000- a pipeline isolation before line breaking

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Elem ent 4 - Health & Safety Stand ards and Procedures

Tem plates 6 1

SAMPLE using TEMPLATE 1

Title: 4.2 (a) Injury / Illness Reporting Date of Issue: July 20 05

Approved by: John Idnc Review / Revise Date: July 20 06

Location: all facilit ies including compa ny owned / leased vehicles

PURPOSE

To outline the requirements, methods an d outcom es of reporting all occupational injuriesand illnesses

SCOPE

The following categories of injuries and illnesses will be reported , regardless of th e natu re orseverity of the event:

fatality property damagecritical injury near miss lost time injury firehealth care environmental release first aid occupational illness

Definit ion

Injury:Injury:Injury:Injury: An event that results in physical harm to an em ployee.

Illness:Illness:Illness:Illness: A deviation from the norm al, health y, state of the body

ROLES AND RESPONSIBILITIES Work er, M anager/ Supervisor, First Aid Provider

iiii) Worker:) Worker:) Worker:) Worker:A worker who sust ains an injury or becomes ill as a result of workplace condit ions orwork activity must report the injury or il lness to a supervisor or manager im med iately.

If, because of the natu re of the injury or illness, an employee is unable to report, it is theresponsibility of another worker, who happens up on the incapacitated worker, topromptly report the event to a supervisor.


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Elem ent 4 - Health & Safety Stand ards and Procedures

Tem plates 6 2

i i) Manager/ Supervisorii) Manager/ Supervisorii) Manager/ Supervisorii) Manager/ Supervisor::::The supervisor of the are a, upon being notif ied of th e injury or illness, shall:

promptly ensure that first aid is adm inistered; ensure the worker is given subsequent m edical treatment if necessary; and that

such treatm ent is recorded

additional rescue / response teams are notified as n ecessary.

The supervisor is responsible for notifying the appropriat e compa ny personal. This should bedone at the first opportune mom ent.

iii) First Aid Provider:iii) First Aid Provider:iii) First Aid Provider:iii) First Aid Provider:

Upon being inform ed of an injured or ill worker, a qualified first aid provider will go the firstaid station or room and adm inister appropriate treatm ent. All such treatm ent or advice givenmu st be recorded in the first aid log.

As necessary, the first a id provider will assist in ensurin g that an in jured or ill worker receives

subsequent m edical attention as required.

COMMUNICATION

This procedure is commu nicated to all m anagers and employees through: production meetings bi-weekly manager meetings postings on bulletin boards orientation of new em ployees coaching of emp loyees found to have contravened this procedure.

Man agers and supervisors are trained in their roles to adm inister this procedure regarding

document ation, distribution and safe keeping of confidential m aterial. Training sessions alsoprovide information on appropriate response, such as first aid treatm ent, equipment lockoutetc.

EVALUATION

Worker compliance with the il lness and injury reporting procedures are mon itored regularlyas part of an overall review of th e OH&S system. The procedu re will be reviewed annu ally toensure it remains current.

REFERENCE M ATERIALS

OHSA section 5 1 , 52Regulation 1 10 1 First Aid

Important Reminder

Employers need to ensure th ey include defin itions in the procedure as these definit ionshave points attached specif ically to them .


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Element 4 Health & Safety Standards and Procedures

Tem plates 6 3


Title: 4 .2(b) Hazard Reporting Date of Issue: July 20 05


Location: all facilit ies

PURPOSE

The purpose of th is document is to outline a p rocedure to follow in reporting hazardous situationsthat m ay endanger the health and safety of the com panys employees.

SCOPE

This procedure applies to all employees of the company and is t o be used when a potential

hazardous or actual condition/ act.

Definitions:Definitions:Definitions:Definitions:

Hazardous Condition / Acts:Unsafe Acts:are behaviors, which could lead to an accident

Examples of unsafe acts: can include using equipment in an unsafe or careless manner and/ or notusing personal protective equipm ent as required.

Unsafe conditions:are circum stances, which could allow the accident to occur

Examples of un safe conditions: can include inadequate, improper or lack of guarding, worksurfaces, electrical grounding requirements not observed, containers that are not labeled, theseare just a few of m any unsafe conditions that can exist in a workplace.

STANDARDS / PROCEDURES

When reporting a hazardous condition/ act it m ust be defined. When reporting a hazardous condition/ act it m ust be done im mediately verbally and where

warrant ed, using the Hazard Report Form. It is the responsibility of the supervisor to fil l in the Hazard Report form with th e assistance of the

worker.

An observed hazardous condition/ act m ust be reported im mediately to the person in charge, thesupervisor and the JHSC representa tive.

The person who is identified to be responsible must rate all h azards as m ajor, moderate or m inorhazards.

Using the hazard report form d etail what actions will be initiated, by whom and when Ensure that follow-up on any actions/ responses are complete in the appropriate time.


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Tem plates 6 4

ROLES AND RESPONSIBILITIES

It is the responsibility of any workers to report to his or her em ployer, the existence of an y hazardof which he or she is aware.

It is the role of the supervisor/ manager to ensure th at any hazardous condition or act is followed

up with a tim ely response or action. It is the responsibility of the em ployer to m aintain safe and h ealthy working conditions. It is the role of the supervisor to ensure that copies of the hazard report are distributed to the

em ployer, JHSC and t he Worker Health & Safet y Represent ative.

COM M UNICATION / TRAINING

Comm unication of the hazard reporting procedure will be done on an annual basis by the Supervisoror lead hand using either documented tool box talks or in house training sessions.

The em ployer or representative will mon itor use of the ha zard report form and if n eeded training inits use will be provided to all emp loyees.

EVALUATION

Evaluation of this procedure and the hazard report form will be done on an annual basis or asneeded through the use of th e procedure.

FORMS

Hazard Report Form

REFERENCE MATERIALS

Occupat ional Health and Safety Act and app licable Regulation sWSIB Basic Certification manual

Important Reminder

Em ployers need to ensure th ey include definit ions in the procedure as these definition shave points attached specif ically to them .

The hazard report form m ay be included wit h the accident investigation report sent t othe M inistry of Labour when a critical injury occurs.


