IOO Explanation. Version 3. Do NOT use this form to Submit an audit use the Submission form

Transcription

1 BC Forest Safety Council 420 Albert Street, Nanaimo, BC V9R 2V7 Phone: Toll Free: Fax: IOO Explanation Version 3 Do NOT use this form to Submit an audit use the Submission form Designed for Owner-operators with no field employees or contractors Owner-operators with no more than one office support person frm_xindividualowneroperatorauditexplanationversion3.doc Page 1 of 12 Revised: August 25, 2015

2 SAFE Companies IOO Audit Explanation Instructions The IOO (Individual Owner-Operator) Audit Submission Package is designed to help employers satisfy the submission requirements of the IOO audit. The IOO submission is intended for a company with: No field employees or contractors (other than a safety watch person) No more than one office support worker No more than 10 person-days per year of a relief / replacement worker Completing the package The person completing this package must be an IOO auditor. This means the person must have attended the IOO training course. In order to be eligible for a 2015 Certificate of Recognition (COR) rebate from WorkSafeBC, your company s internal auditor may need to take the COR refresher training if their IOO course was prior to The WorkSafeBC Certificate of Recognition program requires IOO auditors receive 4 hours of refresher training every 3 years. Please carefully read every question. Each numbered question, plus your training information from the company profile is worth one point each. A successful score is 80% or 11 out of 14 points. For further assistance contact the Council at and ask to speak to a Safety Advisor. Audit Submission Package Preferred: The audit report may be submitted by: to audit@bcforestsafe.org for files under 10MB online submission for large files: Optional: Paper reports (DO NOT STAPLE) or CD or thumb drive should be sent by registered mail, courier or delivered by hand to: BC Forest Safety Council 420 Albert Street Nanaimo, BC V9R 2V frm_xindividualowneroperatorauditexplanationversion3.doc Page 2 of 12

3 IOO Company Profile PLEASE DO NOT STAPLE Complete All Fields Council Received Stamp Here Type of Audit (check one): This is a Joint Audit (complete a separate Company Profile for each Certification Audit company included in this audit) Maintenance Audit Recertification Audit Existing SAFE Certification # (if any) Date this audit was performed A company starts with a certification audit and then has a maintenance audit in each of the next two years followed by a recertification audit in the 4 th year. The audits are the same. This form is provided in Microsoft Word. Double-clicking on any check-box brings up a pop-up window to check the box. Alternatively, this form can be printed and then filled out in ink. Company Information Legal Company Name Company Trade Name/dba Company Owner(s) Title/Position Address City Province Postal Code Phone Cell Fax Please fill out the exact legal company name, exactly as it appears on any letters from WorkSafeBC. The Council passes your company name to WorkSafeBC if the audit is recommended for a COR incentive, and errors can occur if the names do not exactly match. Your address is requested each year to help update our database so that we keep in touch with companies that move. List your WorkSafeBC account number. If you are a new business that does not have a number yet, please write pending. frm_xindividualowneroperatorauditexplanationversion3.doc Page 3 of 12

4 IOO Company Profile What does your company do? WSBC account # WSBC Classification Unit(s) that the company has (list all) WSBC CU(s) that this audit None applies to (list all) Operating Location(s) this audit applies to Please describe what your company does. Examples can be log hauling, faller contractor, mobile mechanic. If your company has activities outside of forestry, they need to be listed as well. List all your WorkSafeBC classification unit numbers in the top row. You can find these on your annual assessment letter. Most companies only have one. During QA, Council will check what WorkSafeBC has on file and contact you if there is a mis-match. List all the classification units that this audit is about in the bottom row. Most companies list all their classifications, but some wish to exclude some business activities. List the cities/towns that you have permanent offices in. This should be a match with your WorkSafeBC account. During QA, Council will check what WorkSafeBC has on file and contact you if there is a mis-match. Do you hire contractors? No Yes STOP, company is not eligible to use the IOO audit. IOO s are not permitted to hire contractors. If you hire contractors, you are at least an ISEBASE company. Please contact the Council I am the company owner Yes No Number of Workers including you: Which months have you operated in the past 12 months? (mark boxes) Office Field J F M A M J J A S O N D Please indicate if you are the company owner and if you have any office and/or field people. Please mark which months you worked in the past 12. frm_xindividualowneroperatorauditexplanationversion3.doc Page 4 of 12

5 IOO Company Profile Type of Work Activities: (Check all that this audit applies to) Equipment Operator Truck Driver Manual Tree Faller Trade / Technical / Professional Please mark what type of business you operate. Training BC Driver s License Class: #: Expiry: First Aid if applicable Faller # if applicable Falling Supervisor (select one) Level: Expiry date: N/A Trained Certified Other safety certification if applicable Number if applicable Expiry if applicable Please list any safety-related training you may have. frm_xindividualowneroperatorauditexplanationversion3.doc Page 5 of 12

