Training Review Schedule

2011 SAFETY TRAINING		GROUPS
TOPICS	OPERATIONS	H&S REP	FOREMAN	WORKER
WHMIS	YES	YES	YES	YES
FIRST AID	YES	YES	YES	OPTIONAL
FORKLIFT OPERATION	OPTIONAL	YES	OPTIONAL	OPTIONAL
LOCK-OUT & MACHINE SAFETY	OPTIONAL	YES	YES	OPTIONAL
FALL ARREST	YES	YES	YES	YES
CONFINED SPACE ENTRY	OPTIONAL	YES	YES	OPTIONAL
PROPANE SAFETY	OPTIONAL	YES	OPTIONAL	OPTIONAL
SAFETY ORIENTATION SESSION	YES	YES	YES	YES
COMPATENT WORKER	YES	YES	YES	YES
RESPIRATORY PROTECTION	OPTIONAL	YES	YES	OPTIONAL
LEGISATIVE RESPONSIBILITIES	YES	YES	YES	OPTIONAL
SUPERVISORY TRAINING	OPTIONAL	YES	YES	OPTIONAL
ACCIDENT INVESTIGATION	OPTIONAL	YES	YES	OPTIONAL
SAFETY TALKS	OPTIONAL	YES	YES	OPTIONAL

SAFETY ACTION REPORT

THIS FORM MAY BE USED TO REPORT SAFETY HAZARDS AND THE DETAILS OF CORRECTIVE ACTION WHICH HAS BEEN TAKEN. BOTH HAZARDOUS CONDITIONS AND UNSAFE ACTS MAY BE REPORTED ON THIS FORM.

PLEASE GIVE THE COMPLETED FORM TO THE PERSON TO WHOM YOU USUALLY REPORT, AND SEND A COPY TO THE HEALTH AND SAFETY REP.

TIME__________DATE__________

ADDRESS _______________________________ CONSTRUCTOR ________________________________________

SITE SUPERVISOR ____________________________ DF SITE SUPERVISOR ______________________________

LOCATION OF THE HAZARD? _____________________________________________________________________

DESCRIPTION OF THE HAZARDOUS CONDITION OR ACT

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

RECOMMENDED CORRECTIVE ACTION ____________________________________________________________

_________________________________________________________________________________________________

_________________________________________________________________________________________________

ACTION TAKEN TO ELIMINATE HAZARD

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

THE ‘ACTION TAKEN’ PORTION OF THIS FORM MUST BE COMPLETED WITHIN 21 CALENDAR DAYS. PLEASE SEND A COPY TO THE HEALTH AND SAFETY REP SO THAT THE LOG CAN BE UPDATED.

REPORTED BY _______________________

REPORTED TO _______________________

Reviewed by manager of operations Action against

Date: ____________________ Date: ______________________

Signature: ___________________ Signature: _______________________

Fork Lift Operator Check List

PROPANE POWERED LIFT TRUCKS OPERATOR CHECK LIST PAGE 1 OF 1

DATE: ____________ TRUCK #: __________ HOUR METER: _____________ DEPT. ____________

OPERATORS
				INDICATE OK OR NEEDS ATTN.
	PRE - OPERATIONAL CHECKS			O.K.	NEED ATTENTION
1	INSPECT FORKS (Cracks, Damage, Level, Locking Pins)
2	CARRIAGE (Bent or Damaged)
3	LIFT CHAINS (Tension, Mounting Pins Damaged)
4	LIFT CYL., TILT CYL., HYD. HOSES (Leaking or Damaged)
5	HOSE REEL (Damage, Leaks)
6	TIRES (Chunked, Separated, Damaged)
7	FLUIDS (Oil, Trans. Hydraulic)
8	RADIATOR (Level and for Leaks)
9	PROPANE TANK (Secure, S.V. Vertical, Leaks, & Gauge)
10	GENERAL CONDITION (Damage Etc.)
11	FIRE EXTINGUISHER
	OPERATIONAL CHECKS
1	EMERGENCY BRAKE (Forward, Reverse)
2	SERVICE BRAKE (Forward, Reverse)
3	STEERING (Left, Right)
4	HORN, LIGHTS (Operational, Damage)
5	BATTERY FLUID LEVEL
6	TIRES
7	NOISES
COMMENTS: (PLEASE EXPLAIN ALL ITEMS NEEDING ATTENTION)

TURN OVER IF ADDITIONAL SPACE IS REQUIRED FOR COMMENTS.