D3. Working Safely D3.1 #18 Are workers complying with safe work procedures, company safety rules, manufacturer standards and regulatory requirements? O D I Total 0 0 0 0-10 0 0 /10 Intent: The company needs to set and maintain expected levels of behaviour. While ‘safety is what happens when no one is watching’, auditor observations indicate how seriously workers are treating the system. O - Award up to 10 points based on % observations of workers following applicable company, regulatory and manufacturer requirements. Requirements, as appropriate to company activities and their risk levels, include but are not limited to: Hiring Contractors Lockout Manual Tree Falling Commercial Vehicles Equipment Operations Respiratory Protection Having Young Workers (under age 25) and Remote Accommodations Working near High Voltage Lines High Hazard Materials Assigning Contractor status Working at Heights Combustible Dust Hot Work Confined Space Working over or on Water Where particular company activities are not observable on the day(s) of the audit, interview workers as a replacement for the particular observations, scoring as observation and clearly noting the scope of the method substitution in the audit note. Audit Note: Recommendations and Resources:
I3.5 Do case records support that the procedure for initial and ongoing contact with absent workers is being used? O D I Total 0 0 0-5 0 /5 D - Award up to 5 points based on the % of case files showing initial and ongoing contact being followed. If are no case files, score the question as ‘N/A’ and adjust the score accordingly. If this question is not applicable (but the element as a whole is applicable) leave the score blank and add ‘5’ to the ‘Not Applicable’ cell at the end of the element. Audit Note: Recommendation: I3.6 Is there a procedure to develop, approve, monitor and modify case specific IM/RTW plans? O D I Total 0 0 0,10 0-10 /20 D - If the company has a procedure to develop, approve, monitor and modify IM/RTW case plans, award 10 points. The process must include a mechanism to set and modify plan end-dates. I - Award up to 10 points based on the % of interviewed IM/RTW Coordinator (and any other company personnel involved in case plan decisions) being able to describe the company process to develop, approve, monitor and modify IM/RTW case plans, including the mechanism for setting and modifying end-dates. Note:
Company Profile Complete all fields – an incomplete NOAA cannot be processed Company’s audit due date: This form is a Pre-Audit NOAA This form is a Post-Audit NOAA Type of Audit – check all that apply (double-click each box to activate) Certification Student Verification Administrative Maintenance Gap Analysis IM/RTW Limited Scope Recertification Team list members in sec I. A.M.A.P. yr 1 Phased – part of A.M.A.P. yr 2 Combined - Must use Joint NOAA MAGSAFE 1 W.I.V.A. SAFE Only – no COR Other: BASE Version 4 Internal External Company Information Legal Company Name: Company Trade Name/dba: WorkSafeBC account: SAFE Certification #: Mailing Address: City: Postal Code: Street Address: (if different from mailing address) City: Postal Code: Company Contact: Position: Phone: Email: Audit Period Complete estimated for pre-audit. Complete both for Start Date Date of last data collection Report Submission Date Estimated Actual
Scope of audit List all WorkSafeBC CUs, their fixed locations, and operating sites. Indicate if work activity is intended (pre-) and actually present in the audit. If the company contact is unsure of CUs or locations, please contact the BC Forest Safety Registrar. Insert additional rows the total line if necessary interviews performed are automatically calculated with <CTRL-A><f9> (or when opening or printing) C U LOCATION WSBC fixed location name or address (list separately for each CU) SITE site name (if more than one site per location) COUNT Total personnel at each site Sites selected for visit Number of personnel interviewed for current audit Scheduling for current audit This year 1 yr ago 2 yrs ago 3 yrs ago Pre-NOAA = planned Post-NOAA = actual Auditor Start Date End Date M S W M S W M S W M S W M S W M S W M S W M S W M S W M S W M S W Maximum from table E on previous page: Total interviews 0 M 0 S 0 W 0 Minimum interviews required for count on line above based on table J on following pages: % of total interviews that are worker interviews: Min 80% worker interview target Comments, notes, descriptions regarding sampling plan (pre- or post-): (Attach additional pages for proposals for and/or outcomes of special time frames, unique sampling protocols, etc. This space can be used on the post-audit form for justifying why a particular plan was not met.
Component Results Score – OHS Score - RTW SAFE Companies SAFE Certification Probationary SAFE Certification / Endorsement / Limited Scope / Not Successful 0% 0% N/A Component Scope of Operations Certified conditions Limitations Company without Contractors Company hires Contractors Company Assigns Prime Contractor Status are examples) Forestry Operations Only (name) site only Excludes (activity) WIVA: Pass WIVA: Minor Nonconformity WIVA: Major Nonconformity WIVA: Non-compliance This section is completed during the audit QA process by the COR Administrator Component Company Intent Certification Outcome COR Eligibility - OHS Intended for COR NOT Intended for COR Eligible for COR PARTIALLY Eligible for COR NOT Eligible for COR Offered Limited Scope COR Eligibility - RTW Intended for COR NOT Intended for COR Not Included in audit Eligible for COR PARTIALLY Eligible for COR NOT Eligible for COR Offered Limited Scope N/A