK)	1. Ground Condition (Sec. 148(b)) (Substandard)	1. Ground Condition (Sec. 148(b)) (Minor Risk)	1. Ground Condition (Sec. 148(b)) (Major Risk)	1. Ground Condition (Sec. 148(b)) (N/A)
2. Operator's Manual (Sec. 149)	2. Operator's Manual (Sec. 149) (OK)	2. Operator's Manual (Sec. 149) (Substandard)	2. Operator's Manual (Sec. 149) (Minor Risk)	2. Operator's Manual (Sec. 149) (Major Risk)	2. Operator's Manual (Sec. 149) (N/A)
3. Inspection Checklist (Sec. 144(3)(b))	3. Inspection Checklist (Sec. 144(3)(b)) (OK)	3. Inspection Checklist (Sec. 144(3)(b)) (Substandard)	3. Inspection Checklist (Sec. 144(3)(b)) (Minor Risk)	3. Inspection Checklist (Sec. 144(3)(b)) (Major Risk)	3. Inspection Checklist (Sec. 144(3)(b)) (N/A)
4. Fall Protection (Sec. 148)	4. Fall Protection (Sec. 148) (OK)	4. Fall Protection (Sec. 148) (Substandard)	4. Fall Protection (Sec. 148) (Minor Risk)	4. Fall Protection (Sec. 148) (Major Risk)	4. Fall Protection (Sec. 148) (N/A)
5. R.O.T. (Sec. 147(1) -)	5. R.O.T. (Sec. 147(1) -) (OK)	5. R.O.T. (Sec. 147(1) -) (Substandard)	5. R.O.T. (Sec. 147(1) -) (Minor Risk)	5. R.O.T. (Sec. 147(1) -) (Major Risk)	5. R.O.T. (Sec. 147(1) -) (N/A)
6. Maintenance Records (Sec. 146)	6. Maintenance Records (Sec. 146) (OK)	6. Maintenance Records (Sec. 146) (Substandard)	6. Maintenance Records (Sec. 146) (Minor Risk)	6. Maintenance Records (Sec. 146) (Major Risk)	6. Maintenance Records (Sec. 146) (N/A)
7. Control signs and decals in good condition (Sec. 144(8) (a) to (g))	7. Control signs and decals in good condition (Sec. 144(8) (a) to (g)) (OK)	7. Control signs and decals in good condition (Sec. 144(8) (a) to (g)) (Substandard)	7. Control signs and decals in good condition (Sec. 144(8) (a) to (g)) (Minor Risk)	7. Control signs and decals in good condition (Sec. 144(8) (a) to (g)) (Major Risk)	7. Control signs and decals in good condition (Sec. 144(8) (a) to (g)) (N/A)
8. Overhead Hazards (Sec. 144(8)(d))	8. Overhead Hazards (Sec. 144(8)(d)) (OK)	8. Overhead Hazards (Sec. 144(8)(d)) (Substandard)	8. Overhead Hazards (Sec. 144(8)(d)) (Minor Risk)	8. Overhead Hazards (Sec. 144(8)(d)) (Major Risk)	8. Overhead Hazards (Sec. 144(8)(d)) (N/A)
9. Other	9. Other (OK)	9. Other (Substandard)	9. Other (Minor Risk)	9. Other (Major Risk)	9. Other (N/A)

Powered Elevator Platforms - Score

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Fork Lift (Sec. 102)

Fork Lift (Sec. 102)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Ground Inspection (Sec. 93(3))	Fork Lift (Sec. 102): 1. Ground Inspection (Sec. 93(3)) (OK)	1. Ground Inspection (Sec. 93(3)) (Substandard)	1. Ground Inspection (Sec. 93(3)) (Minor Risk)	1. Ground Inspection (Sec. 93(3)) (Major Risk)	1. Ground Inspection (Sec. 93(3)) (N/A)
2. Operator's Manual (Sec. 93(4))	2. Operator's Manual (Sec. 93(4)) (OK)	2. Operator's Manual (Sec. 93(4)) (Substandard)	2. Operator's Manual (Sec. 93(4)) (Minor Risk)	2. Operator's Manual (Sec. 93(4)) (Major Risk)	2. Operator's Manual (Sec. 93(4)) (N/A)
3. Inspection Checklist (Sec. 93(1) / 94 (1)(2))	3. Inspection Checklist (Sec. 93(1) / 94 (1)(2)) (OK)	3. Inspection Checklist (Sec. 93(1) / 94 (1)(2)) (Substandard)	3. Inspection Checklist (Sec. 93(1) / 94 (1)(2)) (Minor Risk)	3. Inspection Checklist (Sec. 93(1) / 94 (1)(2)) (Major Risk)	3. Inspection Checklist (Sec. 93(1) / 94 (1)(2)) (N/A)
4. Record of training (Sec. 96(1))	4. Record of training (Sec. 96(1)) (OK)	4. Record of training (Sec. 96(1)) (Substandard)	4. Record of training (Sec. 96(1)) (Minor Risk)	4. Record of training (Sec. 96(1)) (Major Risk)	4. Record of training (Sec. 96(1)) (N/A)
5. Maintenance Records (Sec. 94(1)(2))	5. Maintenance Records (Sec. 94(1)(2)) (OK)	5. Maintenance Records (Sec. 94(1)(2)) (Substandard)	5. Maintenance Records (Sec. 94(1)(2)) (Minor Risk)	5. Maintenance Records (Sec. 94(1)(2)) (Major Risk)	5. Maintenance Records (Sec. 94(1)(2)) (N/A)
6. Other	6. Other (OK)	6. Other (Substandard)	6. Other (Minor Risk)	6. Other (Major Risk)	6. Other (N/A)

Fork Lift - Score

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Page 10

Formwork - Falsework (Sec. 87 to 92)

