• Top of Page Audit Details Company Info Activities Training Audit Notes & Comments Authorization

Online Audit Instructions

    • Drag a column header and drop it here to group by that column
      SubjectFile NameSizePreviewCommentsRelatedCreated ByCreated On (Local Time)
      Attachment

 

Audit Details

    • Audit Type *
    • WorkSafeBC account number
    • Date this audit was performed *
    • Existing SAFE Certification number (if any)

 

Company Information

    • Legal Company Name *
    • Company Trade Name / Operating As
    • If submitting a joint audit, list other companies here

 

Auditor Information

    • Auditor's Full Name *
    • Main Phone *
    • Email Address *
    • Are you internal to the Company? *

 

Activities

    • Use the "Edit" button below to select all the work activities that apply to the company *
    • Edit
    • Does this audit cover all your operating locations and activities? *

 

You can find your Classification Unit on your most recent premium rate/assessment notice from WorkSafeBC or through Work Safe BC Classification Industry Rate

If you do not know your CU after looking it up, enter 111111 and we will call you to discuss if we can’t process it for you

    • Company Classification Units (CUs) *

 

Total Personnel Count information

To complete the Personnel count, you first need to determine the appropriate audit time period. Your audit should include the most recent information from the previous 12 months. You have two options for submitting your audit time period, either submitting your audit with the month prior to when you perform your audit or the same month of the audit. For example, if you complete your audit on December 12, 2019, then your audit time period would be December 2018 to November 2019 Total Personnel Count per Month for past 12 months:
(Count of personnel = owners + management + office + supervisors + workers + workers of dependent contractors)
(Maximum peak = 24 per month)(Maximum average permitted is 19.99)
Please review the attached document by clicking on (i) for further more information on how to enter personnel count info

Enter the personnel count for months you worked out of the last 12 months. Some months will be in this calendar year and some months may be in the last calendar year

    • Personnel Count Examples
    • Month Personnel Count
      January
      • * Required
      February
      • * Required
      March
      • * Required
      April
      • * Required
      May
      • * Required
      June
      • * Required
      July
      • * Required
      August
      • * Required
      September
      • * Required
      October
      • * Required
      November
      • * Required
      December
      • * Required
    • Personnel Count
    • Calculation Result:

 

Worker / Contractor Training List

List all personnel in the company; owners, management, supervisor, workers (include field and office) and workers of dependent contractors.

If the company has this information in an alternate layout (including electronic), please attach your document using the document attachment area at the top of this form.

‘Other’ training could include orientation, incident investigation, supervisory skills, injury management, etc. The headings above are samples and do not indicate that any particular company should track any particular training. Note: Submitting a training list in any format is worth 1 point in the Audit.
    • Training List
    • Click the "+Item" button above to launch the editing window and add rows to the training list table.


      If you would prefer, you can attach a document with the list of Worker/Contractor training in the attachments area near the top of this form.

 

Corrective Action Log

Note: Submitting a complete Corrective Action Log in any format related to the company safety program is worth one point in the audit.
    • Corrective Action Log

 

Company OHS Submission (Complete each question below)

    • Please complete each question.
      For each question, please attach the relevant information, or choose N/A and add a comment if the question does not apply to the company.

 

1. Submit the safety policy statement

(for certification and re-certification audits only)
    • Select how you will be submitting your safety policy statement *

2A. Submit the progressive discipline policy

(for certification and re-certification audits only)
    • Select how you will be submitting your progressive discipline policy *

2B. Submit the Personal Protective Equipment (PPE)

(for certification and re-certification audits only)
    • Select how you will be submitting your Personal Protective Equipment (PPE) Info *

3. Submit one Emergency Response Plan (ERP) for the largest project of the year

Must include at least fire, injury, fatality and natural disasters
    • Select how you will be submitting your Emergency Response Plan (ERP) *

4. Submit one completed first aid assessment

This may be for the company’s home/office if the company did not work during the past 12 months.
    • Select how you will be submitting your First Aid Assessment *

5. Submit a list of first aid equipment locations

    • Select how you will be submitting your First Aid Equipment Locations *

 

6. Submit a supervisor journal

Submit one page out of a supervisor journal or or electronic equivalent) or other documentation showing that the supervisor is supervising workers and/or contractors. e.g. a days’ collection of worker assessments, inspections and hazard assessments, etc.
    • Select how you will be submitting your supervisor journal *