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Tem plates 6 5

Hazard Report Form

Reported by: __________________________________________________Name of Employee:Reported to :Working Location:

Date of Report:

Report of Hazard:Location of Hazard concerns:

Please describe hazard concern:

Please describe safety issue:

Rate Hazard Class using criteria listed below :

Hazard Class

A (m ajor) High risk (im mediately dangerous to life and health) B (m o de ra te ) M ed iu m ris k (m e diu m te rm p ot en tia l f or no n-lif e t hr ea te nin g i nju ry) C (m inor) Low risk (long term potent ial for slight injury or illn ess)

Actions taken/ Responses given:

If this is a repeat issue, whom h ave you reported to before:

Original to: Health and Safety Co-ordinator when all the recommendations are completedCopies to: Owner, Shift Co-ordinat or, JHSC or Work er Health & Safety Representat ive


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Tem plates 6 6

GUIDELINE for 4 .2(c) Emergency Evacuat ion Plan

An Emergency Evacuation plan is required to en sure that everyone kn ows his or her roleand responsibilit ies. An emergency planhas to be developed and implement ed to meet, ata m inimum , the following standards:

Occupational Health and Safety Act (OHSA) Ontario Building Code Ontario Fire Code Mu nicipal requirem ents (especially if hazardous m aterials are on-site) Environm ental Protection Act

These are the guidelines from the Workwell audit docu m ent, your compa ny must expandupon each bullet point in order to develop this health and safety procedure.

A Sample u sing tem plate 2 for one type of em ergency follows: Chem ical Spill

Each employer m ust ident ify the em ergencies most likely to occur at their workplaceincluding the external environmen t. The procedure m ust includ e, the following that apply toyour workplace:

Fire Power failure Gas leak Chem ical spill Weather condit ions Crime p revention Workplace violence, etc.

The em ergency plan m ust include: Floor plan of the workplace Exit route for all employees. Employee assembly point(s). Employee training requirement s. (dril ls/ exercises) Assigning and defining responsibil it ies such as: Contacting the em ergency response unit(s). Accounting for employees (head count). Greeting the emergency response unit(s) Auth orizing workplace re-entry.

Important Reminder

Employers m ay consider working with th e local fire departm ent to assist in th e design oftheir em ergency plan.

Employers are required to have site specific em ergency plan(s).


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Tem plates 6 7

SAM PLE usin g TEMPLATE 2SAM PLE usin g TEMPLATE 2SAM PLE usin g TEMPLATE 2SAM PLE usin g TEMPLATE 2

Title: 4 .2(c)Title: 4 .2(c)Title: 4 .2(c)Title: 4.2(c) Emergency Evacuation - ChemicalSpills

Date of Issue:Date of Issue:Date of Issue:Date of Issue: July 20 0 5

Approved by:Approved by:Approved by:Approved by: John Idnc Review / Revise Date:Review / Revise Date:Review / Revise Date:Review / Revise Date: July 2 00 6Location:Location:Location:Location:

In the case of a chem ical spill the following steps should be tak en:1 . Call for help, iden tifying the em ergency as a chem ical spill, alert co-workers or any

persons in the area.2 . Determ ine the t ype and size of the spill:

G Liquid spill contact t he spill response teamG Liquid spill gasoline: initiate evacuation procedu re (see Evacuation procedu re)G Powder spill clean u p using the following steps:

1 . Retrieve a spill kit from one of the 2 locations (see location 1 and 2 onfloor plan), retrieve the M SDS from the bin der by the spill kit.

2 . Look up t he chemical to determine the appropriate equipment needed tocontain the spill.

3 . Put on the personal protective equipm ent (jum p suit, gloves, m ask andglasses)

4 . Trap the spill with th e containment coil.5 . Put up th e spill warning signs6 . Assist where requested by the spill response team , if applicable.

After the spill is cleaned up work with the spill response team on com pleting the chemical

spill form.

A copy of t he chem ical spill form is to b e forwarded to t he Co-chairs of t he JHSC. Theoriginal is sent to the Healt h an d Safety Co-ordinator b y next bu siness day.

Approval signatu re:Joh n Idnc

Distribution to: all facilit iesDocum ent to be posted: Yes

Notes: Chem ical spills kits are identified b y num ber on the floor plan.

Resource: Flam m able and com bustible liqu id Code NGPA 3 0 or th e Onta rio Fire Marshallsoff ice can provide assistance with the development of chemical and / or emergency plan.


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Tem plates 6 8

ChemicalStorage


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Tem plates 6 9

GUIDELINE for Element 4 .2(d) Emergency Equipment

To ensure complian ce to the Ontario Fire Code and th at adequ ate em ergency equipm ent isavailable the f ollowing will be available in every facility. A designated m anagem ent p ersonshould be responsible to ensure the standard is met.

These are the guidelines from the Workwell audit docu m ent. Your compa ny must expandupon each bullet point in order to develop this health and safety procedure.

An em ployer mu st have a com plete list of all em ergency equipment such as: Fire extinguishers/ hoses Fire sup pression system Pull station s Eye wash sta tions Deluge showers

Fire exits Any other emergency equipm ent app ropriate to th e workplace. (self-contain ed

breathing apparatuses etc.)

Ensure that th e equipm ent requ ired follows the Building Code, Fire Code and a ny municipalor relevant legislation.

A documented review m ust incorporate the f ollowing: Correct selection of equipment. Adequate num ber of equipment . Appropriate location of equipment. Training requirements for emergency equipment users. Checks, inspections, replacement and/ or calibration requirements

Samples of an em ergency equipm ent log and Health a nd Safety Program Review follow.

Important Reminder

The review process for the above bullet points must be documented.


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Tem plates 7 0

SAMPLE - Emergency Equipment Log / List

Type of Equipment LocationLocationLocationLocationInspectionInspectionInspectionInspectionFrequencyFrequencyFrequencyFrequency

QuantityQuantityQuantityQuantityDate ofDate ofDate ofDate of

Inspectioninspectioninspectioninspection

Emergency Signs

Eye Wash stati onsor deluge shower

Chemical StorageCabinets

First Aid kit s

Fire Exti nguishers

Fire Alarms


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Tem plates 7 1

SAM PLE - Health & Safety Program Review

Emergency Equipment

Reviewed by: John Idnc, Health and Safety Co-ordinatorPeter Not tod ay, JHSC - Worker m em ber

Review comm ents / recomm endations

On 1 5 April 20 0 5 , the JHSC reviewed the emergency equipm ent for selection, adequat enum ber and adequate location. It was determined th at the warehouse required a foam fireextinguisher not a wat er based extinguisher. As of 1 3 May 20 05 the warehouse has a foamextinguisher installed by the shipper / receiver table.

All designated st aff have been trained in t he use of emergency equipmen t by the Oshkoshfire department on 2 0 th April 20 0 5. Copies of the training record are kept in the personnelfiles.

During the April workplace inspection it was conf irmed t hat t he fire extinguishers werechecked mont hly and the annual em ergency equipment inspections were complete.

Dat e submi tt ed t o managemen t : 31 May 2005


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Tem plates 7 2


Title: 4 .2(e) Refusal to work Date of Issue: July 200 5



The Occupational Health and Safety Act (OHSA) states:A worker may refuse to work or do p articular work where he or she h as reason tobelieve t hat,

(a) any equipment, m achine, device or thing the worker is to use or operateis likely to endan ger himself, herself or another worker;

(b) the physical condition of the workplace or the part t hereof in which he orshe works or is to w ork is likely to endanger him self or herself; or

(c) any equipment, m achine, device or thing he or she is to use or operate or

the physical condition of the w orkplace or the part thereof in wh ich he orshe works or is to w ork is in contra vention of this Act or the regulationsand such contravention is likely to endanger him self, herself or anotherworker . R.S.O. 1990 , c. O.1, s. 43 (3).

Extracted f rom t he OHSA - Report of refusal to workExtracted f rom t he OHSA - Report of refusal to workExtracted f rom t he OHSA - Report of refusal to workExtracted from the OHSA - Report of refusal t o work (OHSA s43 )

(4 ) Upon refusing to work or do particular work, the worker shall prom ptly report thecircumst ances of the refusal to the workers em ployer or supervisor who shall forthwit hinvestigate the report in t he presence of the work er and, if there is such, in thepresence of one of,

(a) a comm ittee m emb er who represents workers, if any;(b) a healt h an d safet y representat ive, if an y; or(c) a worker who b ecause of kn owledge, experience and t raining is selected by a

trade un ion that represent s the worker, or if there is no trade union, is selectedby the workers to represent t hem, who shall be mad e available and who shallatt end with out d elay. R.S.O. 19 9 0 , c. O.1, s. 4 3 (4 ). Worker to remain n earworkstation.

(5 ) Until the investigation is complet ed, the worker shall rema in in a safe place near his orher workstat ion. R.S.O. 19 9 0, c. O.1, s. 43 (5).

Refusal to work following investigation(6 ) Where, following the investigation or any steps taken t o deal with the circum stancesthat caused th e worker to refuse to work or do part icular work, the worker hasreasonable grounds to believe that,

(a) the equipment , machine, device or thing that was the cause of t he refusal towork or do particular work cont inues to be likely to endanger him self, herself oranother worker;
http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(4)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(5)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(6)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(6)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(5)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(4)


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Tem plates 7 3

(b) the ph ysical condition of th e workplace or the part t hereof in which h e or sheworks continu es to be likely to endan ger himself or herself; or

(c) any equipm ent, m achine, device or thing he or she is to use or operate or thephysical condition of th e workplace or the part thereof in which he or she worksor is to work is in contravention of th is Act or the regulations and suchcontravent ion continue s to be likely to endan ger himself, herself or anoth erworker, the worker m ay refuse to work or do th e part icular work and theem ployer or the worker or a person on beha lf of the em ployer or worker shallcause an inspector t o be notified t hereof. R.S.O. 19 90 , c. O.1, s. 43 (6 ).

Investigation by inspector(7 ) An inspector shall investigate the refu sal to work in consulta tion with t he em ployer or a

person representing the em ployer, the worker, and if t here is such, the personm entioned in clause (4) (a), (b) or (c). 20 0 1 , c. 9, Sched. I, s. 3 (11 ).

Decision of inspector(8 ) The inspector sha ll, following the investigation referred to in subsection (7 ), decide

wheth er the ma chine, device, thing or the workplace or part thereof is likely to endan gerthe work er or anoth er person. R.S.O. 19 9 0 , c. O.1, s. 43 (8).

Idem(9 ) The inspect or shall give his or her decision, in writing, as soon as is pract icable, to the

em ployer, the work er, and, if there is such, the person m entioned in clause (4) (a), (b) or(c). R.S.O. 1 9 9 0 , c. O.1 , s. 43 (9).

Worker to remain at a safe place pendin g decision(10) Pending the investigation and decision of the inspector, the worker shall remain at a

safe place near his or her work station du ring the workers norma l working hours

unless the em ployer, subject to t he provisions of a collective agreement , if any,(a) assigns the worker reasonab le alternat ive work during such hou rs; or(b) subject to section 5 0 , where an assignmen t of reasonable alternat ive work is not

practicable, gives other directions to th e worker. R.S.O. 19 9 0 , c. O.1, s. 43 (10 ).

Duty to advise other workers(11) Pending the investigation and decision of t he inspector, no worker shall be assigned to

use or operate the equipment , machine, device or thing or to work in the workplace orin the pa rt of the work place being investigated unless, in the presence of a persondescribed in subsection (12 ), the worker has been ad vised of the other workersrefusal and of his or her reasons for th e refusal. R.S.O. 19 9 0 , c. O.1, s. 43 (11 ).
http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(7)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(8)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(9)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(10)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(11)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(11)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(10)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(9)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(8)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(7)


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Tem plates 7 4

Idem(12) The person referred to in subsection (11 ) m ust be,

(a) a comm ittee m em ber who represents workers and, if possible, who is a certifiedmember;(b) a health and saf ety representative; or(c) a worker who b ecause of his or her kn owledge, experience and t raining isselected by the t rade union that represents the worker or, if th ere is no trade un ion,by the workers to represent them . R.S.O. 19 9 0 , c. O.1, s. 4 3 (1 2 ).

Entit lement to be paid(13) A person shall be deemed to be at work and the persons employer shall pay him or

her at the regular or premium rate, as may be proper,(a) for the t ime spen t by the person carrying out th e duties un der subsections (4)

and (7 ) of a person m entioned in clause (4) (a), (b) or (c); and(b) for tim e spent by the person carrying out th e dut ies under subsection (1 1 ) of a

person described in sub section (12 ). R.S.O. 19 9 0 , c. O.1, s. 43 (13 ).

Approval signat ure:John Idnc

Distribution to: all facilit ies, SeniorMa nagem ent, JHSC

Document to be posted: YesYesYesYes

Important Reminder

Consider adding specific comp any details to this procedure. For example how to cont actthe health and safety representative, who are the cert if ied m embers; which managementpersonnel att end a work refusal; who calls the Ministry of Labour.

Flow charts alone are not acceptable to score the poin ts for this elem ent, if they do notinclude all th e required elem ents for th e right to refuse work (OHSA s43 and th e Workwellaudit).
http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(12)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(13)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(13)http://www.e-laws.gov.on.ca/DBLaws/Statutes/French/90o01_f.htm#43.(12)


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Tem plates 7 5

SAMPLE using TEM PLATE 1

Title: 4.2(f) Lockout Date of Issue: January 200 5

Approved by: John Idnc Review / Revise Date: January 20 06


PURPOSE

To ensure th at all energy sources are isolated and eff ectively controlled p rior to any work beingdone on or in close proximityon or in close proximityon or in close proximityon or in close proximityto machinery or equipment .

SCOPE

Applies to all workers involved in ma naging, administ ering or completin g work on energized

equipment.

Applies to all energy sources: kinetic, chem ical, potential, therm al, electrical, radiation .

Applies to all firm f acilities and any contractors work ing in these facilities.

DEFINITIONS see page 8 1

PROCEDURES

Sample procedures for isolation and control of energy sources include:Responsibility

Training RequirementsIsolation Procedure f or all Energy SourcesIsolation of Electrical Energy SourcesIsolation for Line-BreakingIsolation of Hydraulic or Pneum atic System sIsolation of Confined SpacesIsolation of Nuclear Gauges

ISOLATION PROCEDURE FOR ALL ENERGY SOURCES

Isolation of energy sources takes place b efore starting work on any mach inery, equipment or process.Isolation of energy sources is a five-step process: Lock, Tag, Clear, Try and Release

LOCK

The person in charge of t he work wil l noti fy al l affected personnel of the extent an d duration of theshutdown of th e machinery, equipment or process.The person in charge of th e work wil l ensure that al l machinery, equipment or process are shutdown, locked and t agged.Each individual working on or near the equ ipment m ust place their assigned lock and t ag at thelockout point (s). A lockout scissor clip may be required.

TAG


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Tem plates 7 6

A tag must be securely attached t o each lock.The tag used m ust b e ma de of non-condu ctive ma terial with th e words DO NOT OPERATE writ tenon i t, the name of the worker and t he date of the lockout.

CLEARThe person in charge of the workwill clear the machinery, equipment or process of any hazards orpeople

TRY

Once the person in charge of the workis assured th at all sources of energy are locked-out andtagged and all is clear, he will try to activate th e equipm ent:

1. Make certain everyone stands clear, then have the equipment controls (push buttons,switches, etc) operated to ensure t he m achinery or equipment or process wil l notactivate; and

2. Ensure the machinery/ equipment/ process controls are returned to the off or neutralposit ion imm ediately after the test, and

3. Relieve or restrain any residual or stored energy, and4. Ground electr ical energy stored in capacitors, and5. Test wi th appropriate test equipment and visual ly check to determine energy sources

have been neutralized.

RELEASE

If it is assessed that everything is properly locked ou t, the person in cha rge will release theequipment for work to be done.

Equipment rem oved from service because of safety concerns must be locked, tagged,cleared and tried by the person in charge of the work to ensure it cannot be used.

The individual workers lock and t ag must remain on any system that was rendered inoperableunti l such time that:

1. They com plete the repair of the system a nd it is safe to operate or

2 . They turn over responsibility for the system to anoth er person, and the lock and

tag of the ind ividual accepting the responsibility is properly affixed to theequipment. Workers coming on shift mu st place their personal locks on all thelockout point s before the workers going off shift remove their locks. Alternat ively,the supervisor may lock the lock-out points before workers going off shift removetheir locks to ensure continuity of the lock-out un til workers coming on shift canapply their personal locks.

LOCKS CAN ONLY BE REM OVED B Y THE OWNER.

If an em ployee fails to remove a lock and tag and leaves the site, and can be reached, he m ayauthorize the Plant Manager to cut off th e lock. If the employee cannot be reached, the PlantManager after checking that the equipm ent can be operated safely may authorize the rem oval of thelock and tag. A written record of such removal must be k ept on file.

The employee is to be contac ted regarding his lock being removed at t he earliest opportu nity toensure that he d oes not return to work on the equipment and not realize that his lock has beenremoved and th e equipment m ay be energized.

STORED ENERGY HAZARDS

Can include electrical capacitan ce, batteries, spring-loaded devices, suspended weight,com pressed air or gas.Each type of energy source requires an approp riate m eans of isolation.


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Tem plates 7 7

COM PLETION OF M AINTENANCE/ REPAIRS

Upon completion of the maintenance/ repairs, the person in charge of the workwil l make a f inalinspection to ensure that al l repairs are com pleted; al l guards etc. have been replaced.

All personnel are informed pr ior to the equipm ent being re-energized. The locks are rem oved inreverse sequence (the last person to put on t he lock wil l be the f irst to remove i t and th e f irstperson to put on the lock wil l be the last to remove i t) and the equ ipment brought on-l ine by theperson in charge of the work.

EQUIPMENT REQUIRING SPECIFIC HANDLING

Some equipm ent m ay require a specific Isolation procedure to ensure all sources ofenergy are de-energised. The Plant Man ager will ensure tha t they (equipm ent andm achinery) are identified and an appropriate specific Isolation procedure is in placeand followed.

MULTIPLE PERSON LOCKOUT

Each person working on t he m achinery, equipment or process is responsible for locking out theenergy-isolating device. Mu ltiple locks can be applied with scissor adapt ers.

The first worker who applies the lock (must be an authorized company em ployee) must m ake surethe lockout is effective and the equipm ent wil l not start. When each worker has f inishedmaintenance, the worker rem oves only his or her own personal lock. The worker who rem oves thelast lock (who is the worker who applied the f irst lock) should check that al l workers are in theclear and that th e equipment can be safely restarted.

MULTIPLE POINT LOCKOUTTo effectively lockout equ ipme nt with m ultiple energy sources, lockout several energy-isolatingdevices.An equipm ent, machinery or process specif ic lockout procedure wil l be required in order to ident i fy

al l the lockout points.

ISOLATION OF ELECTRICAL ENERGY SOURCES

Electricity is the m ost comm on energy source that needs to be locked out.

For plugged in type of equipm ent, a personal lock is not nec essary if the person doing the workkeeps the plug in view and under control while working on the equipment . If the worker mustleave the equipment, then a lock is required. Before doing any work, the worker must ensure thatal l moving parts have stopped and are secured.

For hard-wired equipment, the equipm ent or m achine wil l need to be shut-off m aking sure that al lmoving parts have come to a complete stop.

IIIISOLATION BY MEANS OF STARTSOLATION BY MEANS OF STARTSOLATION BY MEANS OF STARTSOLATION BY MEANS OF START////STOP BUTTON OR OTHER CONTROL SWITCH ORSTOP BUTTON OR OTHER CONTROL SWITCH ORSTOP BUTTON OR OTHER CONTROL SWITCH ORSTOP BUTTON OR OTHER CONTROL SWITCH OR PLCPLCPLCPLCS IS NOT ACCEPTABLES IS NOT ACCEPTABLES IS NOT ACCEPTABLES IS NOT ACCEPTABLE....

PPPPAY PARTICULAR ATTENTION TO ENSURE ALL MULTIPLE POWER SOURCES ARE IDENTIFIED AND INCLUDED IN ISOLATIONSAY PARTICULAR ATTENTION TO ENSURE ALL MULTIPLE POWER SOURCES ARE IDENTIFIED AND INCLUDED IN ISOLATIONSAY PARTICULAR ATTENTION TO ENSURE ALL MULTIPLE POWER SOURCES ARE IDENTIFIED AND INCLUDED IN ISOLATIONSAY PARTICULAR ATTENTION TO ENSURE ALL MULTIPLE POWER SOURCES ARE IDENTIFIED AND INCLUDED IN ISOLATIONS ....

