The list below contains examples of documentation that can be attached to the SECOR submission to verify the questions listed Question Documentation Documents to submit A1 Health & Safety Policy Directive Document A2 Documented Employee Awareness - *please submit for all employees Document samples for all current employees A3 Health and Safety Roles and Responsibilities Directive document A4 Communication of Responsibilities - *please submit for all employees Document samples for all current employees A5 Legislation list and awareness Directive document B1 Position inventory table Directive document B2 List of Directive document B3 List of hazards Directive document B4 Policy / Procedure to evaluate risk Directive document B5 Hazard assessments Formal Hazard assessment for all positions in inventory
Safe Work Permits Prime Contractor Info forms Incident/near miss Field Level Hazard assessments Employee Breakdown and Sampling Details table Complete the following: Employee Breakdown and Sampling Details Levels Total Number Departments/Shifts List departments, and (if applicable) shifts Dept./shift totals Total Employees Casual Managers Supervisors Workers Total Employees Contractors Visitors List of Employees Employee Name Length of Time with Company Position
B7 Is there a system or documented process to create or review/revise formal hazard assessments: • when new operations, equipment, materials or products are introduced, • when operations or equipment are modified, and • on an ongoing scheduled basis? Answer the audit question in the Notes and Attach a reference from the safety manual which confirms that formal hazard assessments will be reviewed for accuracy whenever the operation changes. These documents should demonstrate ongoing review of formal hazard assessments. This may include meeting minutes, supervisor’s log book, assessment documents, etc. These documents should describe how and when these reviews occur. Changes to operation may include: new equipment purchased, new services offered, facility renovated, etc. /0,2 B8 Is there an inspection policy which outlines: • Types of inspections • Frequency of each type • Who is responsible for conducting each type of inspection • A checklist to follow, and • A means of tracking corrective actions Answer the audit question in the Notes and Attach the inspection policy that confirms that these topics have been covered. /0-6
B9 Have inspections been completed and any deficiencies corrected as outlined by the company's written policy? Answer the audit question in the Notes and Attach an example of each type of inspection from each quarter of the previous year where applicable. Corrective measures need to be implemented in a timely manner pertaining to the deficiencies identified. ***If an inspection is only conducted once a year, such as sprinkler systems or CVIP, then only one sample is required. /0-5 B10 Have employees conducting inspections received training that is appropriate to what is being inspected? Answer the audit question in the Notes and Attach training records to confirm that employees conducting inspections are trained to an appropriate level. This may include documented training, orientation, safety meetings that provided instruction on inspections, or third party training. - *please submit for all employees /0-10 B11 Is there a system that allows employees a means of reporting existing or new hazards which includes; • What is reportable • How to report it • Who is responsible for investigating and correcting reported concerns Answer the question in the Notes and Attach a Hazard Reporting Policy that confirms that the topics in the question are covered. /0-4
B12 Is a hazard reporting process in use and do the reports include; • A description of the hazard and its location • An assessment of the risk it represents • Control measures needed • Interim actions • follow-up or sign-off Answer the audit question in the Notes and Attach examples of completed hazard reports that address the requirements outlined in the question. /0-10 Total Points Possible: 89 Minus N/A = _____ ___ / ___
E4 Has training been provided to employees given specific responsibilities in the Emergency Response Plan? Answer the question in the Notes and Attach documentation that confirms that appropriate training has been conducted to all employees as pertains to their duties within the Emergency Response plan. For example; Some staff may be trained only in evacuations but others may have confined space rescue training. (First Aid, signed off emergency drills, etc.) /0-6 E5a Is a process/form to evaluate the Emergency Response Plan for effectiveness, including: • The emergency scenario being tested • Signatures of attendees • Date and location of drill • identifying deficiencies and a means of correcting the deficiencies Answer the question in the Notes and Attach Emergency Response Plan process or form. The process or forms are to include the following; • The emergency scenario being tested • Signatures of attendees • Date and location of drill • a means to identify deficiencies and correct them /0,2 E5b Is the process and schedule for testing the ERP met annually? Answer the audit question in the Notes and Attach completed records of emergency response drill(s) / table top drills completed within the last 12 months. /0-8
F4b Are investigations being completed? Answer the question in the Notes and Attach samples of completed investigations for the last 12 months confirming that the investigation documentation includes all the identified criteria. /0-8 F5 Has investigation training been provided to individuals assigned the task of investigation? Answer the audit question in the Notes and Attach training records to confirm that employees conducting investigations are trained to an appropriate level. This may include documented on-the-job training, orientation, safety meetings that provided instruction on investigation, or third party training. /0-10 F6 Are near-miss incidents being reported as per policy? Answer the question in the Notes and Attach samples of near-miss incident reports. /0-7
G3c Are these completed plan(s) (developed in consultation with the prime contractor for ensuring workplace health and safety) effectively communicated to affected employees? Answer the question in the Notes and Attach documentation (For example; Safe Work Permits, Hot Work Permits, critical task procedure, or meetings that include hazards and control measures.) which confirms that a plan was developed with the Prime Contractor. and communicated with employees. This question is not applicable (n/a) if the operation does not work as a contractor or a sub‐contractor. /0-8 G4 Has an action plan been developed to address all the deficiencies in the previous year's audit? including; • person responsible • target completion dates • actual completion dates (if applicable) Answer the audit question in the Notes and Attach the previous year’s action plan that was developed from the previous audit deficiencies if there were any. For each item on the action plan, the person responsible should be identified. Target completion dates and (if applicable) actual completion dates should be noted for each action item. n/a if no deficiencies were identified during QA evaluation of the previous year. /0-8