Workplace Comprehensive Health & Safety Program Checklist
Workplace Comprehensive Health & Safety Program Checklist
Location Inspected:
Date:
Instructions
1. Complete the Pre-Inspection Checklist below.
2. Complete the Inspection Checklist by walking through the entire location.
3. Each item in the checklist is applicable to the entire location, not a single area.
4. If you do not identify a hazard or compliance issue with an item in the checklist, mark
as “Yes”.
5. If you do identify a hazard or compliance issue with an item in the checklist, in any area
of the location, mark as “No”.
6. Once the entire location is inspected, complete section (E) of the checklist.
7. The person completing the inspection is to sign-off as the Inspector and send to the
Joint Health and Safety Committee for review.
8. The JHSC Chair is to sign-off as the Joint Health & Safety Committee representative and
send to management for review.
9. A management representative is to sign-off for management and is required to review
the inspection and provide approval or a reason for denial of corrective actions to be
implemented.
High
Description Colour Code
Probability Med. Immediately Dangerous
High Risk
Low Medium Risk
Low Risk
Low Med. High Very Low Risk
Severity
Inspector(s) Sign-Off
Name(s):
Signature(s):
Date:
Joint Health & Safety Committee Sign-Off
Name(s):
Signature(s):
Date:
Management Sign-Off
Name(s):
Signature(s):
Date: