Contents This package contains sample and templates for joint health and safety committee work. You can modify and customize them for your own use. Rules of procedure — Template 5 of procedure — Sample 7 Meeting agenda — Template 10 Meeting minutes — Template 1 12 Meeting minutes — Sample 1 14 Meeting minutes — Template 2 16 Meeting minutes — Sample 2 17 Inspection checklist and report 18 Committee recommendations — Template 22 Committee recommendation — Sample 23
Risk assessments conducted Site inspections conducted OHS program reviews Site-wide education programs delivered Recommendations made to employer This period Year-to-date Reports First aid Incidents Incidents requiring investigation (resulting in worker injury or near misses) Optional: property damage incidents, environmental impact incidents, threats of violence Inspections Equipment Facilities Work practices WorkSafeBC Health & safety association Other OHS reports COR audit WorkSafeBC Training and education New and young worker training Equipment and work procedures training First aid Item # Who Target date Old business Number of items for ease of reference If item is incomplete, provide status update New business Injuries Incidents Near misses First aid only Medical aid only Number of injuries Days lost due to injury Threats of violence This period This period last year
Year-to-date Meeting minutes — Sample 1 Joint Health and Safety Committee Meeting Meeting date: Oct. 26, 2016 Call to order: 11:01 am Adjourned: 12:55 pm Previous meeting: Sept. 28, 2016 Minutes approved: yes Next meeting: Nov. 23, 2016 Committee members present Parvinder Atawall (W) Y Der – Co-chair (E) Y Chris Green (W) N Jay Jerowski (W) Y Mary Lee – Co-chair (W) Y Georgia Martino (E) Y Orville Stewart (E) Y Kim Trang (W) Y Last committee evaluation: Feb 2016 Next committee evaluation: Feb 2017 Risk assessments conducted Site inspections conducted OHS program reviews Site-wide education programs delivered Recommendations made to employer This period 2 3 2 1 2 Year-to-date 16 22 8 5 5 Reports First aid summary reports Operator struck knee on step when exiting vehicle Worker reported feeling from paint vapours Quarterly report on first aid statistics, including location and type of injury or illness Incidents Operator slipped when exiting vehicle, striking his knee on step Near miss: pry bar fell from a 6-foot-high shelf, nearly striking worker’s foot Near miss: a worker was reported working at a height of 20 ft. in the warehouse without using fall protection Near miss: damaged when forklift operator backed into a bin Inspections Oct 22: Zone C inspection completed, 5 action items identified Sept 29: Hearing conservation audit performed, 3 workers observed not using hearing protection, 1 worker new PPE Oct 4: Reviewed adherence to lockout procedures, no deficiencies noted OHS reports WorkSafeBC performed inspection of the new lockout and guards ordered for the wood chipper Training and education New committee member Jay Jerowski scheduled to take JHSC Fundamentals course next 3 workers scheduled to renew forklift training next week 1 worker due to renew TCP training, not scheduled yet Safe Fire Extinguisher Use presented at all shift meetings All committee members have now completed their basic training Kim Trang has requested to attend the MSI Investigations course in January
Item # Who Action due date Old business 2015-09-21-2 Violence prevention plan complete, with recommendations. to management for approval. Status: In progress Kevin Jan 2016-01-1 Safety upgrades to parking lot have been completed Status: Completed n/a n/a 2016-09-28-1 Review of new worker orientation & training program continues, with most departments providing input so far; review on track to be finalized with recommendations by next meeting Status: In progress Georgia and Chris Nov New business 2016-10-26-1 New committee member Jay welcomed, signed Rules of Procedure document Jay n/a 2016-10-26-2 Source Arabic-language signage for key and procedures Kim Nov 2016-10-26-3 Look into possible site-wide education events for NAOSH week in May Mary and Parvinder Jan 2016-10-26-4 Confirm that all workers due for training or renewal this calendar year have been scheduled Orville Dec 2016-10-26-5 Election to be held for new committee member to replace Orville, who is retiring in January Kevin Dec 2016-10-26-6 Recommendation for new paint booth discussed, agreed by consensus. Recommendation #2016-08 to be forwarded to management Nov 16 2016-10-26-7 Emergency evacuation drill to be scheduled Parvinder Jan 2016-10-26-8 Review new joint committee evaluation procedures in preparation for next evaluation scheduled for February Kevin and Mary Jan Injuries Incidents Near misses First aid only Medical aid only Number of time-loss injuries Days lost due to injury Threats of violence This period 2 2 2 0 0 0 0 This period last year 7 9 1 4 2 12 0 15 22 8 3 4 8 1