Isolation of lighting circuits in fused pan els can be achieved by removing the fuse an d locking andtagging the lighting panel door closed.

It is preferred t hat having an Electrician remove the fus es additionally isolate systems. Followingisolation, the systems are to be locked an d tagged.


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Tem plates 7 8

WHEN OPERATING A POWER DISCONNECT SWITCH, EMPLOYEES MUST, LOOK AWAY FROM THE BOX, STAND TO ONE SIDE OFTHE SWITCH BOX, ON THE SIDE OF THE HANDLE, AND USING THEIR LEFT HAND, OPEN OR CLOSE THE SWITCH.

ISOLATION FOR LINE-BREAKING

Line-breaking hazards include shock along the pipeline, which can result in a rupture; damage toflange faces; exposure to pressures, corrosive m aterials, hot steam or condensate; and danger

from fai l ing pipe sections once th e pipel ine integrity has been disturbed.

EVALUATION OF POTENTIAL HAZARDS

Main tenan ce and operating personnel shall inspect th e job site prior to starting work. This inspectionis for the purpose of d eveloping a plan for the safe p erformance of the job.

Evaluate all potential hazards associated with the job and plan the necessary precautions to preventinjury.

PREPARE THE JOB SITE

Regardless of the procedures to render th e pipeline and connected equipment non-hazardous, alll ines shall be treated as though they are under pressure.

Scaffold shall be erected, where needed, with consider ation given to an escape route.

Barrier shall be set up, as required, to keep unaut horized people away.

Pipelines to be opened sh all have additional support s provided so that th e pipeline section does notfall when flange, coupling, connect or or joint is opened.

ISOLATION

The point where the equipm ent will be cut or parted sha ll be isolated by the nearest valve (closed andchain locked and t agged) on each side of the point of entry.

Where pumps are involved, pump lockout procedure m ust be followed.

Bleed all pressure (if any) from the isolated section of th e pipeline.

If the line being opened is connected to a com mon header, it may be necessary to lockout valves andblank off the d ownstream side as well. Never depend on check valves to prevent flow of contents inany pipeline.

DRAIN CONTENTS BLEED PRESSURE

Pipelines and equipm ent shall be drained into suitable containers, rather than allowing the contents

to run over the ground.

PERSONAL PROTECTION

The location of the n earest safety shower shall be known and tested by the personnel assigned to thework. Where safety showers are readily not accessible, temporary mean s shall be provided foreme rgency use purposes (e.g. portable plast ic eyewash bottle).


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Tem plates 7 9

The type of PPE that shall be worn fo r breaking th e first flange on a line or system w ill be dictated bythe chem ical contact hazard that m ay be present . PPE shall not be used to replace proper jobpreparation or safe work m ethods, but it shall be util ized to provide personnel with an add ed level ofprotection.

Regardless of the material, the individuals breaking any line must wea r splash proof goggles. Whereacids, caustic, other corrosives and h ot fluids are involved, protective clothin g such as PVC coat,pant s, rubber boots , gloves, goggles and face-shield m ust be worn .

PIPELINE/ PIPE FLANGE ENTRY

The point of entry into a line, or equipment containing hazardous material, shall be adequatelysheath ed, where practical, to prevent spraying or splashing of material.

The stud s on opposite sides of the flange shall be loosened first.

Remove a series of studs and att ach the first flange jack or wedge.

Open the flange far enough to determine if any m aterial remains in the pipelines.

Always keep the body out of d irect line of material that could be discharged from t he open line.

Remove the stu d directly opposite the stud s previously remo ved, once the pressure is relieved, andattach the second flange jack or wedge.

Proceed to remove othe r studs, as necessary, following the sam e diagonal sequence.

If nuts and bo lts must b e cut off, mecha nically or with torch, and th ere is a possibility of the line orequipment b eing under pressure, each nut and bolt th at is cut off shall be replaced with a new nutand bolt. Tighten before cutting off the next bolt.

CLOSE THE ENTRY

Broken lines rem aining in place shall have all openings blank ed or capped off to pr event drips or spills.

Removed sections of lines and equipm ent shall be handled cautiously until inspected anddecontaminated.

Mark each section of removed line and indicate previous content on the line/ pipe. The pipe/ line is nowpresumed to be empty

COMPLETE THE JOB

If contaminated lines or equipment are transferred to the maintenance shop for repairs, they shall betagged, with a warning sign identifying the contam ination or cond ition, until they can be properlydecontaminated. They shall not be stored outdoors.

The job is not comp lete until all safety tags, lockout, scaffoldin g and barriers are removed .

ISOLATION OF HYDRAULIC OR PNEUM ATIC SYSTEMS

Identi fy the m achinery or equipment that needs t o be locked out.

Stop the machine. Make sure that al l moving parts have come to a complete stop.

Find the energy source and disconn ect it. Disconnect th e electrical power to thepump/ compressor or Close the valve feeding the cyl inder.


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Tem plates 8 0

Apply a personal lock to the electrical disconnect or the valve. To mak e sure that all parts havebeen secured against inadvertent movement, you may have to pin or block a weight that isbeing supported by the stored pressure in t he cyl inder.

Test the lockout to mak e sure de-energization is effective. Test to m ake sure the pu mp orcompressor wont start and th at the f low doesnt bypass the valve. Make sure th ere is no residualpressure in the lines, reservoirs, or accum ulator feeding the cylinder. Bleed any residual pressure.Test to ensure that t here is zero energy in the system.

ROLES AND RESPONSIBILITY

Environmental, Health & Safety Manager:Evaluat es the procedu re for its effectiveness and reviews this procedu re every

five- (5) years or as requ ired.

Plant M anagerEnsure that all potential h azards are evaluated, the necessary precautions taken,and th at personn el assigned to isolate energy sources are properly trained prior toany work being done on m achinery, equipment or process;

Must provide personal locks to employees;

Must im plement written p rocedures where required;Adm inisters this procedure in th e plant; andVerifies that t he procedu re is in use.

WorkerIt is the responsibility of workers assigned t o isolate energy sources to adhere to allthe requirements in this procedure.All workers who work on machinery or equipment requiring lockout are responsiblefor:1 . Locking out t he energy-isolating device or placing a personal lock on t he key-

securing system in a group lockout procedure2. Removing their personal locks on th e completion of t heir work3. Keeping control of the keys to personal locks throughout the d uration of th e work

COMMUNICATION

The em ployer arranges for all workers to be trained in isolat ion procedures.Job requirements are com mun icated to each worker.Persons who have placed tags on equipm ent are asked to remove their tags upon confirmationthe work is complete.Prior to the equ ipm ent bein g re-energized, all workers at the work location are inform ed prior tothe start-up.

