Template Information
Quarterly dosh station checklist
Category: general
Template Questions
- Hazard Legend:Type A Hazard: Imminent hazard that requires correction IMMEDIATELYType B Hazard: Urgen
- Reporting a safety hazard to WSI (A, B, C)- Call 1-877-222-3112 (press 1 if urgent issue)- Document d
- Reporting Info:- Please document any hazards and action taken on "Summary" page- When completed, sele
- A1. Aisles clear
- A2. Bay doors complete with working safety bars
- A3. Bay door manual mechanism working
- A4. Drains maintained
- A5. Drop cords secure and pigtails (18" from floor)
- A6. Fire extinguishers by exits (dated)
- A7. Floors (non slip) maintained
- A8. Furnace room (clean and tidy)
- A9. Ground faults working/ checked
- A10. No vehicle oil/ fluids found
- A11. Entonox storage- secure/ decal
- A12. Oxygen storage- secure/ decal
- A13. Oxygen storage (away from combustibles)
- A14. Main oxygen upright- valve caps/ secure
- A15. Segregation of incompatible material
- A16. Exhaust ventilation system working
- A17. Stairs (if applicable) clear and well lit
- A18. Hand rails secure
- A19. Switch/ plugs with covert plates
- A20. Tire storage low to ground
- A21. Eyewash station (bottle full; mounted near sink)
- B1. MSDS sheets in binder (complete, current)
- B2. WHMIS books
- B3. BCAS OSH Program manual
- B4. Safety Bulletin board
- B5. Copy of WCB regulations
- B6. Employee immunization records
- B7. Employee safety training tracking
- B8. Fleet management bulletin manual
- B9. Latest inspection posted
- B10. Minutes posted - DOSH committee (last 3 months)
- B11. Safe work procedures (posted/ filed)
- B12. Reporting forms (1130A, 2414, 2339, 2340, WCB)
- B13. Any asbestos listed/ marked
- C1. Electrical panel accessible
- C2. Electrical cords/ phone cords
- C3. Emergency lights
- C4. Fire extinguishers (dated) by exits
- C5. Floors maintained (non slip wax)
- C6. Furniture maintained
- C7. Handrails and stairwells illuminated
- C8. Smoke/ heat detectors
- D1. Exterior lighting
- D2. Snow/ ice removal procedure
- D3. Structure appears in good shape
- D4. Walkways clear/ lighted
- E1. Clean/ orderly
- E2. No heavy storage over 6 feet
- E3. Shelving bolted to walls
- F1. Lockers secure
- F2. Separate storage of flammables
- F3. Shelving secure
- F4. Spare spineboard(s) in good order
- F5. Stability of stored material
- F6. Storage of hazardous products
- G1. Electrical connectors
- G2. Electrical wires/ fixtures
- G3. General housekeeping & cleanliness
- G4. No tripping hazards
- G5. Outlet cover plates where required
- G6. Emergency exits with closures, marked/ visible
- G7. Fire evacuation procedures in place
- G8. Access/ egress unobstructed
- Please document any additional items requiring inspection below:
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- Electronic Signature