6 IOO Company Profile Authorization I am (select at least one): Note that the auditor MUST be an owner or permanent employee of the company being audited unless a certified BASE external auditor performs the audit. A holder of an IOO course certificate and am an owner of the company. A holder of an IOO course certificate and am a permanent employee of the company. A certified BASE external auditor and have read, understood, and followed the terms and conditions of the British Columbia Forest Safety Council Auditor Code of Ethics, Auditor Manual and COR Standards and Guidelines. An attendee at an IOO course (or refresher training) within the last 3 years. Authorizing the Council to send my success letter and/or certification only by Authorizing the Council NOT to return my audit package (safety minutes, etc.) to me. Scheduled to attend an initial IOO training session within 6 months. I hereby acknowledge that I have provided true and accurate information to the best of my abilities throughout this submission and that it provides a representative sample of the company. Name Signature Date Training Certificate Number (or training date) This space for BC Forest Safety Council notes only Please sign the submission. This is a legal document. The Person Authorizing Audit must be a person who can tick at least one of the first 3 tick boxes. Another person, such as a clerk or contractor can prepare the audit, but the person authorizing the audit must review it for technical accuracy and sign off. If you have a training certificate number available, please enter that. If you do not have a number available, please enter the town, year and approximate month of training and we will look up your number for you. frm_xindividualowneroperatorauditexplanationversion3.doc Page 6 of 12

7 Company OHS Explanation 1 Submit one Emergency Response Plan (ERP) for the largest project of the year. It needs to include emergency contact frequencies / numbers and what happens if you do not check in on time OR Tick here if the company did not work during the past 12 months and submit one ERP for the home/office location. Minimum: The ERP may come from your client (Prime, licensee, etc.) or be your own, or a combination. It needs to include emergency numbers or frequencies It needs to include what happens if you do not check in on time. 2 Submit a list of first aid equipment locations. The following format is suggested but not required. Level Location (i.e. under seat in buncher, in the ETV, in the shop, etc.) Personal Basic Level 1 Level 2 ETV other Minimum: Complete the above table. Do not forget the office and/or shop. Best practices: The company has a regular inventory process for all their first aid and emergency equipment and submits a completed copy of that. 3 Provide a list of the Safe Work Procedures (SWPs) you use Complete the table, adding additional pages or lines as necessary and submit the best 2 safe work procedures that have not already been submitted in a previous year. You do not need to use all 12 lines if you do not have 12 procedures. If the safe work procedure is about machinery or commercial vehicles, it needs to include lockout, or have a separate lockout procedure applicable to that machinery or vehicle attached. frm_xindividualowneroperatorauditexplanationversion3.doc Page 7 of 12

8 Company OHS Explanation 4 Send in one Safe Work Procedure of your choice from the list above for evaluation (different than last year if this is not your first submission). Tick here if you have only one safe work procedure and submit that. Send in one safe work procedure. If the safe work procedure is about machinery or commercial vehicles, it needs to include lockout, or have a separate lockout procedure applicable to that machinery or vehicle attached. 5 Provide a description of how you usually receive pre-work planning information and from whom (or attach one completed pre-work) (or tick here if this is included in the next question) You can either write this directly in the space provided, attach one completed pre-work example or tick the box if your question 6 includes pre-work meetings. 6 Provide at least 2 safety communications (e.g. safety or pre-work meeting minutes, journal notes, tailgate notes) from the past 12 months (not more than one per month). These could include pre-work planning information and the communication of safety issues/alerts. Please send in 2 safety meeting minutes that you have received from your client or prime or licensee. These could be formal safety meetings, annual meetings or regular job pre-works. If you do not receive these minutes, your own journal notes are also sufficient. If you are fully independent, working short term for many companies, you can submit safety alerts or other communications showing that you keep in touch with industry issues. 7 Provide 1 to 3 copies of completed incident / hazard reports that you have made and given to your client or other authority or responsible party in the past 12 months. These can be actual report forms, journal notes, tailgate meeting minutes, etc. Writing No hazards reported is not realistic or accepted for forestry and related work. OR Tick here if you did not work in the past 12 months. Submit proof that hazards and close calls are reported in any way This can include daily pre-use inspection reports on machinery where something is reported. A form is not necessary. It is not acceptable to submit a blank unless the company has not worked in the last 12 months. For one-person companies, communications to clients or other companies is acceptable. Only someone who has not worked during the last year can say that nothing went wrong and they never saw a single hazard. Everyone else did have at least one imperfect day during the year. frm_xindividualowneroperatorauditexplanationversion3.doc Page 8 of 12

