Orientation and Safety Manual Verification

Safety Manual Verification

How many feet is the Fall Hazard Area based on the information from the Fall Protection section of The Manual?

Do you understand the procedures for refusing Unsafe Work based on The Manual? List the first steps to be taken in the event of unsafe work or condition at the worksite.

What are 5 standard pieces of PPE that must be worn on all sites as per The Manual?

What is the Safety Expectation that is noted in Company Safety Policy included in The Manual?

Safety Checklist Verification

If you are on a repeat job, you must be at the office 1 hour before the scheduled start time. If you can’t return for any reason you must call & leave a message so we can replace you for the day.

Confirm*

If you walk-off a job or are asked to leave a job site for any reason, your pay cheque may be held for 2 weeks and your employment could be terminated

Confirm*

I recognize that regardless of duration of the assignment, or previous history with site management, I will always remember that CONSTRUCTIVE SOLUTIONS is my EMPLOYER.

Confirm*

The yellow copy of your timesheet must be completed in full by site management and submitted to the office prior to payment. The original yellow time sheet must be brought to the office prior to end of work week. When using electronic tickets or the "Workline App", the completed version must be submitted to the office by site management prior to payment being issued.

Confirm*

Signature(Required)

Safety Orientation Checklist

I have Read and Understand the following Sections of the Constructive Solutions Group Safety Orientation Manual:

Company Safety Policy & Responsibility for Health & Safety(Required)

I have read and understand.

Personal Protective Equipment (P.P.E)**(Required)

i. Head Protection, Foot Protection, Appropriate Clothing
ii. Hand, Hearing and Respiratory Code of Practice

I have read and understand.

Fall Hazard / Fall Protection(Required)

i. Fall Hazard Areas – 10 ft Rule
ii. Fall Protection (Guardrails/Barricades, Control Zones, Harnesses and Safety Belts)

I have read and understand.

W.H.M.I.S. (Workplace Hazardous Material Information System)(Required)

i. Labeling
ii. Material Safety Data Sheet (M.S.D.S.)
iii. Education – how WHMIS works

I have read and understand.

Back/Muscular Injury Prevention(Required)

I have read and understand.

Emergency Preparedness

I have read and understand.

Reporting Procedures(Required)

i. Injuries – all injuries must be reported immediately
ii. Hazards – any observation of unsafe or harmful conditions must be reported immediately

I have read and understand.

Injury & Modified Work Procedures(Required)

I have read and understand.

Refusal of Unsafe Work(Required)

I have read and understand.

Violence in the Workplace, Personal and Sexual Harassment, Zero Tolerance Policy & Disciplinary Policy(Required)

i. Violence in the Workplace will not be tolerated
ii. I have read and understand Constructive Solutions Disciplinary Policy
iii. I understand and respect the Personal and Sexual Harassment Policy

I have read and understand.

Work assignments require all employees have and properly use PPE(Required)

Safety equipment required on site is the responsibility of the employee. CSA approved steel toed rubber boots, if required can be borrowed (signed out) by the employee, with the understanding that they will be returned at end of day. CSA approved hard hats, high-visibility vests, gloves and eye-protection is available for a cost through Constructive Solutions, and can be deducted from your daily pay cheque accordingly.

I have read and understand.

Signature

WHMIS 2015 QUIZ

Please refer to Health and Safety booklet for WHMIS information.

1. The main purpose of WHMIS is:

A. To save money

B. To promote education

C. To help workers use hazardous products safely

D. To cut down “red tape”

2. The most important aspects of WHMIS are:

A. Hazardous materials

B. Safety rules

C. Labels, MSDS and Education

D. Gloves, respirators and boots

3. If a label becomes unclear or torn, etc., a worker should:

A. Just use a little of the product

B. Smell the product before using it

C. Put it back on the shelf

D. Report it to the supervisor

4. The Safety Data Sheet (Previously known as MSDS) should be:

A. Read before using a product. Will include hazardous ingredients, product and prep information, physical data, preventive measures and first aid measures

B. Kept in a locked file

C. Taped on containers

D. Sent to all departments

5. If an item on a SDS cannot be understood, workers should:

A. Blame the boss

B. Throw it away

C. Ask questions in a training session and/or ask the supervisor before using the item.

D. Refuse to go along with WHMIS

6. Workplace labels:

A. Are not worth the bother

B. Are too complicated to understand

C. Include information for safe use, must have name of product, name of company that sold it, hazard symbol, risk phrases, precautionary measures, first aid measures, all text in English and French and have the signal word, DANGER or WARNING

8. “Routes of entry” for chemicals include:(Required)

A. Open doors and windows

B. The heart & liver

C. Perspiration and saliva

D. Inhalation, ingestion and absorption

7. First aid information can be found:(Required)

A. On supplier labels and SDS

B. On workplace labels

C. In Staff Relations

D. On the back of labels

9. Chronic exposure to hazardous materials:(Required)

A. Won’t occur if the label is read

B. Is not serious

C. Occurs over a period of time

D. Requires first aid

10. Flammable and combustible materials:(Required)

A. May be stored with oxidizers

B. Should not be stored near corrosives

C. Should not be used.

D. Are not included in WHMIS

11. What are the procedures to follow in case of an emergency involving a controlled product?(Required)

A. Scream help and run away

B. Immediately alert area occupants and supervisor and evacuate area if necessary, call 911 if fire or medical attention is needed. Depending on the controlled substance, respiratory protection may need consideration. Follow SDS.

C. Call 911

D. Just clean it up.

12. Complete the following: WHMIS stands for:(Required)

A. Work, Hike, Move, Site

B. Water, Honey, Milk, Sugar

C. Workplace Hazardous Materials Information System

D. William, Henry, Matt, Ike, Sam

13. Match the Label with the appropriate WHMIS 2015 symbol.(Required)

Flammable products

Corrosives

Oxidizers

Gases under pressure

List(Required)

May cause or suspected of causing serious health effects

Reactivity hazard

May cause less serious health effects

Can cause death or toxicity with short exposure

Signature

Safety Equipment / Certification Agreement

All employees must recognize that Safety Equipment is not an option.(Required)

Every worker will wear all Personal Protective Equipment that is required on site, and by OH&S and/or other Regulatory Agency/Body. All Safety Equipment required on site is the responsibility of the employee to have and to use properly.

I have read and understand.

The use of certain types of equipment require training and certification.(Required)

(example: zoom booms, lifts). All employees recognize that having valid certifications is required and is not an option prior to operating certain types of equipment.

I have read and understand.

The completion of certain types of tasks require training and certification.(Required)

(example: Working at Heights, Traffic Control). All employees recognize that having valid certifications (example: Fall Protection) is required and is not an option prior to completing these tasks.

I have read and understand.

Final Confirmation(Required)

You agree to follow all rules and policies addressed in the Orientation/Policy and PPE Manual, and to follow all rules and regulations according to the OH&S Standards and other Regulatory Agencies/Bodies.

I have read and understand.

Signature

Your Information

Which location have you been employed with?

Vancouver

New Westminster

Abbotsford

Kelowna

Edmonton

Calgary

Toronto

Name(Required)

First Last

Email(Required)

Your Phone(Required)

Recognition

Date(Required)

MM slash DD slash YYYY

Terms and Conditions(Required)

The checkbox below is recognition that the Employee and the Employer agree that the Safety Orientation / Policy Manual has been satisfactorily completed and understood.

I agree to the terms and conditions.

Signature

CAPTCHA

CONFIRMATIONOrientation and Safety Manual Verification

Safety OrientationReview & Completion Requirements

Complete Form

Safety Manual Verification

Safety Checklist Verification

Safety Orientation Checklist

WHMIS 2015 QUIZ

Safety Equipment / Certification Agreement

Your Information

Recognition

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