The worker and the supervisor commun icate regarding work demands and equipment status.

TRAINING

Training RequirementsEmployees required to isolat e energy sources will receive training.


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Tem plates 8 1

Frequency of TrainingThe initial t raining will be provided BEFORE an em ployee is required to isolate anenergy source.

Follow-up tra ining is provided annu ally.

Training is provided for all new mach inery, equipm ent or processes.

Type of TrainingThe trainin g will include classroom theory (legislative requirem ents, internalprocedure, and specif ic procedures) with quiz and practice (actual isolation ofmachinery or equipment).

The training can also be equipment, machinery or process specific.

EVALUATION

Training records are maintained and k ept up to d ate at each facility

REFERENCE MATERIALS

Nuclear Gauge Safety Program (94-007)

Confined Space Entry and Limited Access Area (95-003)

DEFINITIONS

Assigned Lock This is a lock for which the worker personally controls the key.

Clear The process of ensurin g that no-one is near the system before it is check ed toensure that all power is out

Chemical Energy Chemical energy refers to the energy that can be released by a chemical reaction.Hazardous chemical energy can be released with flamm able, combustible, andcorrosive substances.

Energy Source Includes but is not limited to electr ical, mechanical, radiat ion, process liquids,steam , air, water, oil, hydraulic, and vapou r sources.

Electrical Energy Conductors, motors, and generators are sources of electrical energy. Both low-voltage and high-voltage equipment and conductors can injure or kill workers.Ma intenance work on lighting system s or electrical panels, for example, requireslockout.

Isolating EnergySources

This means stopping and securing the m achinery, equipm ent, process or system toprotect workers from d anger. Such stopping and securing must eliminate orcontrol the danger to the safety and health of workers from unexpected start up ofthe m achinery, equipmen t, process or system, or the release of hazardous energyor substances.

Energy IsolatingDevice (Control

This is a device that physically prevents the t ransm ission or release of an energysource to machinery or equipm ent (the ma in power source). Typical energy-


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Tem plates 8 2

Device ) isolat ing devices include swit ches, circu it breakers, and valves. Stop bu tt ons oncontrol circuits and p rogramm able logic controllers (PLCs) cannot be used asenergy-isolating devices.

Kinet ic Energy The energy of moving equipment or moving mater ia ls .

Lock Lock is th e u se of lock s t o posit ively secu re the con trol d evice(s) used to con trol th e

hazardous energy or other hazard.

Lock ou t: M ea ns t o p hysica lly n eu tra lize a ll en ergies in a piece of e qu ip m en t b ef orebeginning any main tenan ce or repair work. Lockout s generally involve:

stoppin g all energy flows (for example, by turn ing off switch es, or valves onsupply lines);

locking switches and valves;securing the m achine, device, or power transm ission line in a de-energized

state (for examp le, by applying blocks or blank s, or bleeding hydraulic orpneum atic pressure from lines).

Person in Charge

of the Work

Individual responsible to ensure that the work is done according to the procedure

and safely. This individual can also be the person carrying out the actu al work.This individua l is not n ecessarily a supe rvisor.

Potential Energy Potential energy is the energy in suspended, elevated, or coiled materials. Anexample would be t he forks of a forklift truck.

Release The p rocess of releasing t he equ ipmen t f or t he work t o be done on it . Th is meansthat all is safe to release the system to work on.

Tag Tag is the use of a Danger tag to warn people that the equipm ent or process waslocked-out of service. It indicates the reason and the nam e of the person in charge.

Thermal Energy Thermal energy is the energy in heat, which is found in steam, hot water, fire,gases, and liquefied gases.

Try The process of trying out the equipm ent by pushing its start button to ensure thatall sources has been locked -out. This is the process of verifying that all areas of theprocess or equipmen t are secured before work is done on it.

Rad ia tion Radia tion energy includes non -ion izing and ion izing radiat ion .

Important Reminder

Em ployers need to ensure th ey include a definit ion for lockout in this procedure as thisdefinition has points attached specifically to it.


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Templates 83

Sample using Templat e 2

Title: 4 .2 (g) Confined Space Date of Issue: July 200 5



AuthorityOnly The m aintenance m anager, maintenance staff and operators have the trainingand au thority to enter a confined space.

Confined Areas identif ied with in the Rabbit Express facilities are: Ventilation system Storage silo

Definit ion:

"Confined space, m eans a space in which, because of its construction, location, contents or workactivity therein, the accumulation of a hazardous gas, vapour, dust or fum e or thecreation of an oxygen- deficient or oxygen enriched a tm osphere m ay occur.

If any of the above conditions exist the com pany should treat that space as a confined space,Unless otherwise instructed by the Ministry of Labour.

Responsibilit ies: Employer

Require a work procedure to be written t o allow safe entry into each confined space.

Ensure all individuals responsible for entrants, attend ants and rescuers are com petent.

Review investigation reports and ensure preventative measures are imp lemented prior to theauthorizations of subsequent entries.

Responsibilities: Authorized Supervisor

Determine what areas are considered to be a confined space and require a confined space entrypermit.

Determine if the work can be performed out side the confined space.

Determine what hazards exist at each confined space and develop controls.

Train the appropriate staff on the confined space entry procedure and use of t he confined spaceentry permit.

Ensure that the authorized entrants are properly completing the written confined space entrypermit.


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Templates 84

Ensure that any equipm ent is properly locked out. See lockout procedu re for details.

Ensure that the m onitoring equipment is properly functioning and calibrated.

Responsibilit ies: Healt h and Safety Co-ordinator

Develop the confined space procedure and the confined space entry permit.

Review any investigation reports and ensure preventive m easures are implem ented.

Conduct an annual review of the confined space entry procedure and entry permit system.

Responsibilit ies: Authorized Attendant s, when enteri ng the conf ined space

Ensure to properly implem ent t he confined space entry procedure.

Wear the appropriate personal protective equipment

Prior to enteringthe confined space, the entrant m ust ensure that:

They have received the app ropriate train ing. They conduct the required air m onitoring to ensure that th e environment is adequat e. They properly use and docum ent t heir findings on the confined space entry permit. They are advised of all the pote ntial ha zards. They are wearing the appropriate personal protective equipment. They have an attendant available. They advise the aut horized supervisor that th ey are enterin g the confined space. They advise the aut horized supervisor when they have exited th e confined space.

They do not sm oke, drink or eat in the work area. They clean all p ersonal protective equipmen t prior to and aft er they have exited th e confined

space. They are trained to recognize any warning signs or sym ptom s of exposure to a dangerous

situation. They perform t he work inside the confined space in a safe and appropriate ma nner.