Formwork - Falsework (Sec. 87 to 92)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Ground Condition (Set-up) (Sec. 91(a)(b))	Formwork - Falsework (Sec. 87 to 92): 1. Ground Condition (Set-up) (Sec. 91(a)(b)) (OK)	1. Ground Condition (Set-up) (Sec. 91(a)(b)) (Substandard)	1. Ground Condition (Set-up) (Sec. 91(a)(b)) (Minor Risk)	1. Ground Condition (Set-up) (Sec. 91(a)(b)) (Major Risk)	1. Ground Condition (Set-up) (Sec. 91(a)(b)) (N/A)
2. All Components In Place (Sec. 87(1))	2. All Components In Place (Sec. 87(1)) (OK)	2. All Components In Place (Sec. 87(1)) (Substandard)	2. All Components In Place (Sec. 87(1)) (Minor Risk)	2. All Components In Place (Sec. 87(1)) (Major Risk)	2. All Components In Place (Sec. 87(1)) (N/A)
3. Proper Access & Egress (Sec. 70(1))	3. Proper Access & Egress (Sec. 70(1)) (OK)	3. Proper Access & Egress (Sec. 70(1)) (Substandard)	3. Proper Access & Egress (Sec. 70(1)) (Minor Risk)	3. Proper Access & Egress (Sec. 70(1)) (Major Risk)	3. Proper Access & Egress (Sec. 70(1)) (N/A)
4. Stability - i.e. Tie-In - 3-1 Ratio	4. Stability - i.e. Tie-In - 3-1 Ratio (OK)	4. Stability - i.e. Tie-In - 3-1 Ratio (Substandard)	4. Stability - i.e. Tie-In - 3-1 Ratio (Minor Risk)	4. Stability - i.e. Tie-In - 3-1 Ratio (Major Risk)	4. Stability - i.e. Tie-In - 3-1 Ratio (N/A)
5. Competent Worker assigned by the engineer (Sec. 89(3))	5. Competent Worker assigned by the engineer (Sec. 89(3)) (OK)	5. Competent Worker assigned by the engineer (Sec. 89(3)) (Substandard)	5. Competent Worker assigned by the engineer (Sec. 89(3)) (Minor Risk)	5. Competent Worker assigned by the engineer (Sec. 89(3)) (Major Risk)	5. Competent Worker assigned by the engineer (Sec. 89(3)) (N/A)
6. Inspection criteria (Sec. 89(4))	6. Inspection criteria (Sec. 89(4)) (OK)	6. Inspection criteria (Sec. 89(4)) (Substandard)	6. Inspection criteria (Sec. 89(4)) (Minor Risk)	6. Inspection criteria (Sec. 89(4)) (Major Risk)	6. Inspection criteria (Sec. 89(4)) (N/A)
7. Engineer Drawing (Sec. 89(2))	7. Engineer Drawing (Sec. 89(2)) (OK)	7. Engineer Drawing (Sec. 89(2)) (Substandard)	7. Engineer Drawing (Sec. 89(2)) (Minor Risk)	7. Engineer Drawing (Sec. 89(2)) (Major Risk)	7. Engineer Drawing (Sec. 89(2)) (N/A)
8. Removal only when re-shored or concrete at sufficient strength (Sec. 88(a)(b))	8. Removal only when re-shored or concrete at sufficient strength (Sec. 88(a)(b)) (OK)	8. Removal only when re-shored or concrete at sufficient strength (Sec. 88(a)(b)) (Substandard)	8. Removal only when re-shored or concrete at sufficient strength (Sec. 88(a)(b)) (Minor Risk)	8. Removal only when re-shored or concrete at sufficient strength (Sec. 88(a)(b)) (Major Risk)	8. Removal only when re-shored or concrete at sufficient strength (Sec. 88(a)(b)) (N/A)
9. Hoarding - Adequate Tie-Ins (hoarding - 65)	9. Hoarding - Adequate Tie-Ins (hoarding - 65) (OK)	9. Hoarding - Adequate Tie-Ins (hoarding - 65) (Substandard)	9. Hoarding - Adequate Tie-Ins (hoarding - 65) (Minor Risk)	9. Hoarding - Adequate Tie-Ins (hoarding - 65) (Major Risk)	9. Hoarding - Adequate Tie-Ins (hoarding - 65) (N/A)
10. Proper fall protection (Sec. 26.1 to 26.9 - )	10. Proper fall protection (Sec. 26.1 to 26.9 - ) (OK)	10. Proper fall protection (Sec. 26.1 to 26.9 - ) (Substandard)	10. Proper fall protection (Sec. 26.1 to 26.9 - ) (Minor Risk)	10. Proper fall protection (Sec. 26.1 to 26.9 - ) (Major Risk)	10. Proper fall protection (Sec. 26.1 to 26.9 - ) (N/A)
11. Proper Signage (Sec. 44)	11. Proper Signage (Sec. 44) (OK)	11. Proper Signage (Sec. 44) (Substandard)	11. Proper Signage (Sec. 44) (Minor Risk)	11. Proper Signage (Sec. 44) (Major Risk)	11. Proper Signage (Sec. 44) (N/A)
12. Public Way Protection (Sec. 64)	12. Public Way Protection (Sec. 64) (OK)	12. Public Way Protection (Sec. 64) (Substandard)	12. Public Way Protection (Sec. 64) (Minor Risk)	12. Public Way Protection (Sec. 64) (Major Risk)	12. Public Way Protection (Sec. 64) (N/A)
13. Other	13. Other (OK)	13. Other (Substandard)	13. Other (Minor Risk)	13. Other (Major Risk)	13. Other (N/A)

Comments

5000 Max Characters

Formwork - Falsework - Total %

This is the total score for the section above. TOTAL / 13 x 100 = %

Page 11

Cranes, Hoists and Lifting Devices (Sec. 150 to 156)

Cranes, Hoists and Lifting Devices (Sec. 150 to 156)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Competent operator (Sec. 150 (1)(1.1)(2))	Cranes, Hoists and Lifting Devices (Sec. 150 to 156): 1. Competent operator (Sec. 150 (1)(1.1)(2)) (OK)	1. Competent operator (Sec. 150 (1)(1.1)(2)) (Substandard)	1. Competent operator (Sec. 150 (1)(1.1)(2)) (Minor Risk)	1. Competent operator (Sec. 150 (1)(1.1)(2)) (Major Risk)	1. Competent operator (Sec. 150 (1)(1.1)(2)) (N/A)
2. Maintenance log & operator's manual available (Sec. 152(2))	2. Maintenance log & operator's manual available (Sec. 152(2)) (OK)	2. Maintenance log & operator's manual available (Sec. 152(2)) (Substandard)	2. Maintenance log & operator's manual available (Sec. 152(2)) (Minor Risk)	2. Maintenance log & operator's manual available (Sec. 152(2)) (Major Risk)	2. Maintenance log & operator's manual available (Sec. 152(2)) (N/A)
3. Condition of wire rope slings and rigging hardware (Sec. 168(2) / 172(1) (2)(3) - )	3. Condition of wire rope slings and rigging hardware (Sec. 168(2) / 172(1) (2)(3) - ) (OK)	3. Condition of wire rope slings and rigging hardware (Sec. 168(2) / 172(1) (2)(3) - ) (Substandard)	3. Condition of wire rope slings and rigging hardware (Sec. 168(2) / 172(1) (2)(3) - ) (Minor Risk)	3. Condition of wire rope slings and rigging hardware (Sec. 168(2) / 172(1) (2)(3) - ) (Major Risk)	3. Condition of wire rope slings and rigging hardware (Sec. 168(2) / 172(1) (2)(3) - ) (N/A)
4. Safety clips on all lifting hooks (Sec. 173 (1) to (4))	4. Safety clips on all lifting hooks (Sec. 173 (1) to (4)) (OK)	4. Safety clips on all lifting hooks (Sec. 173 (1) to (4)) (Substandard)	4. Safety clips on all lifting hooks (Sec. 173 (1) to (4)) (Minor Risk)	4. Safety clips on all lifting hooks (Sec. 173 (1) to (4)) (Major Risk)	4. Safety clips on all lifting hooks (Sec. 173 (1) to (4)) (N/A)
5. Tag lines used where required (Sec. setup - 154(1) / 93(3) / 93(1) - or engineers approval)	5. Tag lines used where required (Sec. setup - 154(1) / 93(3) / 93(1) - or engineers approval) (OK)	5. Tag lines used where required (Sec. setup - 154(1) / 93(3) / 93(1) - or engineers approval) (Substandard)	5. Tag lines used where required (Sec. setup - 154(1) / 93(3) / 93(1) - or engineers approval) (Minor Risk)	5. Tag lines used where required (Sec. setup - 154(1) / 93(3) / 93(1) - or engineers approval) (Major Risk)	5. Tag lines used where required (Sec. setup - 154(1) / 93(3) / 93(1) - or engineers approval) (N/A)
6. Safe set-up and operation of equipment (Sec. 93(3) - or engineers approval)	6. Safe set-up and operation of equipment (Sec. 93(3) - or engineers approval) (OK)	6. Safe set-up and operation of equipment (Sec. 93(3) - or engineers approval) (Substandard)	6. Safe set-up and operation of equipment (Sec. 93(3) - or engineers approval) (Minor Risk)	6. Safe set-up and operation of equipment (Sec. 93(3) - or engineers approval) (Major Risk)	6. Safe set-up and operation of equipment (Sec. 93(3) - or engineers approval) (N/A)
7. Sufficient counterweights in position and secured (Sec. 104 (3)(4))	7. Sufficient counterweights in position and secured (Sec. 104 (3)(4)) (OK)	7. Sufficient counterweights in position and secured (Sec. 104 (3)(4)) (Substandard)	7. Sufficient counterweights in position and secured (Sec. 104 (3)(4)) (Minor Risk)	7. Sufficient counterweights in position and secured (Sec. 104 (3)(4)) (Major Risk)	7. Sufficient counterweights in position and secured (Sec. 104 (3)(4)) (N/A)
8. Competent signal person where required (Sec. 151 (3)(4))	8. Competent signal person where required (Sec. 151 (3)(4)) (OK)	8. Competent signal person where required (Sec. 151 (3)(4)) (Substandard)	8. Competent signal person where required (Sec. 151 (3)(4)) (Minor Risk)	8. Competent signal person where required (Sec. 151 (3)(4)) (Major Risk)	8. Competent signal person where required (Sec. 151 (3)(4)) (N/A)
9. Load rating and book angel indicator visible to operator (Sec. 172(1)(a))	9. Load rating and book angel indicator visible to operator (Sec. 172(1)(a)) (OK)	9. Load rating and book angel indicator visible to operator (Sec. 172(1)(a)) (Substandard)	9. Load rating and book angel indicator visible to operator (Sec. 172(1)(a)) (Minor Risk)	9. Load rating and book angel indicator visible to operator (Sec. 172(1)(a)) (Major Risk)	9. Load rating and book angel indicator visible to operator (Sec. 172(1)(a)) (N/A)
10. Proper lifting containers (Sec. 172(1)(a))	10. Proper lifting containers (Sec. 172(1)(a)) (OK)	10. Proper lifting containers (Sec. 172(1)(a)) (Substandard)	10. Proper lifting containers (Sec. 172(1)(a)) (Minor Risk)	10. Proper lifting containers (Sec. 172(1)(a)) (Major Risk)	10. Proper lifting containers (Sec. 172(1)(a)) (N/A)
11. Other	11. Other (OK)	11. Other (Substandard)	11. Other (Minor Risk)	11. Other (Major Risk)	11. Other (N/A)

Comments

5000 Max Characters

Cranes, Hoists and Lifting Devices - Total %

This is the total score for the section above. TOTAL / 11 x 100 = %

Work Over & Around Water (Sec. 27)

