Work Refusal Notification Form
Tina Tsonis2022-09-07T09:59:01-07:00You’re not allowed to assign somebody to perform work that’s currently subject to another worker’s work refusal unless and until you notify the worker to whom you propose to assign
AEDs Re-Stocking Form
Tina Tsonis2022-08-10T09:28:01-07:00It’s important to replace AED equipment immediately after each use so that the device is ready for effective use without delay. Here’s a form you can adapt to ensure effective
AEDs Post-Incident Cleaning Protocol
Tina Tsonis2022-08-10T09:16:26-07:00It’s important to clean the AED and replace the pads and other equipment immediately after each use so that the device is ready for effective use without delay. Here’s a
AEDs Incident Report Form
Tina Tsonis2022-08-10T09:09:29-07:00Record of AED Use & First Aid Rendered Here’s a form, which comes from the Canadian Red Cross, that you should complete any time you use your AED in a
Rejection of JHSC Recommendation Notice
Tina Tsonis2022-08-04T13:13:34-07:00Here’s a template you can adapt to reject a JHSC recommendation that you consider unrealistic, based on a hypothetical situation in which a JHSC recommends adopting the CSA lockout standard,
Workplace Naloxone Incident Debriefing Form
Tina Tsonis2022-06-06T11:56:44-07:00In addition to an incident report form to be completed immediately after a workplace naloxone overdose incident occurs, you should get staffers involved to debrief you on the effectiveness of
Naloxone Hazard Incident Report
Tina Tsonis2022-06-06T11:49:14-07:00If you have a workplace naloxone program, you need to keep records of overdose incidents to document and review the effectiveness of your response efforts. Here’s a template incident report
Naloxone Hazard Workplace Assessment Form
Tina Tsonis2022-06-06T11:27:21-07:00Should you implement a naloxone program in case somebody suffers an opioid overdose at your workplace? Here’s a template assessment form you can use to make that determination. Note: If
Naloxone Distribution & Use Log
Tina Tsonis2022-06-06T10:43:15-07:00Tracking information about distribution and use of naloxone is crucial to ensuring a continual fresh supply of the drug and monitoring the effectiveness of your program. Here’s a template log
Hazardous Spill Reporting Form
RoryL2022-05-04T08:53:04-07:00As with any health and safety incident, prompt reporting of spills is crucial to effective response. Here’s a template you can adapt to capture the essential details about the spill
Daily Trench/Excavation Log
RoryL2022-08-04T16:00:08-07:00BENEFITS Trenches and excavations pose hazards to both the workers who work inside them and those on the surface. For example, these confined spaces can suffer cave-ins or collapses and
Transportations of Dangerous Goods Training Certificate
Tina Tsonis2022-01-10T11:37:23-08:00Here’s a certificate you can issue to workers who successfully complete required Transportation of Dangerous Goods training.
Supervisor Annual Safety Performance Appraisal Template
Tina Tsonis2021-11-10T08:52:24-08:00Using performance appraisals to hold supervisors accountable for safety. To establish supervisor accountability, job descriptions should define safety-related functions in terms of discrete and measurable tasks and then annually evaluate
Supervisor Job Description: Safety Responsibilities
Tina Tsonis2021-11-10T08:48:36-08:00A template you can adapt to communicate safety expectations for supervisors. To establish accountability, job descriptions should define safety-related functions in terms of discrete and measurable tasks. The Job Description
Mobile Crane Operator’s Daily Log Book Template
Tina Tsonis2021-10-13T15:38:51-07:00Before operating a crane, hoist or lifting device at the start of work each day, the operator must make a visual inspection to ensure that the equipment is safe and
Mobile Crane Daily Log Book Annual Review Record
Tina Tsonis2021-10-13T15:34:44-07:00Crane logs must not only be kept but also reviewed at least once a year. Many jurisdictions require employers to ensure that specific log books for each crane used at
Religious Accommodations Request Form
RoryL2021-07-07T21:43:46-07:00Under human rights laws, workers with sincerely held religious beliefs are entitled to accommodations from company safety and other policies provided that they don’t impose undue hardship. So, you need
Respirator Fit Test Form
RoryL2021-07-05T17:52:10-07:00Ensure workers required to use respirators perform proper fit tests. Here’s a Respirator Fit Test form from WorkSafeBC that you can adapt for your own use.
Contact Check Frequency for Workers Working Alone Worksheet
RoryL2021-10-14T14:22:16-07:00How often must you check on workers who work alone or in isolation? One of the most critical elements of meeting the OHS requirement to ensure effective communication with workers
Acknowledgement of Workplace Harassment Training Form
RoryL2021-03-05T22:55:52-08:00OHS laws require employers to ensure that all workers, supervisors and managers receive awareness education and training on workplace harassment when they first start employment and on a regular basis
Workplace Harassment Complaint Form
RoryL2021-03-05T22:37:29-08:00OHS laws require employers to provide a clear and accessible method for workers to submit complaints about the workplace harassment they experience or witness. In addition to being required by
Patient Care Service/Unit Emergency Response Plan (ERP)
RoryL2021-02-18T23:06:49-08:00This Template and appendices are provided to assist in the development of Department/Unit Level Emergency Response Plan (ERP). An ERP is generally required for each Administrative and Patient Care work
OHS Training Log
RoryL2021-02-03T16:27:52-08:00Keep detailed records of the safety training you provide to each worker. In addition to documenting that you provide required OHS training, maintaining a training log like the one below
COVID-19 Pre-Entry Daily Health Check Confirmation Form
RoryL2021-02-02T18:14:04-08:00Make sure your workers check themselves for COVID symptoms and risk factors each day. Public health guidelines in some jurisdictions now require employers to not only perform pre-entry COVID-19 screening
COVID-19 Pre-Entry Notification Form
RoryL2021-02-02T16:19:39-08:00Require workers to perform self-health checks for COVID-19. Posting a notification like this warning people with COVID-19 symptoms or other risk factors not to enter your workplace can help protect
Decline of Vaccination Acknowledgement Form
RoryL2020-12-18T18:56:51-08:00If employees refuse to get a flu or COVID-19 shot, make them put it in writing. Like many employers, you may encourage your employees to get a flu shot, or
Workers with Special Needs Emergency Evacuation Assessment
RoryL2020-12-09T17:24:10-08:00To ensure safe emergency evacuation of disabled workers you must first determine their special needs.
Indoor Air Quality Complaints Log
RoryL2020-11-12T17:51:19-08:00Keeping worker IAQ complaint records enables you to identify patterns and long-term problems. Investigating worker complaints is a key part of maintaining indoor air quality (IAQ) to the extent they
Indoor Air Quality Complaint Form
RoryL2020-11-12T17:47:47-08:00Get the information you need to properly investigate workers' IAQ complaints. Responding to worker complaints is a key part of maintaining indoor air quality (IAQ) to the extent that they
Workplace Violence & Harassment Hazard Assessment Form
RoryL2020-09-25T22:07:07-07:00Your workplace violence hazard assessment should also target harassment. Federal OHS laws (Bill C-65) require employers to perform a hazard assessment of not only workplace violence but also harassment. Rather