OH&S Program Gap Analysis

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Workplace Safety Revolution is the only OH&S service provider with
ACTIVE OH&S® , a comprehensive system producing positive returns on your investment in less than 6 months, check website.

For companies who believe safety is a #1 priority, Workplace Safety Revolution combines expertise in safety regulations and training with systems everyone can easily follow.

Complete this 100% confidential survey and learn where gaps exist in your company safety program and find out how Workplace Safety Revolution Inc. can help your business SAVE MONEY, IMPROVE SAFETY AND BUILD COMPETITIVE ADVANTAGE.

Your privacy is our priority. The information collected in this survey will not be shared with anyone except Executive Management personnel employed by Workplace Safety Revolution Inc.

For more information or to immediately schedule a no charge consultation please call or email us today:

Doug Crann, Founder & President
Cell: 905-717-3964
Email: [email protected]
Company Name*
Number of Employees*
Company Address*
Name Of Person Completing Form*
Title Of Person Completing Form*
What industry does your business service?*
What type of service or product does your company provide?*
How long have you been in business?*
How many employees does your company currently have?*
Primary OH&S Person*
Primary OH&S Contact Phone*
Primary OH&S Email*
Our OH&S Program has written safety responsibilities for the following people:*
- Managers
- Supervisors
- Workers
- Subcontractors
- Visitors
- We do not comply with any of the above requirements
Our company's procedures for hazard assessments meet the following requirements:*
- Written hazard assessments are conducted as required
- Appropriate personnel are involved in the hazard assessment process
- Site and job specific hazards are clearly identified
- Identified hazards are prioritized by risk potential based on severity and frequency
- Controls are developed for identified hazards with input from workers and managers
- Controls are implemented in a timely manner
- Controls are developed for identified hazards
- We do not comply with any of the above requirements
Our company safety rules:*
- Contain a statement of principles and goals
- Are written in clear, easily understood terms
- Are written in positive terms
- Are available to all employees / sub contractors
- We do not comply with any of the above requirements
Our company's written policy regarding the use of PPE (Personal Protective Equipment):*
- Outlines when and where PPE is to be used
- States the availability of PPE and specialized PPE
- Provides guidelines for proper fitting, care and use of PPE
- Uses specific criteria in selecting PPE
- Sets out guidelines for regular inspection and maintenance of PPE
- We do not comply with any of the above requirements
Our company’s preventive maintenance program includes:*
- An inventory of items to be maintained
- Meeting manufacturer’s and/or regulatory standards
- The use and completion of schedules and checklists as required
- Records stating corrective action taken
- A procedure to remove defective tools, equipment and vehicles from service
- We do not comply with any of the above requirements
Our company's written training & orientation policy requires that*
- New workers attend H&S orientation before starting work
- Training be documented and records retained
- Training is provided by a competent worker or competent person
- Safety meetings are scheduled regularly for all staff
- Expectations for conducting safety/toolbox talks are outlined
- We do not comply with any of the above requirements
Our company's written procedures for corporate site inspections specify*
- The persons who are to perform the inspections
- The focus and occasion of their inspections
- The persons to whom inspections are reported and follow up on deficiencies
- Using a standard checklist or form
- We do not comply with any of the above requirements
Our company's written procedures for investigating accidents/incidents requires*
- Use of standardized forms
- Participation of the supervisor
- Interviewing the workers involved
- On-site assessment of the scene
- Identifying primary and secondary causes
- Recommended prevention and remedial action
- Ensuring recommendations are acted upon
- Notice to authorities
Our company has written Emergency procedures established for unexpected events such as:*
- Fire or explosion
- Critical injury
- Fall arrest rescue
- Toxic spill or release
- Medical emergencies
- Confined Spaces
- Restricted spaces (i.e. asbestos enclosures)
- High angle rescue
- We do not comply with any of the above requirements
Our company has a process in place to:*
- Organize and manage H&S program documentation
- Develop and maintain project H&S summaries
- Compare company H&S performance annually
- We do not comply with any of the above requirements
Our company has a process in place to ensure that:*
- Copies of relevant legislation are available or posted in the workplace
- H&S legislation is considered during the job planning process
- Workers are aware of their rights and responsibilities and how to exercise them
- We do not comply with any of the above requirements
Our company has written WHMIS guidelines in place that address*
- Exposure to chemical/biological hazards and/or physical agents
- Exposure to designated substances
- Proper handling and storage of hazardous materials
- Proper labeling and documentation for hazardous substances
- We do not comply with any of the above requirements
Our company has written First Aid procedures or instructions*
- Requiring workers to report all injuries to the supervisor
