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.

1.1Health and Safety Policy Statement    
 Signed    
 Dated    
 Posted    
 Current within one year    
2.1Employers Health & Safety Responsibilities     
 Trained in legislated requirements    
 Completing Performance Evaluations for Managers    
2.2Managers / Supervisors Health & Safety Responsibilities    
 Trained in legislated requirements    
 Job Documents created for all management positions    
 Managers completing Performance Evaluations for Supervisors    
2.3Employees 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    
2.4Contractors Health & Safety Responsibilities         
 Clearance Certificates obtained    
 Contractor Safety checklists completed    
       
       
2.5Visitors Safety Program     
 Visitors Policy available    
 Sign-in book being used    
2.6Health & Safety Coordinator Responsibilities     
 Trained in legislative requirements    
 Familiar with all elements of program    
 Involved in JHSC activities    
3.1Health & 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)    
       
       
4.1Job Task Analysis     
 JTA’s created for all jobs within the company    
 Job hazards rated for severity and frequency    
 Controls identified    
4.2Operating Procedures     
 O.P.’s created for all jobs within the company    
 Employees signed off on each O.P. they have been trained on    
4.3Response to Work Related Illness/Injury     
 All employees trained in their responsibilities    
4.4Hazard Reporting     
 All employees trained in their responsibilities    
 Hazard reporting form being used    
 JHSC reviewing all hazard reports    
4.5 – 4.16Emergency 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    
4.17Right to Refuse Unsafe Work     
 All employees trained in their responsibilities    
 Work refusals documented    
4.18Lockout 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    
4.19Purchasing Policy     
 Documented Pre-use inspections for new equipment    
4.20Personal Protective Equipment     
 PPE is available    
 Workers trained in use of PPE    
 JHSC inspects PPE during monthly inspections    
 Supervisor inspects PPE during daily inspections    
4.21Welding and Hot Work Program     
 All affected employees trained in Welding and Hot Work requirements    
 Hot work permit process is being used    
4.22Fall and Slip Prevention     
  All employees trained in their requirements    
 Fall Arrest equipment available if applicable    
 Fall Arrest equipment is being used properly    
4.23MSD Prevention Program     
 All employees trained in their requirements    
 Management has identified MSD hazards throughout the workplace    
5.1 – 5.5Joint 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 – 6.2Training Needs Review     
 Completed Training Review Matrix available    
6.3WHMIS 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    
6.4Employee 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    
6.5Manual Material Handling     
 All employees trained in proper material handling procedures    
 Training is documented    
6.6 – 6.9Employee 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    
7.1First 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    
8.1Workplace 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    
8.2Pre-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    
9.1Planned 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    
9.2Snow Removal and Salting     
 Log sheets are completed when shoveling or salting takes place in the winter    
10.1Accident / Incident Investigation Program     
 Manager, Supervisors and JHSC Members have received training in Accident InvestigationN   
 Documentation of training is availableN   
 Accident Investigations are being conducted for all injuries and near misses    
 Accident Investigation reports are completed for all investigationsN   
 JHSC is forwarded copies of all Accident Investigation reportsN   
11.1 – 11.6Continuous Improvement Program     
 Health  & Safety Action Plan has been created for the next yearN   
 Management staff meets at least once every three months to review Health & Safety program implementation, changes and enhancementsN   
 Additional Health & Safety communications are available throughout the facilityN   
12.1WSIB Early & Safe Return to Work Program     
 All employees have been trained in Return to Work program requirementsN   
 Managers have access to copies of Form 7, FAF, modified work offers, etc.N   

NOTES:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

WORKPLACE INSPECTION

ItemYesNoNotesOwnershipTarget 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?
ItemYesNoNotesOwnershipTarget Date
Is PPE available and used?
Are fire extinguishers accessible and inspected?
Does emergency lighting work?
Are aisles and exits kept clear?XFIRELANES 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?
ItemYesNoNotesOwnershipTarget 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