7. Submit new worker orientation form

Submit one filled-out new worker orientation form that meets current regulatory requirements. If no new workers were hired, submit a compliant blank form that the company would use for the next new worker. Including the topic of Injury Management will also satisfy question I-8 of the optional Injury Management Audit.
    • Select how you will be submitting your new worker orientation form *

8. Submit one filled-out worker assessment

Submit one filled-out worker assessment if the company has a new worker, the assessment must be for the new worker.
    • Select how you will be submitting your worker assessment *

9A. Provide list of the company’s Safe Work Procedures (SWPs) that the company uses

    • Select how you will be submitting your Safe Work Procedures (SWPs) that the company uses *

9B. Submit two Safe Work Procedures (SWP) of your choice for evaluation

    • Select how you will be submitting your SWP investigation form *

10. Submit one completed investigation form

Submit one completed investigation form showing recognized investigation technique. (investigate a close call, near miss or property damage or use a training example if the company had no injuries)
    • Select how you will be submitting your investigation form *

11. Submit completed monthly safety (or pre-work) meeting document

Submit completed monthly safety (or pre-work) meeting documentation for all operating months within the past 12 months. • One meeting per operating month is required. Please submit only one per month. • For a one-person company, these may be meetings with clients or with contractors. • Please mark which attendees are contractors, if any, or submit separate contractor meeting minutes.
    • Select how you will be submitting your monthly safety (or pre-work) meeting document *

12. Submit one filled out close call / hazard report

The report may be a combined form or one form for each
    • Select how you will be submitting your filled out close call / hazard report *

13. What is the most important hazard in your company? Why?

    • Select how you will be submitting your company's hazard information *

14.What could your company be doing to help further reduce industry fatalities and serious injuries?

    • Select how you will be submitting your info on industry fatalities precautionary measures *

15. Pre-work planning

Submit one filled-out pre-work/ block plan. OR Submit a blank pre-work if the company usually uses pre-work plans, but did not work during the past 12 months.
    • Select how you will be submitting your pre-work planning info *

16. Inspections

Submit one filled-out site inspection for the company’s field site, shop, office or home/office.
    • Select how you will be submitting your inspection info *

17. Pickups, ATV’s, snowmobiles, boats or other non-commercial vehicles

Submit one current page from a maintenance log or maintenance invoices/records for one vehicle
    • Select how you will be submitting your Pickups, ATV’s, snowmobiles info *

18. Heavy Equipment and Commercial Vessels (not including commercial vehicles)

Submit one current page from a maintenance log or maintenance invoices/records for one piece of heavy equipment or commercial vessel (large boat / ship)
    • Select how you will be submitting your Heavy Equipment and Commercial Vessels info *

19. Commercial Vehicles

Submit one Commercial Vehicle Inspection (CVI) page or include CVI report number in the attachment section OR Submit one page of a maintenance log or maintenance invoices/records for one commercial vehicle from the past 12 months.
    • Select how you will be submitting your Commercial Vehicles info *

20. Contractors

Submit the company’s contractor selection policy / criteria. This must include SAFE certification for direct hands-on forestry contractors OR If contractors include fallers, this must include evaluation of the competency of the company to perform manual falling
    • Select how you will be submitting your contractors info *

20A. Submit one completed prime contractor status to another company

Submit one completed inspection form where the company inspected the Prime Contractor. AND Submit one Prime Contractor agreement
• Only pages showing where Prime is assigned.

• Do not send financial details please.
    • Select how you will be submitting your Prime Contractor Status to another company information *

21. Company was a Prime Contractor

Submit one copy of a Notice of Project if the company was a Prime Contractor during the past 12 months.
    • Select how you will be submitting your Prime Contractor information *

22. Submit a Worker Safety Representative Information

    • Select how you will be submitting your Worker Safety Representative information *

    •  

Notes from company

    • Provide any additional relevant notes you feel would be important as part of the audit

 

Auditor and Reviewer Comments

Provide any relevant comments in the Comments field below.
To add a comment, enter enter it in the text box below and press the +Note button to the right to save to the form.
    • Comments

 

Authorization

The person preparing the audit MUST be an owner or permanent employee of the company or a certified BASE external auditor.
I hereby acknowledge that I have reviewed the submission to the best of my abilities and that the audit provides a representative sample of the company.
    • Person who Prepared Audit:
      I acknowledge I have reviewed the submission to the best of my abilities and that the audit provides a fair representative sample of the company.
    • Auditor Initials *
    • (Type your initials – you do not need to print this form and initial by hand)
    • Date of Initials *

 

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