- For transportation of injured workers
- Identifying the qualified first aider
- Specifying location/content of first aid stations
- Setting out frequency of first aid material /equipment inspections
- Requiring retention of a treatment/advice logbook
- We do not comply with any of the above requirements
Our Company has written procedures for Joint H & S Committee activities that include*
- Composition of committee and selection of members
- Roles and responsibilities of committee members
- Meeting frequency and availability of minutes
- Monthly inspections
- Ensuring provision of certified members where/when required
- Whether requirements for selection/appointment being met? (If a H&S Representative is required)
- Whether monthly inspections implemented and recommendations provided? (If a H&S Representative is required)
- We do not comply with any of the above requirements
Our company has a written Return To Work procedure in place that*
- Sets out details of early and safe return to work for injured/ill workers
- Encourages open communication between the employer and affected worker
- We do not comply with any of the above requirements
Which of the following benefits of joining Canada's Workplace Safety Revolution do you feel represents your company's vision for the future?*
- A safety program and culture that helps attract and retain quality, safety minded employees
- A safety program and company reputation that attracts and retains loyal customers
- A safety program that supports a business with a clear competitive advantage and creates new and lucrative business opportunities
- All of the above
- None of the above
When asked by a prospective client to provide evidence of your company's safety program and its effectiveness you feel:*
- Unsure whether the current documentation supporting your safety efforts will harm your company's chances at being awarded new contracts
- Concerned that if you do win the new contract and are asked for additional safety program details or evidence your company does what your program says you will loose the contract and hurt your company's reputation
- Confident and proud to provide details of your company safety program and know that it will give you an edge over your competition
- Other Response (complete next section)
Other Response (Providing Safety Information)
Add other response (providing safety information)
If a 100% anonymous survey was conducted at your workplace asking employees their perception of the safety culture at work, what do you think the majority would say? (based on the commitment, collaboration and culture promoted by management.)*
- They would likely indicate that management says safety is important but they do not teach or enforce best practices
- They would tell us safety is important only when feasible and when it doesn't affect the bottom line. Safety often takes a back seat to productivity
- They would likely say that safety is job 1 but management expects unreasonable targets and does not allow or encourage employee feedback or involvement in setting standards & procedures
- They would tell us that safety improvements were made in the past and at one time safety seemed important but now it has lost all traction and we are being reactive again instead of proactive
- The majority would indicate that best efforts are being made at safety improvements and intentions are good, however leadership is lacking safety expertise and ability to motivate or control middle management
- Other response (complete next section)
Other Response (Safety Perception Survey)
Add other response (Safety Perception Survey
When investing in safety program improvements, which approach do you feel makes more sense and supports long term sustainability and success?*
- Reacting to the demands of client safety pre qualification requests and MOL compliance/enforcement by meeting minimum requirements
- Choosing the quickest and cheapest method to show evidence of existing policies and training to get your foot in the door and enforcement off your back
- Start to identify your safety program and culture gaps today, then identify and prioritize safety improvements and long/short term objectives with your workers
When choosing a service provider to help with your long term safety program planning, do you*
- Shop around for the cheapest rates and the quickest delivery of services?
- Ask your business and personal networks if they know someone who will do you a favour and deliver cookie cutter safety policies and training?
- Choose to lead change in your industry, build company pride by engaging all workers in making a difference and start your own Workplace Safety Revolution?
We are interested in the following services from Workplace Safety Revolution*
- Safety Training Needs Analysis w/Customized Safety Course Delivery
- Safety Program Coaching (Policies, Procedures, Safety Culture Development)
- Customized Mobile SAFETY APPS for Tablets and Smart Phones
- Bid Proposal Preparation Assistance
- Compliance Audit and Report
- Online Safety Program Management Tools (Design, Implementation, Communication & Review Capabilities)
- Online Sub Contractor Management Tools (Outsourcing Contractor Pre Qualifications)
- Equipment, Procedure Specifications and Instruction
- We need assistance but are unavailable at the moment. We will contact you when ready to schedule a meeting
- We are currently working with another safety service provider but would like to find out how to join the Workplace Safety Revolution without affecting our commitment to our current safety provider
- Partnerships, networking & branding opportunities with WORKPLACE SAFETY REVOLUTION INC.
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