Work Over & Around Water (Sec. 27)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Rescue plan in place (Sec. 27(2)(3))	Work Over & Around Water (Sec. 27): 1. Rescue plan in place (Sec. 27(2)(3)) (OK)	1. Rescue plan in place (Sec. 27(2)(3)) (Substandard)	1. Rescue plan in place (Sec. 27(2)(3)) (Minor Risk)	1. Rescue plan in place (Sec. 27(2)(3)) (Major Risk)	1. Rescue plan in place (Sec. 27(2)(3)) (N/A)
2. Personal floatation device (life jacket) (Sec. 27(1))	2. Personal floatation device (life jacket) (Sec. 27(1)) (OK)	2. Personal floatation device (life jacket) (Sec. 27(1)) (Substandard)	2. Personal floatation device (life jacket) (Sec. 27(1)) (Minor Risk)	2. Personal floatation device (life jacket) (Sec. 27(1)) (Major Risk)	2. Personal floatation device (life jacket) (Sec. 27(1)) (N/A)
3. Use of fall protection where req'd. (Sec. 27(1)(2)(3))	3. Use of fall protection where req'd. (Sec. 27(1)(2)(3)) (OK)	3. Use of fall protection where req'd. (Sec. 27(1)(2)(3)) (Substandard)	3. Use of fall protection where req'd. (Sec. 27(1)(2)(3)) (Minor Risk)	3. Use of fall protection where req'd. (Sec. 27(1)(2)(3)) (Major Risk)	3. Use of fall protection where req'd. (Sec. 27(1)(2)(3)) (N/A)
4. Boat, life buoy and line available (Sec. 27(3)(a))	4. Boat, life buoy and line available (Sec. 27(3)(a)) (OK)	4. Boat, life buoy and line available (Sec. 27(3)(a)) (Substandard)	4. Boat, life buoy and line available (Sec. 27(3)(a)) (Minor Risk)	4. Boat, life buoy and line available (Sec. 27(3)(a)) (Major Risk)	4. Boat, life buoy and line available (Sec. 27(3)(a)) (N/A)
5. Second person in attendance (Sec. 27(2)(a))	5. Second person in attendance (Sec. 27(2)(a)) (OK)	5. Second person in attendance (Sec. 27(2)(a)) (Substandard)	5. Second person in attendance (Sec. 27(2)(a)) (Minor Risk)	5. Second person in attendance (Sec. 27(2)(a)) (Major Risk)	5. Second person in attendance (Sec. 27(2)(a)) (N/A)
6. Proper wear/use of worker floatation devices (Sec. 21(3))	6. Proper wear/use of worker floatation devices (Sec. 21(3)) (OK)	6. Proper wear/use of worker floatation devices (Sec. 21(3)) (Substandard)	6. Proper wear/use of worker floatation devices (Sec. 21(3)) (Minor Risk)	6. Proper wear/use of worker floatation devices (Sec. 21(3)) (Major Risk)	6. Proper wear/use of worker floatation devices (Sec. 21(3)) (N/A)
7. Other	7. Other (OK)	7. Other (Substandard)	7. Other (Minor Risk)	7. Other (Major Risk)	7. Other (N/A)