Ensure the requirements of Industrial Regulation sections 68 to 7 1 are complied with prior to entry.

Air Monitoring

Norm al outside air conta ins about 2 1% oxygen. If the oxygen is over 23 % it is considered oxygen

enriched.If is less then 1 8% the environm ent is considered oxygen deficient

Responsibilities: Attendant

Insure that air m onitoring has been properly conducted. Verify that the confined space entry permit has been signed and posted. Mainta in comm unication with the entrant. Remain outside the entrance to t he confined space.


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Templates 85

Ensure that no unaut horized individuals enter the confined space Advise the em ergency response team on an em ergency.

Responsibilit ies: Emergency response t eam

The com pany will have a trained em ergency response team who are equipped to deal with anyem ergency. Their training will include but not limit ed to:

First Aid includin g CPR, use and maint enance of the personal protective equipment, confined space entry, and emergency response procedures.

Personal Protecti ve Equipment for the entrant s and/ or the emergency response team Steel toed footwear Harness and Lanyard Hearing protection Eye prot ection Head protection Respirator Life line (must be at tached to the person entering confined space and anchor point outside

of the confined space)

Means of communication A radio commu nication system will be used. This radio system must have fully charged and

back up batt eries. The life line is also to be used as a backup com m unicat ion system . The em ergency signal is

3 short pulls on the life line. The response from the att endant will be 2 short pulls.

Training

Verify that th e att endants, authorized entrants, emergency response personnel and personnelauthorizing or in charge of t he entry receive adequate training to ensure that they are aware of thehazards and appropriate procedures for working safely in and around the confined space.

The following training will be conducted, but not limited to: Confined spa ce entry procedure Use of th e confined space entry perm it Use and m aintenance of the personal protective equipment Rescue procedures Testing and monitoring procedures First Aid including CPR

The records of training will be m aintained in the em ployees Human Resources file.

A sample of a confined space log and confined space perm it follows.


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Templates 86

The following is an extract f rom OHSA - Industrial Regulations Confin ed space. This is them inimum standard an em ployer must comply with. Your workplace procedure mu st include thelegislation in addition to th e Workwell audit guidelines.

Secti on 67 Confined space

67 . The requirements of sections 68 , 69 , 70 and 7 1 apply, with all necessary modif ications,to any confined space while a worker is in tha t space.

Section 6 868 . Subject to section 70 , a confined space shall be entered only where,

(a) there is an easy egress from all accessible parts of th e confined sp ace;(b) mechanical equipment in the confined space is,

(i) disconnected from its power source, and(ii) locked out ;

(c) all pipes and ot her supply lines whose content s are likely to create a h azard areblanked off; and

(d) the confined space is tested an d evaluated by a compet ent person who,(i) records the results of each test in a p erma nent record, and(ii) certifies in writing in the perman ent record that t he confined space,

(A) is free from hazard, and(B) will remain f ree from ha zard while any worker is in the confined

space having regard to the nature and duration of the work to beperformed.

Section 6 96 9 . Subject to section 7 0, a confined space in which th ere exists or is likely to exist,

(a) hazardous gas, vapour, du st or fum e; or(b) an oxygen content of less than 18 per cent or more than 2 3 per cent at atm ospheric

pressure,shall be entered on ly when,(c) the requirement s of section 68 are complied with;(d) the space is purged and vent ilated to provide a safe atm osphere;(e) the m easures necessary to maintain a safe atm osphere have been t aken;(f) anoth er worker is stationed ou tside the confin ed space;(g) suitable arrangements have been made to remove the worker from t he confined

space should the worker require assistance; and(h) a person ad equat ely trained in artificial respiration is convenient ly available.

Section 7 0

7 0 . A confined space in which t here exists or is likely to exist,(a) a hazardous gas, vapour, dust or fu m e; or

(b) an oxygen content of less than 18 per cent or more than 2 3 per cent at atm osphericpressure,

and that cannot be purged and ventilated to provide and m aintain a safe atm osphereshall be entered only when,

(c) all the requirem ents of section 6 8 except subclau se (d)(ii) are comp lied with;(d) the worker ent ering is using a suitable breat hing apparat us and a safet y harness

or other similar equipment to which is securely attached a rope, the free end of


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Templates 87

which is held by a worker equipped with an alarm who is keeping watch outsidethe confined space;

(e) the worker ent ering is using such other equ ipm ent as is necessary to ensure th eworker's safety;

(f) the safet y harness, rope and other equipm ent m ention ed in clause (d) have beeninspected by a competen t person and are in good working order; and

(g) a person adequa tely trained in artif icial respiration is conveniently available.

Section 7 17 1 . (1 ) Subject t o subsection (2 ), where th e gas or vapour in a con fined space is or is likelyto be explosive or flamm able, the confined space shall be entered only where,

(a) the concen tration of t he gas or vapour does not or is not likely to exceed 50 percent of t he lower explosive limit of the gas or vapour; and

(b) the only work to be perform ed is that of clean ing or inspecting and of such anature th at it does not create any source of ignit ion.

(2) Cold work m ay be performed in a conf ined space th at conta ins or is likely tocontain an explosive or flamm able gas or vapour where the concentrat ion does

not, and is not lik ely to exceed 10 per cent of th e lower explosive limit of th e gasor vapour.

Approval sig nature: John Idnc

Distribution to: all f acilit ies, Auth orizedpersonnel for confined space

Document to be posted: Yes confined spa ce permit

Important Reminder

For workplaces with confined space(s) every person involved must know and understand their roleand responsibilit ies. A confined space plan has to be developed and implement ed to meet, at am inimum , the following standards:

OHSA Industrial regulation s (confined space) Ontario Building Code Ontario Fire Code


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Templates 88

SAMPLE Confined Space Log


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Templates 89

SAMPLE Confined Space Ent ry Permit


30/35


Templates 93

SAM PLE using Tem plat e 2SAM PLE using Tem plat e 2SAM PLE using Tem plat e 2SAM PLE using Tem plat e 2

Title:Title:Title:Title: 4 .2(i) Process and Equipm ent Purchaseand/ or Modif icat ions

Date of Issue:Date of Issue:Date of Issue:Date of Issue: July 20 0 5

Approved by:Approved by:Approved by:Approved by: John Idnc Review / Revise Date:Review / Revise Date:Review / Revise Date:Review / Revise Date: July 20 0 6Location:Location:Location:Location: all facilit ies

The purpose of th is procedure is to ensure that a ny goods purchased are assessed forexisting or poten tial hazards and ensurin g that ap propriate controls are put in place. Thisprocedure also applies to any modificat ions of existing processes or equipm ent.

