| HAZARD |
satisfactory |
Needs
Attention |
Target Date of
Correction |
Date
Corrected |
| Do you have a written, effective Injury and Illness Prevention Program? |
|
|
|
|
| Do you have a person who is responsible and has authority for overall activities of the Injury and Illness Prevention Program? |
|
|
|
|
| Do you have a system for identifying and evaluating your workplace hazards? |
|
|
|
|
| Do you systemically correct these hazards in a timely manner? |
|
|
|
|
| Do you provide training in both general and specific safe work practices? |
|
|
|
|
| Do you encourage employee participation in health and safety matters? |
|
|
|
|
| Do you maintain an ongoing safety training program? |
|
|
|
|
| Do you have a system in place that ensures employees will be recognized for safe and healthful work practices? |
|
|
|
|
| Will employees be disciplined for unsafe safety or health acts? |
|
|
|
|
Is there a labor-management safety committee?
(Optional) |
|
|
|
|
| If there is no safety committee, is there a system in place for communicating safety and health concerns to employees? |
|
|
|
|
| On construction sites, is a Code of Safe Practices posted? |
|
|
|
|
| Are "toolbox" meetings conducted every 10 days, or sooner if appropriate? |
|
|
|
|
| |
|
| Name |
Date |
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