HEALTH & SAFETY
GAP ANALYSIS CHECKLIST TO ASSESS HEALTH & SAFETY
PROGRAM COMPLETENESS
Name of Location: Date:
Phone: Fax:
Persons in attendance:
Name of Evaluator: Robert Warren MOL certified JHSC AC58942
Introduction:
The purpose of this analysis is to assess the Health & Safety Program at your workplace, and to objectively report that the elements of the Internal Responsibility System (IRS) have been fully implemented. In doing so we will be looking at the various aspects of your current Health & Safety program to ensure appropriate training has been completed, various forms and documents are being completed and filed appropriately, reviews are being performed on a regular basis, and Ministry of Labour compliance is being monitored and maintained.
Upon completion of the analysis, you will receive a copy of this document along with any notes or recommendations that we may have based on our findings to maintain compliance. Using this assessment will enable the creation of your own to-do list by assigning ownership of the various elements and identifying a target date for completion.
If you have any questions or concerns about any of the information found on your assessment, or if you need assistance in implementing any of the elements please do not hesitate to contact me directly.
| 1.1 | Health and Safety Policy Statement | |||||
| Signed | ||||||
| Dated | ||||||
| Posted | ||||||
| Current within one year | ||||||
| 2.1 | Employers Health & Safety Responsibilities | |||||
| Trained in legislated requirements | ||||||
| Completing Performance Evaluations for Managers | ||||||
| 2.2 | Managers / Supervisors Health & Safety Responsibilities | |||||
| Trained in legislated requirements | ||||||
| Job Documents created for all management positions | ||||||
| Managers completing Performance Evaluations for Supervisors | ||||||
| 2.3 | Employees Health & Safety Responsibilities | |||||
| All staff trained in Employee Handbook | ||||||
| Sign off sheets completed | ||||||
| Records of training up to date | ||||||
| Disciplinary measures being followed | ||||||
| Documentation of discipline kept | ||||||
| 2.4 | Contractors Health & Safety Responsibilities | |||||
| Clearance Certificates obtained | ||||||
| Contractor Safety checklists completed | ||||||
| 2.5 | Visitors Safety Program | |||||
| Visitors Policy available | ||||||
| Sign-in book being used | ||||||
| 2.6 | Health & Safety Coordinator Responsibilities | |||||
| Trained in legislative requirements | ||||||
| Familiar with all elements of program | ||||||
| Involved in JHSC activities | ||||||
| 3.1 | Health & Safety Posted Material | |||||
| Harassment Policy | ||||||
| Smoking Policy | ||||||
| Violence Policy | ||||||
| Current Copy of the Act | ||||||
| Guide to the Act | ||||||
| Industrial Establishments Reg. 851 Construction Projects 213/91 Notice of Project signed and posted | ||||||
| WHMIS Reg. 860 | ||||||
| Material Safety Data Sheets | ||||||
| Form 82 | ||||||
| First Aid Reg. 1101 | ||||||
| First Aid Certificates | ||||||
| Emergency Phone Numbers | ||||||
| Emergency Plan | ||||||
| Workplace Inspection Reports | ||||||
| Minutes of Safety Meetings | ||||||
| Accident Investigation Summaries | ||||||
| Name(s) of Worker Safety Rep.(s) | ||||||
| 4.1 | Job Task Analysis | |||||
| JTA’s created for all jobs within the company | ||||||
| Job hazards rated for severity and frequency | ||||||
| Controls identified | ||||||
| 4.2 | Operating Procedures | |||||
| O.P.’s created for all jobs within the company | ||||||
| Employees signed off on each O.P. they have been trained on | ||||||
| 4.3 | Response to Work Related Illness/Injury | |||||
| All employees trained in their responsibilities | ||||||
| 4.4 | Hazard Reporting | |||||
| All employees trained in their responsibilities | ||||||
| Hazard reporting form being used | ||||||
| JHSC reviewing all hazard reports | ||||||
| 4.5 – 4.16 | Emergency Procedures | |||||