Regulatory compliance an d indust ry standa rd safety practices are expected t o be adheredto:

At t he design stage In the purchase specifications During construction and/ or Installation phases.

The Healt h an d Safet y Co-ordinator will: Review the new/ modif ied m ain activit ies to determine wheth er hazards exist. If a major hazard is identified t hen Safe Operating Procedures are to be

developed. Insure th at t he new purchase or modif ication m eets all appropriate legislat ion

and indust ry standa rds, (i.e. CSA). Include a review of any material safet y data sheet s as they apply to any

chemicals being introduced into th e workplace.

Ensure the review outlines the use, storage or disposition requirem ents. Ensure that the app ropriate controls are put in place to either elimina te, or

control the hazard. Complete the pu rchase/ modif ication health and safety form with all relevant

information. Forward the purchase/ modif ication health and safety form to the joint health

and safety comm ittee for their review.

The Joint Health and Safet y Com m ittee will:

Review the Purchase/ Modif ication Health and Safety form Provide inpu t on any addition al hazard(s) or control(s) Provide feedba ck to th e Health and Safet y co-ordinator

The Departm ent Manager/ Supervisor will:

Assist the Healt h and Safety Co-ordinat or with t he Hazard review. Train the appropriate staff who will be exposed to or work with the new/ modif ied

equipment/ process on the Safe Operating Procedures.


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Templates 94

Pre-start up inspections (prior to the init ial use of new / modif ied equipm ent / process) willbe conducted with the involvement of the:

Health and Safety Representat ive or Joint Health and Safety Comm ittee Health and Safety Co-ordinator Department M anagers and/ or supervisors Any operators or person who has pot ential t o operate t he m achinery, or involved

in the new or modif ied process

All new/ modif ied equipm ent will be added to the exist ing list of equipm ent that requirespre-use operator in spections.

Implement ation of t he Pre-use / Pre-shift inspection program will commence u pon init ialuse of the equipment / process.

Approval signatu re:Approval signatu re:Approval signatu re:Approval signatu re: John Idn c

Distribution to:Distr ibution to:Distribution to:Distribution to: all facilit ies, SeniorM anagem ent, JHSC

Document to be posted:Document to be posted:Document to be posted:Document to b e posted: No

Important Reminder

In some cases a Pre-start Health and Safety Review m ust be com pleted, as per Section 7(Regulations for Indu strial Establishm ents).

As an em ployer you must d eterm ine how you define Pre-use inspection an d / or Pre-shiftinspection (for more inform ation see Workwell element 8.3 ).


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Templates 95

SAMPLE using TEMPLATE 2SAMPLE using TEMPLATE 2SAMPLE using TEMPLATE 2SAMPLE using TEMPLATE 2

Title: 4.2 (j) Personal Protective Equipm ent Date of Issue: July 200 5


Location : all facilit ies

All staff will wear the required personal protective equipm ent while workin g at this facility.

The following table outlines the companys personal protective equipment requirements:

PersonalPersonalPersonalPersonalProtectiveProtectiveProtectiveProtectiveEquipmentEquipmentEquipmentEquipment

Steel Toed FootwearSteel Toed FootwearSteel Toed FootwearSteel Toed Footwear Safety GlassesSafety GlassesSafety GlassesSafety Glasses

Acceptable

GreenTriangle

CSA A9 4 .2

Who must wea r All St af f wo rk ing o rentering the plant

All Staff working or ent ering the plant

When must it beworn

At all tim es in th e p la nt At all tim es in t heplant

Who Su pplies Cost s shared bet weencompany/ employee see clothing purchase

policy.

Company

ReplacementProcess

Every 2 years th ecompany will supply 50 %of the cost of a new pair

The sup ervisor will replace the glasses aft eran inspection is conducted on t he existingones

Training:Training:Training:Training: All staff will be fully trained in th e use, m ainten ance and storage of all personalprotective equipment . Records will be m aintained following the completion of t he training.

Approval signat ure:Joh n Idnc

Distribution to: all facilit ies, SeniorM anagem ent, JHSC

Document t o be posted:

Sign indicat ing personal protectiveequipment is required

Important Reminder

Other personal protect ive equipmen t that cou ld be included if it is in your workplace (butnot lim ited to): gloves, face shield, welding helmet s, aprons, hearing protection .


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Templates 96

SAM PLE using Tem plate 2SAM PLE using Tem plate 2SAM PLE using Tem plate 2SAM PLE using Tem plate 2

Title:Title:Title:Tit le: 4 .2 (k) Non-Rout ine Work Date of Issue:Date of Issue:Date of Issue:Date of Issue: July 20 0 5

Approved by:Approved by:Approved by:Approved by: John Idnc Review / Revise Date:Review / Revise Date:Review / Revise Date:Review / Revise Date: July 20 0 6Location:Location:Location:Location: all facilit ies

It is the supervisors responsibility to insure that work a ctivities are assigned to th eappropriate workers.

Definitions:

Act ivity a set of act ions required to com plete a job

N on -Rou tin e Work a ct ivit ies th at are not gen era lly p erf orm ed on a regu la r b asis

Safe Operating Procedures a set of instructions for a job, process or machine that whencorrectly followed will provide optimum safety to the worker.

In the event that a work er or supervisor/ m anager identify non-routine work, all involvedmu st attend a pre-work meeting.

Pre-work M eeting

The supervisor or experienced designate will cond uct th e pre-work m eeting with all

involved.

During the pre-work m eeting, all potential hazards associated with t he non-routinetask/ activity must be identif ied. The hazards identif ied must be rated for losspotent ial (using the existing loss poten tial m atrix included on the report ing hazardform).

All controls must be identif ied and fu lly implem ented.

Safe operating procedures mu st be established and documented.

All involved workers mu st be trained on th e safe operating procedures. A record oftraining will be kept in t he worker's Human Resources file.

All necessary safety equipm ent required t o complet e the task/ activity safely areoutlined and th eir proper use m ust be dem onstrated to all involved.


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Templates 97

Non-routine Work evaluation

The worker must dem onstrate their ability to complete the task/ activity to thesupervisor or experienced designate.

The supervisor or experienced designate will not allow th e worker to com me nce anywork until they are satisf ied that the worker can complete th e task/ activity in a safemanner.

Approval signatu re:Approval signatu re:Approval signatu re:Approval signatu re: John Idn c

Distribution to:Distr ibution to:Distribution to:Distribution to: all facilit ies, Senior

M anagem ent, JHSC

Document to be posted:Document to be posted:Document to be posted:Document to be posted: No

Important Reminder

To assist with imp lementation of this procedure for identifying hazards that may be foun d innon-routine work see Workwell element 4.1 .


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000- a pipeline isolation before line breaking

Documents