Work Over & Around Water - Score

1 2 3 4 5 6 7

Select a Score for Work Over & Around Water

Comments

5000 Max Characters

Work Over & Around Water - Total %

This is the total score for the section above. TOTAL / 7 x 100 = %

Page 12

Site Collateral Materials

Site Collateral Materials
	OK	Substandard	Minor Risk	Major Risk	N/A
1. OHSA & construction regulations (Sec. 25 (2)(i))	Site Collateral Materials: 1. OHSA & construction regulations (Sec. 25 (2)(i)) (OK)	1. OHSA & construction regulations (Sec. 25 (2)(i)) (Substandard)	1. OHSA & construction regulations (Sec. 25 (2)(i)) (Minor Risk)	1. OHSA & construction regulations (Sec. 25 (2)(i)) (Major Risk)	1. OHSA & construction regulations (Sec. 25 (2)(i)) (N/A)
2. Company safety policy (Sec. 25(2)(k))	2. Company safety policy (Sec. 25(2)(k)) (OK)	2. Company safety policy (Sec. 25(2)(k)) (Substandard)	2. Company safety policy (Sec. 25(2)(k)) (Minor Risk)	2. Company safety policy (Sec. 25(2)(k)) (Major Risk)	2. Company safety policy (Sec. 25(2)(k)) (N/A)
3. Hazard assessments (Sec. 25(2)(j))	3. Hazard assessments (Sec. 25(2)(j)) (OK)	3. Hazard assessments (Sec. 25(2)(j)) (Substandard)	3. Hazard assessments (Sec. 25(2)(j)) (Minor Risk)	3. Hazard assessments (Sec. 25(2)(j)) (Major Risk)	3. Hazard assessments (Sec. 25(2)(j)) (N/A)
4. Safe job procedures (Sec. 25(2)(j))	4. Safe job procedures (Sec. 25(2)(j)) (OK)	4. Safe job procedures (Sec. 25(2)(j)) (Substandard)	4. Safe job procedures (Sec. 25(2)(j)) (Minor Risk)	4. Safe job procedures (Sec. 25(2)(j)) (Major Risk)	4. Safe job procedures (Sec. 25(2)(j)) (N/A)
5. Safe work procedures (Sec. 25(2)(j))	5. Safe work procedures (Sec. 25(2)(j)) (OK)	5. Safe work procedures (Sec. 25(2)(j)) (Substandard)	5. Safe work procedures (Sec. 25(2)(j)) (Minor Risk)	5. Safe work procedures (Sec. 25(2)(j)) (Major Risk)	5. Safe work procedures (Sec. 25(2)(j)) (N/A)
6. Company rules (Sec. 25(2)(j))	6. Company rules (Sec. 25(2)(j)) (OK)	6. Company rules (Sec. 25(2)(j)) (Substandard)	6. Company rules (Sec. 25(2)(j)) (Minor Risk)	6. Company rules (Sec. 25(2)(j)) (Major Risk)	6. Company rules (Sec. 25(2)(j)) (N/A)
7. Completed inspection reports (OHSA - Sec. 8(6) to (9) / 9 (23 to 29) / O.Reg - 14(3)(4))	7. Completed inspection reports (OHSA - Sec. 8(6) to (9) / 9 (23 to 29) / O.Reg - 14(3)(4)) (OK)	7. Completed inspection reports (OHSA - Sec. 8(6) to (9) / 9 (23 to 29) / O.Reg - 14(3)(4)) (Substandard)	7. Completed inspection reports (OHSA - Sec. 8(6) to (9) / 9 (23 to 29) / O.Reg - 14(3)(4)) (Minor Risk)	7. Completed inspection reports (OHSA - Sec. 8(6) to (9) / 9 (23 to 29) / O.Reg - 14(3)(4)) (Major Risk)	7. Completed inspection reports (OHSA - Sec. 8(6) to (9) / 9 (23 to 29) / O.Reg - 14(3)(4)) (N/A)
8. Site emergency plan/telephone (Sec. 17(1) to (3))	8. Site emergency plan/telephone (Sec. 17(1) to (3)) (OK)	8. Site emergency plan/telephone (Sec. 17(1) to (3)) (Substandard)	8. Site emergency plan/telephone (Sec. 17(1) to (3)) (Minor Risk)	8. Site emergency plan/telephone (Sec. 17(1) to (3)) (Major Risk)	8. Site emergency plan/telephone (Sec. 17(1) to (3)) (N/A)
9. MOL Inspection reports (Sec. 57(10) OHSA)	9. MOL Inspection reports (Sec. 57(10) OHSA) (OK)	9. MOL Inspection reports (Sec. 57(10) OHSA) (Substandard)	9. MOL Inspection reports (Sec. 57(10) OHSA) (Minor Risk)	9. MOL Inspection reports (Sec. 57(10) OHSA) (Major Risk)	9. MOL Inspection reports (Sec. 57(10) OHSA) (N/A)
10. Tool box talks (OHSA - Sec. 25(2)(a) / 27 (2)(a))	10. Tool box talks (OHSA - Sec. 25(2)(a) / 27 (2)(a)) (OK)	10. Tool box talks (OHSA - Sec. 25(2)(a) / 27 (2)(a)) (Substandard)	10. Tool box talks (OHSA - Sec. 25(2)(a) / 27 (2)(a)) (Minor Risk)	10. Tool box talks (OHSA - Sec. 25(2)(a) / 27 (2)(a)) (Major Risk)	10. Tool box talks (OHSA - Sec. 25(2)(a) / 27 (2)(a)) (N/A)