| Emergency Plan posted | ||||||
| Emergency Plan trained to all employees | ||||||
| Sign off sheets completed | ||||||
| Fire drill carried out annually | ||||||
| Fire drills documented | ||||||
| Emergency phone numbers posted | ||||||
| Emergency equipment inventory completed | ||||||
| Floor plan completed and posted | ||||||
| Employees trained in use of fire extinguishers | ||||||
| 4.17 | Right to Refuse Unsafe Work | |||||
| All employees trained in their responsibilities | ||||||
| Work refusals documented | ||||||
| 4.18 | Lockout Procedures | |||||
| Inventory of equipment requiring lockout created | ||||||
| Lockout procedures created for all items on list | ||||||
| All employees trained in lockout requirements | ||||||
| Sign off sheets up to date | ||||||
| Lockout equipment is available | ||||||
| 4.19 | Purchasing Policy | |||||
| Documented Pre-use inspections for new equipment | ||||||
| 4.20 | Personal Protective Equipment | |||||
| PPE is available | ||||||
| Workers trained in use of PPE | ||||||
| JHSC inspects PPE during monthly inspections | ||||||
| Supervisor inspects PPE during daily inspections | ||||||
| 4.21 | Welding and Hot Work Program | |||||
| All affected employees trained in Welding and Hot Work requirements | ||||||
| Hot work permit process is being used | ||||||
| 4.22 | Fall and Slip Prevention | |||||
| All employees trained in their requirements | ||||||
| Fall Arrest equipment available if applicable | ||||||
| Fall Arrest equipment is being used properly | ||||||
| 4.23 | MSD Prevention Program | |||||
| All employees trained in their requirements | ||||||
| Management has identified MSD hazards throughout the workplace | ||||||
| 5.1 – 5.5 | Joint Health & Safety Committee | |||||
| Appropriate number of Committee members for workplace | ||||||
| Certified Worker rep | ||||||
| Certified Management rep | ||||||
| JHSC members names posted | ||||||
| Non-certified members have training in their duties | ||||||
| Schedule of JHSC inspections and meetings for the year is posted | ||||||
| JHSC performs documented inspections monthly | ||||||
| Inspection reports posted | ||||||
| JHSC holds a meeting at least once every three months | ||||||
| Meeting minutes documented | ||||||
| Meeting minutes posted | ||||||
| JHSC makes written recommendations to the employer | ||||||
| Employer is responding to JHSC recommendations in writing | ||||||
| JHSC performs accident investigations for all injuries and near misses | ||||||
| Accident investigations are documented | ||||||
| 6.1 – 6.2 | Training Needs Review | |||||
| Completed Training Review Matrix available | ||||||
| 6.3 | WHMIS Requirements | |||||
| MSDS’s available to all workers | ||||||
| MSDS’s current within 3 years | ||||||
| All employees have received WHMIS training | ||||||
| Sign off sheets up to date | ||||||
| WHMIS training is reviewed with staff on a regular basis (every 1 or 2 years) | ||||||
| JHSC inspects MSDS binder monthly to ensure it is current | ||||||
| 6.4 | Employee Certification Program | |||||
| JHSC Certification up to date and documented | ||||||
| Appropriate number of employees trained in First Aid at the facility | ||||||
| First Aid training is current | ||||||
| First Aid certificates are posted | ||||||
| Forklift Training is current and documented | ||||||
| Crane training is current and documented | ||||||
| 6.5 | Manual Material Handling | |||||
| All employees trained in proper material handling procedures | ||||||
| Training is documented | ||||||
| 6.6 – 6.9 | Employee Health & Safety Training Programs | |||||
| All employees have received training in Employee Orientation Manual | ||||||
| Employees have been trained in all emergency procedures | ||||||
| Employees have been trained and signed off on the operating procedures for their jobs. | ||||||
| Supervisors / Managers have been trained in their responsibilities when promoted | ||||||