9 Company OHS Explanation 8 What is the most important hazard in your job? Please respond to the question in your own words. You are free to interpret important as you wish. The idea is to explain what matters most to you personally in your particular operating year from a work hazard perspective. 9 What could you be doing to help further reduce fatalities and serious injuries? Please respond to the question in your own words. The topic may or may not relate to the previous question. The idea is to explain what your biggest wish is from a work safety perspective. Select one choice in each of the following questions You must answer all 4 questions. 10. 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. I did not own or lease any pickups, ATV s, snowmobiles, boats or other non-commercial vehicles for any work activities in the past 12 months. Minimum: Every company must select one tick box in order to receive a point, even if the company does not have vehicles. Submit the maintenance-related invoices/records or log if that is what is ticked. Oil changes, tires, exhaust work would be acceptable. Fuel and other consumable (washer fluid, etc.) invoices are not acceptable. Electronic records are acceptable (i.e. On-Star printouts for new GM trucks) Submit only for one vehicle, even in the company has many. Select a different vehicle each year if the company has multiple vehicles. If the company is claiming business tax deductions related to a vehicle, it is in the scope of this question. If the company only uses vehicles belonging to other companies, select the second tick box. Best practices The company has an electronic filing system by vehicle, tracking all maintenance, fuel, mileage/hours, warrantee, insurance, damages and other parameters (billable project and/or client kilometers/hours, driver/operator, etc.) from vehicle purchase through to sale/disposal/retirement. An extract for the past 12 months for one vehicle would be an acceptable sample. frm_xindividualowneroperatorauditexplanationversion3.doc Page 9 of 12

10 Company OHS Explanation 11. Heavy Equipment Submit one current page from a maintenance log or maintenance invoices/records for one piece of heavy equipment. I did not have any heavy equipment in the past 12 months. Commercial vehicles do not count as heavy equipment for the purposes of this question. Minimum: Every company must select one tick box in order to receive a point, even if the company does not have heavy equipment. Submit the maintenance-related invoices/records or log if that is what is ticked. Oil changes, tires, exhaust work would be acceptable. Fuel and other consumable (washer fluid, etc.) invoices are not acceptable. Electronic records are acceptable. Submit only for one piece of equipment, even in the company has many. Select a different piece of equipment each year if the company has multiple pieces. If the company only uses equipment belonging to other companies, select the second tick box. Best practices The company has an electronic filing system by piece of equipment, tracking all maintenance, fuel, mileage/hours, warrantee, insurance, damages and other parameters (billable project and/or client kilometers/hours, driver/operator, etc.) from vehicle purchase through to sale/disposal/retirement. An extract for the past 12 months for one piece would be an acceptable sample. frm_xindividualowneroperatorauditexplanationversion3.doc Page 10 of 12

11 Company OHS Explanation 12. Commercial Vehicles Submit one Commercial Vehicle Inspection (CVI) page or include CVI report number here: Submit one page of a maintenance log or maintenance invoices/records for one commercial vehicle from the past 12 months. I did not have any commercial vehicles in the past 12 months. Minimum: Every company must select one tick box in order to receive a point, even if the company does not have trucks. Submit the CVI number or page if that is what is ticked. A photograph of the CVI sticker is acceptable. Submit the maintenance-related invoices/records or log if that is what is ticked. Oil changes, tires, exhaust work would be acceptable. Fuel and other consumable (washer fluid, etc.) invoices are not acceptable. Electronic records are acceptable. Submit only for one truck, even in the company has many. Select a different truck each year if the company has multiple pieces. If the company only uses trucks belonging to other companies, select the second tick box. Best practices The company has an electronic filing system by truck, tracking all maintenance, fuel, mileage/hours, warrantee, insurance, damages and other parameters (billable project and/or client kilometers/hours, driver/operator, etc.) from vehicle purchase through to sale/disposal/retirement. An extract for the past 12 months for one piece would be an acceptable sample. frm_xindividualowneroperatorauditexplanationversion3.doc Page 11 of 12

12 Company OHS Explanation 13. Manual Tree Falling Submit 1 week of daily man checks (or faller evaluations if you are evaluating fallers). Both your name and the name of the person checking must be on the form, preferably with signatures. State why the person is qualified assistance. I did not manually fall one or more trees above 6 diameter at breast height in the past 12 months. Minimum: Every company must select one tick box in order to receive a point, even if the company does not manually fall trees. If you are a faller, submit a week of man-checks. If you did not work a consecutive week, please submit your longest run of consecutive days and write a note only worked 3 days in a row (or however many days were worked) Please explain in your own words why the person working with you that is listed on the man check is qualified assistance. An example would be Bob is a certified faller with level 1 first aid and transportation endorsement. frm_xindividualowneroperatorauditexplanationversion3.doc Page 12 of 12