11. WHMIS material safety data sheets (OHSA - Sec. 38(1)(a) to €)	11. WHMIS material safety data sheets (OHSA - Sec. 38(1)(a) to €) (OK)	11. WHMIS material safety data sheets (OHSA - Sec. 38(1)(a) to €) (Substandard)	11. WHMIS material safety data sheets (OHSA - Sec. 38(1)(a) to €) (Minor Risk)	11. WHMIS material safety data sheets (OHSA - Sec. 38(1)(a) to €) (Major Risk)	11. WHMIS material safety data sheets (OHSA - Sec. 38(1)(a) to €) (N/A)
12. First aid certificate posted (1101)	12. First aid certificate posted (1101) (OK)	12. First aid certificate posted (1101) (Substandard)	12. First aid certificate posted (1101) (Minor Risk)	12. First aid certificate posted (1101) (Major Risk)	12. First aid certificate posted (1101) (N/A)
13. WSIB form 82 (in case of accident) (1101)	13. WSIB form 82 (in case of accident) (1101) (OK)	13. WSIB form 82 (in case of accident) (1101) (Substandard)	13. WSIB form 82 (in case of accident) (1101) (Minor Risk)	13. WSIB form 82 (in case of accident) (1101) (Major Risk)	13. WSIB form 82 (in case of accident) (1101) (N/A)
14. First Aid regulation (1101)	14. First Aid regulation (1101) (OK)	14. First Aid regulation (1101) (Substandard)	14. First Aid regulation (1101) (Minor Risk)	14. First Aid regulation (1101) (Major Risk)	14. First Aid regulation (1101) (N/A)
15. Minutes of JH&SC available (OHSA - Sec. 9(22))	15. Minutes of JH&SC available (OHSA - Sec. 9(22)) (OK)	15. Minutes of JH&SC available (OHSA - Sec. 9(22)) (Substandard)	15. Minutes of JH&SC available (OHSA - Sec. 9(22)) (Minor Risk)	15. Minutes of JH&SC available (OHSA - Sec. 9(22)) (Major Risk)	15. Minutes of JH&SC available (OHSA - Sec. 9(22)) (N/A)
16. Name(s) of H&S Rep/committee. (O.Reg - Sec. 13(2))	16. Name(s) of H&S Rep/committee. (O.Reg - Sec. 13(2)) (OK)	16. Name(s) of H&S Rep/committee. (O.Reg - Sec. 13(2)) (Substandard)	16. Name(s) of H&S Rep/committee. (O.Reg - Sec. 13(2)) (Minor Risk)	16. Name(s) of H&S Rep/committee. (O.Reg - Sec. 13(2)) (Major Risk)	16. Name(s) of H&S Rep/committee. (O.Reg - Sec. 13(2)) (N/A)
17. Extracts from OHSA (OHSA - Sec. 25(2)(i))	17. Extracts from OHSA (OHSA - Sec. 25(2)(i)) (OK)	17. Extracts from OHSA (OHSA - Sec. 25(2)(i)) (Substandard)	17. Extracts from OHSA (OHSA - Sec. 25(2)(i)) (Minor Risk)	17. Extracts from OHSA (OHSA - Sec. 25(2)(i)) (Major Risk)	17. Extracts from OHSA (OHSA - Sec. 25(2)(i)) (N/A)
18. Report all accidents poster	18. Report all accidents poster (OK)	18. Report all accidents poster (Substandard)	18. Report all accidents poster (Minor Risk)	18. Report all accidents poster (Major Risk)	18. Report all accidents poster (N/A)
19. Fall protection poster	19. Fall protection poster (OK)	19. Fall protection poster (Substandard)	19. Fall protection poster (Minor Risk)	19. Fall protection poster (Major Risk)	19. Fall protection poster (N/A)
20. MOL Prevention Starts Here Poster	20. MOL Prevention Starts Here Poster (OK)	20. MOL Prevention Starts Here Poster (Substandard)	20. MOL Prevention Starts Here Poster (Minor Risk)	20. MOL Prevention Starts Here Poster (Major Risk)	20. MOL Prevention Starts Here Poster (N/A)
21. Notice of project (where required) (O.Reg - Sec. 6 & 7)	21. Notice of project (where required) (O.Reg - Sec. 6 & 7) (OK)	21. Notice of project (where required) (O.Reg - Sec. 6 & 7) (Substandard)	21. Notice of project (where required) (O.Reg - Sec. 6 & 7) (Minor Risk)	21. Notice of project (where required) (O.Reg - Sec. 6 & 7) (Major Risk)	21. Notice of project (where required) (O.Reg - Sec. 6 & 7) (N/A)
22. Form 1000 (O.Reg - Sec. 5)	22. Form 1000 (O.Reg - Sec. 5) (OK)	22. Form 1000 (O.Reg - Sec. 5) (Substandard)	22. Form 1000 (O.Reg - Sec. 5) (Minor Risk)	22. Form 1000 (O.Reg - Sec. 5) (Major Risk)	22. Form 1000 (O.Reg - Sec. 5) (N/A)