| Supervisors / Managers have taken Supervisor Health, Safety and the Law course (or equivalent) | ||||||
| Non-certified Committee members have received training in their duties | ||||||
| Fire Extinguisher training is current and documented | ||||||
| Fire Drill training is current and documented | ||||||
| Lockout training is current and documented | ||||||
| PPE training is current and documented | ||||||
| Designated Substance training is current and documented | ||||||
| Spill Response training is current and documented | ||||||
| Hot Work training is current and documented | ||||||
| Pedestrian Forklift Safety training is current and documented | ||||||
| All employees have completed the Training sign off sheets for any training they have received | ||||||
| 7.1 | First Aid Program | |||||
| All employees trained in First Aid reporting requirements | ||||||
| First Aid log book available at First Aid station | ||||||
| Appropriate First Aid kit available for the facility (stocked) | ||||||
| First aid reports being filled out | ||||||
| First aid reports being forwarded to the JHSC for review | ||||||
| First Aid kit is inspected at least once every three months | ||||||
| Inspection form is available at First Aid kit | ||||||
| Form 82 is available at First Aid station | ||||||
| First Aid regulations are available at First Aid station | ||||||
| Certificates of First Aid training are available at First Aid station | ||||||
| 8.1 | Workplace Inspection Program | |||||
| Inspection schedule available for all inspections to be carried out within the next year | ||||||
| Employer performs workplace inspections at least twice a year | ||||||
| Employer’s inspections are documented | ||||||
| Managers perform workplace inspections at least once a month | ||||||
| Managers inspections are documented | ||||||
| JHSC worker rep’s perform workplace inspections at least once a month | ||||||
| JHSC inspections are documented | ||||||
| Supervisors perform daily inspections of their work areas | ||||||
| Supervisor’s inspections are documented | ||||||
| All workplace inspection reports are forwarded to the JHSC for review | ||||||
| 8.2 | Pre-use Inspection Program, Forklift Safety Program and Crane Safety Program | |||||
| Company vehicles are inspected at the beginning of every shift before use | ||||||
| Inspections are documented | ||||||
| Forklift Operators are trained in safe forklift operation, inspection and fuel exchange | ||||||
| Forklift training is current within 3 years | ||||||
| Forklift Operators have undergone a practical evaluation within the last 18 months | ||||||
| Forklifts are inspected at the beginning of every shift before use | ||||||
| Inspections are documented | ||||||
| Crane operators are trained in safe crane operation and inspection | ||||||
| Crane training is current within 3 years | ||||||
| Cranes are inspected at the beginning of every shift before use | ||||||
| Inspections are documented | ||||||
| Inspection reports are forwarded to Management for review | ||||||
| 9.1 | Planned Preventative Maintenance Program | |||||
| Inventory of equipment requiring preventative maintenance is available | ||||||
| Inventory list describes what type of maintenance is required | ||||||
| Preventative Maintenance reports are completed for all maintenance performed (internally or externally) | ||||||
| Reports are kept on file for a minimum of one year | ||||||
| 9.2 | Snow Removal and Salting | |||||
| Log sheets are completed when shoveling or salting takes place in the winter | ||||||
| 10.1 | Accident / Incident Investigation Program | |||||
| Manager, Supervisors and JHSC Members have received training in Accident Investigation | N | |||||
| Documentation of training is available | N | |||||
| Accident Investigations are being conducted for all injuries and near misses | ||||||
| Accident Investigation reports are completed for all investigations | N | |||||
| JHSC is forwarded copies of all Accident Investigation reports | N | |||||
| 11.1 – 11.6 | Continuous Improvement Program | |||||
| Health & Safety Action Plan has been created for the next year | N | |||||
| Management staff meets at least once every three months to review Health & Safety program implementation, changes and enhancements | N | |||||
| Additional Health & Safety communications are available throughout the facility | N | |||||
| 12.1 | WSIB Early & Safe Return to Work Program | |||||
| All employees have been trained in Return to Work program requirements | N | |||||
| Managers have access to copies of Form 7, FAF, modified work offers, etc. | N |
NOTES:
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WORKPLACE INSPECTION
| Item | Yes | No | Notes | Ownership | Target Date |
| EXTERIOR | |||||
| Is parking area well lit? | |||||
| Is parking area and sidewalks free of obstructions, ice, snow, debris, etc.? | |||||
| ENTRANCES | |||||
| Are entrances well lit? | |||||
| Are doorways free of slip and trip hazards? | |||||
| OFFICE AREAS | |||||
| Is office area well lit? | |||||
| Is area free of slip and trip hazards? | SALT NEEDED DURING WINTER MONTHS | ||||
| Is housekeeping acceptable? | |||||
| Are electrical cords and wires in good condition and out of the way? | |||||
| Are materials stored properly? | FIRE BOXES INSTALLED WHERE REQ’D | ||||
| Are fire extinguishers accessible and inspected? | |||||
| Does emergency lighting work? | |||||
| Are aisles and exits kept clear? | |||||
| Are employees working safely? | |||||
| PRODUCTION AREAS | |||||
| Are production areas well lit? | STUDIOS OFTEN DARK – LIGHTING REQUIRED | ||||
| Is area free of slip and trip hazards? | |||||
| Is housekeeping acceptable? | |||||
| Are machines properly guarded? | |||||
| Are machines and equipment being used safely? | |||||
| Are items properly stored? | |||||
| Item | Yes | No | Notes | Ownership | Target Date |
| Is PPE available and used? | |||||
| Are fire extinguishers accessible and inspected? | |||||
| Does emergency lighting work? | |||||
| Are aisles and exits kept clear? | X | FIRELANES NEED TO BE CLEARED IN STUDIOS as per NFPA | |||
| Are employees working safely? | HARD HATS NEED TO BE ACCESSIBLE | ||||
| STORAGE AREAS | |||||
| Are storage areas well lit? | |||||
| Is area free of slip and trip hazards? | |||||
| Are items stored safely on shelves? | |||||
| Are shelves / racks suitable for the load? | |||||
| Are shelves firmly secured? | NYLON STRAPS REPLACED WITH STEEL | ||||
| Are items stored away from overhead heaters and sprinklers? | |||||
| Are ladders and step stools stored properly? | |||||
| Are chemicals stored properly? | |||||
| Are all chemicals properly labeled? | |||||
| Are SDS’s current and available? | COPIES SHOULD BE READILY AVAILABLE | ||||
| Is PPE available and stored properly? | |||||
| Is PPE in good condition? | |||||
| Are materials stored at least 1 meter away from electrical panels? | |||||
| Are electrical panels clear of flammables and/or combustibles? | |||||
| Are employees working safely? | |||||
| FIRST AID | |||||
| Is First Aid kit accessible? | |||||
| Item | Yes | No | Notes | Ownership | Target Date |
| Is First Aid kit fully stocked? | |||||
| Does First Aid station have appropriate postings? (Form 82, Reg. 1101, Certificates) | |||||
| Are emergency eyewash stations accessible and in proper working order? | |||||
| FORKLIFTS | |||||
| Are loads being lifted and transported safely? | |||||
| Are operators trained and authorized? | |||||
| Are operators wearing their safety belts? | |||||
| Are battery/propane changing areas properly designated and arranged? | LEAK KITS AND REFILL AREAS NEED TO BE DEFINED | ||||
| GENERAL | |||||
| Are all required materials posted? | |||||
2020 HEALTH AND SAFETY ACTION PLAN
| NO. | OBJECTIVE | RESPONSIBILITY | TIME-LINE | PROGRESS |
| NO. | OBJECTIVE | RESPONSIBILITY | TIME-LINE | PROGRESS |