Comments

5000 Max Characters

Site Collateral Materials - Total %

This is the total score for the section above. TOTAL / 22 x 100 = %

Page 13

Confined Spaces (Reg. 632)

Confined Spaces (Reg. 632)
	OK	Substandard	Minor Risk	Major Risk	N/A
1. Assessment (can be incorporated into permit)(Sec. 5)	Confined Spaces (Reg. 632): 1. Assessment (can be incorporated into permit)(Sec. 5) (OK)	1. Assessment (can be incorporated into permit)(Sec. 5) (Substandard)	1. Assessment (can be incorporated into permit)(Sec. 5) (Minor Risk)	1. Assessment (can be incorporated into permit)(Sec. 5) (Major Risk)	1. Assessment (can be incorporated into permit)(Sec. 5) (N/A)
2. Company safety policy (Sec. 25(2)(k))	2. Company safety policy (Sec. 25(2)(k)) (OK)	2. Company safety policy (Sec. 25(2)(k)) (Substandard)	2. Company safety policy (Sec. 25(2)(k)) (Minor Risk)	2. Company safety policy (Sec. 25(2)(k)) (Major Risk)	2. Company safety policy (Sec. 25(2)(k)) (N/A)
3. Written plan (Can be incorporated into permit) (Sec. 7)	3. Written plan (Can be incorporated into permit) (Sec. 7) (OK)	3. Written plan (Can be incorporated into permit) (Sec. 7) (Substandard)	3. Written plan (Can be incorporated into permit) (Sec. 7) (Minor Risk)	3. Written plan (Can be incorporated into permit) (Sec. 7) (Major Risk)	3. Written plan (Can be incorporated into permit) (Sec. 7) (N/A)
4. Training records available can be incorporated into permit (Sec. 9.1)	4. Training records available can be incorporated into permit (Sec. 9.1) (OK)	4. Training records available can be incorporated into permit (Sec. 9.1) (Substandard)	4. Training records available can be incorporated into permit (Sec. 9.1) (Minor Risk)	4. Training records available can be incorporated into permit (Sec. 9.1) (Major Risk)	4. Training records available can be incorporated into permit (Sec. 9.1) (N/A)
5. Permits	5. Permits (OK)	5. Permits (Substandard)	5. Permits (Minor Risk)	5. Permits (Major Risk)	5. Permits (N/A)
6. Written rescue procedures. (Sec. 11)	6. Written rescue procedures. (Sec. 11) (OK)	6. Written rescue procedures. (Sec. 11) (Substandard)	6. Written rescue procedures. (Sec. 11) (Minor Risk)	6. Written rescue procedures. (Sec. 11) (Major Risk)	6. Written rescue procedures. (Sec. 11) (N/A)
7. On-site rescue personnel trained. (Sec. 11(3))	7. On-site rescue personnel trained. (Sec. 11(3)) (OK)	7. On-site rescue personnel trained. (Sec. 11(3)) (Substandard)	7. On-site rescue personnel trained. (Sec. 11(3)) (Minor Risk)	7. On-site rescue personnel trained. (Sec. 11(3)) (Major Risk)	7. On-site rescue personnel trained. (Sec. 11(3)) (N/A)
8. Rescue equipment - Readily available	8. Rescue equipment - Readily available (OK)	8. Rescue equipment - Readily available (Substandard)	8. Rescue equipment - Readily available (Minor Risk)	8. Rescue equipment - Readily available (Major Risk)	8. Rescue equipment - Readily available (N/A)
9. Rescue equipment - Inspected. (Sec. )	9. Rescue equipment - Inspected. (Sec. ) (OK)	9. Rescue equipment - Inspected. (Sec. ) (Substandard)	9. Rescue equipment - Inspected. (Sec. ) (Minor Risk)	9. Rescue equipment - Inspected. (Sec. ) (Major Risk)	9. Rescue equipment - Inspected. (Sec. ) (N/A)
10. Methods of communication. (Sec. (12)(3))	10. Methods of communication. (Sec. (12)(3)) (OK)	10. Methods of communication. (Sec. (12)(3)) (Substandard)	10. Methods of communication. (Sec. (12)(3)) (Minor Risk)	10. Methods of communication. (Sec. (12)(3)) (Major Risk)	10. Methods of communication. (Sec. (12)(3)) (N/A)
11. PPE provided for entrants (As outlined in the Plan). (Sec.13)	11. PPE provided for entrants (As outlined in the Plan). (Sec.13) (OK)	11. PPE provided for entrants (As outlined in the Plan). (Sec.13) (Substandard)	11. PPE provided for entrants (As outlined in the Plan). (Sec.13) (Minor Risk)	11. PPE provided for entrants (As outlined in the Plan). (Sec.13) (Major Risk)	11. PPE provided for entrants (As outlined in the Plan). (Sec.13) (N/A)
12. Procedures for the protection against release of substances, electrical contact or moving parts, or engulfment. (Sec. 14)	12. Procedures for the protection against release of substances, electrical contact or moving parts, or engulfment. (Sec. 14) (OK)	12. Procedures for the protection against release of substances, electrical contact or moving parts, or engulfment. (Sec. 14) (Substandard)	12. Procedures for the protection against release of substances, electrical contact or moving parts, or engulfment. (Sec. 14) (Minor Risk)	12. Procedures for the protection against release of substances, electrical contact or moving parts, or engulfment. (Sec. 14) (Major Risk)	12. Procedures for the protection against release of substances, electrical contact or moving parts, or engulfment. (Sec. 14) (N/A)
13. Atmospheric testing performed as often as necessary. (Sec. 18(1))	13. Atmospheric testing performed as often as necessary. (Sec. 18(1)) (OK)	13. Atmospheric testing performed as often as necessary. (Sec. 18(1)) (Substandard)	13. Atmospheric testing performed as often as necessary. (Sec. 18(1)) (Minor Risk)	13. Atmospheric testing performed as often as necessary. (Sec. 18(1)) (Major Risk)	13. Atmospheric testing performed as often as necessary. (Sec. 18(1)) (N/A)
14. Provisions for inspection, cold work and hot work in atmospheres containing explosive or flammable substances. (Sec. 19)	14. Provisions for inspection, cold work and hot work in atmospheres containing explosive or flammable substances. (Sec. 19) (OK)	14. Provisions for inspection, cold work and hot work in atmospheres containing explosive or flammable substances. (Sec. 19) (Substandard)	14. Provisions for inspection, cold work and hot work in atmospheres containing explosive or flammable substances. (Sec. 19) (Minor Risk)	14. Provisions for inspection, cold work and hot work in atmospheres containing explosive or flammable substances. (Sec. 19) (Major Risk)	14. Provisions for inspection, cold work and hot work in atmospheres containing explosive or flammable substances. (Sec. 19) (N/A)
15. Provisions for ventilation and purging in oxygen enriched/deficient atmospheres or containnig airborne contaminants. (Sec. 20)	15. Provisions for ventilation and purging in oxygen enriched/deficient atmospheres or containnig airborne contaminants. (Sec. 20) (OK)	15. Provisions for ventilation and purging in oxygen enriched/deficient atmospheres or containnig airborne contaminants. (Sec. 20) (Substandard)	15. Provisions for ventilation and purging in oxygen enriched/deficient atmospheres or containnig airborne contaminants. (Sec. 20) (Minor Risk)	15. Provisions for ventilation and purging in oxygen enriched/deficient atmospheres or containnig airborne contaminants. (Sec. 20) (Major Risk)	15. Provisions for ventilation and purging in oxygen enriched/deficient atmospheres or containnig airborne contaminants. (Sec. 20) (N/A)
16. Appropriate records retained by employer or constructor. (Sec. 21(2))	16. Appropriate records retained by employer or constructor. (Sec. 21(2)) (OK)	16. Appropriate records retained by employer or constructor. (Sec. 21(2)) (Substandard)	16. Appropriate records retained by employer or constructor. (Sec. 21(2)) (Minor Risk)	16. Appropriate records retained by employer or constructor. (Sec. 21(2)) (Major Risk)	16. Appropriate records retained by employer or constructor. (Sec. 21(2)) (N/A)
17. Other	17. Other (OK)	17. Other (Substandard)	17. Other (Minor Risk)	17. Other (Major Risk)	17. Other (N/A)

Comments

5000 Max Characters

Confined Spaces (Reg. 632) - Total %

This is the total score for the section above. TOTAL / 22 x 100 = %

Page 14

Site Specific Health & Safety Manual

Site Specific Health & Safety Manual
	OK	Substandard	Minor Risk	Major Risk	N/A
1. This section measure the contractor's performance against the goals and standards set in place by the Site Specific Health and Safety Manual	Site Specific Health & Safety Manual: 1. This section measure the contractor's performance against the goals and standards set in place by the Site Specific Health and Safety Manual (OK)	1. This section measure the contractor's performance against the goals and standards set in place by the Site Specific Health and Safety Manual (Substandard)	1. This section measure the contractor's performance against the goals and standards set in place by the Site Specific Health and Safety Manual (Minor Risk)	1. This section measure the contractor's performance against the goals and standards set in place by the Site Specific Health and Safety Manual (Major Risk)	1. This section measure the contractor's performance against the goals and standards set in place by the Site Specific Health and Safety Manual (N/A)
2. Tracking project's H&S objectives and performance	2. Tracking project's H&S objectives and performance (OK)	2. Tracking project's H&S objectives and performance (Substandard)	2. Tracking project's H&S objectives and performance (Minor Risk)	2. Tracking project's H&S objectives and performance (Major Risk)	2. Tracking project's H&S objectives and performance (N/A)
3. Contact sheet is up to date and identifies all key individuals for the project.	3. Contact sheet is up to date and identifies all key individuals for the project. (OK)	3. Contact sheet is up to date and identifies all key individuals for the project. (Substandard)	3. Contact sheet is up to date and identifies all key individuals for the project. (Minor Risk)	3. Contact sheet is up to date and identifies all key individuals for the project. (Major Risk)	3. Contact sheet is up to date and identifies all key individuals for the project. (N/A)
4. Availability of Sub-Contractor Health and Safety Management Plan	4. Availability of Sub-Contractor Health and Safety Management Plan (OK)	4. Availability of Sub-Contractor Health and Safety Management Plan (Substandard)	4. Availability of Sub-Contractor Health and Safety Management Plan (Minor Risk)	4. Availability of Sub-Contractor Health and Safety Management Plan (Major Risk)	4. Availability of Sub-Contractor Health and Safety Management Plan (N/A)
5. Health and Safety Training & Competency Plan.	5. Health and Safety Training & Competency Plan. (OK)	5. Health and Safety Training & Competency Plan. (Substandard)	5. Health and Safety Training & Competency Plan. (Minor Risk)	5. Health and Safety Training & Competency Plan. (Major Risk)	5. Health and Safety Training & Competency Plan. (N/A)
6. Meetings and Communication Plan	6. Meetings and Communication Plan (OK)	6. Meetings and Communication Plan (Substandard)	6. Meetings and Communication Plan (Minor Risk)	6. Meetings and Communication Plan (Major Risk)	6. Meetings and Communication Plan (N/A)
7. Emergency Response Plan	7. Emergency Response Plan (OK)	7. Emergency Response Plan (Substandard)	7. Emergency Response Plan (Minor Risk)	7. Emergency Response Plan (Major Risk)	7. Emergency Response Plan (N/A)
8. Inspection and Audits	8. Inspection and Audits (OK)	8. Inspection and Audits (Substandard)	8. Inspection and Audits (Minor Risk)	8. Inspection and Audits (Major Risk)	8. Inspection and Audits (N/A)
9. Incident Reporting and Investigations Procedure	9. Incident Reporting and Investigations Procedure (OK)	9. Incident Reporting and Investigations Procedure (Substandard)	9. Incident Reporting and Investigations Procedure (Minor Risk)	9. Incident Reporting and Investigations Procedure (Major Risk)	9. Incident Reporting and Investigations Procedure (N/A)
10. Rules of Conduct and Disciplinary Actions	10. Rules of Conduct and Disciplinary Actions (OK)	10. Rules of Conduct and Disciplinary Actions (Substandard)	10. Rules of Conduct and Disciplinary Actions (Minor Risk)	10. Rules of Conduct and Disciplinary Actions (Major Risk)	10. Rules of Conduct and Disciplinary Actions (N/A)
11. Security Plan	11. Security Plan (OK)	11. Security Plan (Substandard)	11. Security Plan (Minor Risk)	11. Security Plan (Major Risk)	11. Security Plan (N/A)
12. Hazard Identification and Control	12. Hazard Identification and Control (OK)	12. Hazard Identification and Control (Substandard)	12. Hazard Identification and Control (Minor Risk)	12. Hazard Identification and Control (Major Risk)	12. Hazard Identification and Control (N/A)
13. Traffic Management and Control Plan	13. Traffic Management and Control Plan (OK)	13. Traffic Management and Control Plan (Substandard)	13. Traffic Management and Control Plan (Minor Risk)	13. Traffic Management and Control Plan (Major Risk)	13. Traffic Management and Control Plan (N/A)
14. Others	14. Others (OK)	14. Others (Substandard)	14. Others (Minor Risk)	14. Others (Major Risk)	14. Others (N/A)

Comments
Item 1. The contractor's "Site Specific H&S Manual" is developed by the contractor, and shall comply with all applicable requirements of OHSA, industry best practices and the Project Agreement. The Manual itself is not being inspected, but rather the compliance to the requirements set out by the manual.
Item 2. Methodology and goals are developed as part of the Manual.
Item 3. Description of specific roles and responsibilities is required by the manual, and key contacts in those positions shall be identified
Item 4. Project Co has an obligation to receive this from the sub contractors and these plans should be readily available.
Item 5. Ensure that the training requirements implemented on this project, follows those that are established through the manual and there are records of training and competency checks
Item 6. If the terms and frequency of the meetings are as prescribed in the H&S manual
Item 7. Ensure that the emergency response plan and contacts are easily accessible, and updated to reflect staffing and phase changes in the project. Ensure that the procedures are being followed and document as developed in the manual.
Item 8. Compliance to the requirements of the health and safety manual, and availability of all inspection and audit reports. Focus on inspections regarding the Major rating.
Item 9. Ensure logs are available and that they follow the requirements of the manual
Item 10. Ensure logs are available and that they follow the requirements of the manual
Item 11. Are provisions for securing the site being followed
Item 12. Ensure logs are available and that they follow the requirements of the manual
Item 13. Ensure logs are available and that they follow the requirements of the manual

Comments

5000 Max Characters

Site Specific Health & Safety Manual - Total %

This is the total score for the section above. TOTAL / 14 x 100 = %

SUBSECTION SCORE RESULTS SUMMARY

Page 1 - Total Score / 27

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Page 2 - Total Score / 33

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Page 3 - Total Score / 21

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Page 4 - Total Score / 18

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Page 5 - Total Score / 39

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Page 6 - Total Score / 19

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Page 7 - Total Score / 15

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Page 8 - Total Score / 17

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Page 9 - Total Score / 15

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Page 10 - Total Score / 13

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Page 11 - Total Score / 18

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Page 12 - Total Score / 22

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Page 13 - Total Score / 17

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Page 14 - Total Score / 14

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SITE INSPECTION EVALUATION SCORE BOARD

Site Inspection Evaluation - Total Score / 288

This is the total score for all the sections listed above. TOTAL SCORE / 288

Site Inspection Evaluation - Total %

This is the total % for all the sections listed above. TOTAL SCORE / 288 x 100 = %