Workplace Inspection
Forms
Health & Safety Board
What is...
2018 Injury Stats
100

Person who completes the monthly Workplace Inspection.

What is the Health & Safety Representative?

100

Safety Logo saying.

What is Make it safe. Make it home?

100

Names and phone numbers.

What is the contact list?

100

Person an injury must be reported to immediately.

Who is the Superintendent?

100

Number of reported injuries in the Sudbury area in 2018.

What is 20?

200

This helps reduce fatigue caused by standing for long periods on hard surface.

What is a fatigue mat.

200

Form which must be filled out immediately when an employee is the victim of a dog assault.

What is the Dog Attack Checklist?

200

Discussion to provide information to help protect employees.

What is a Health & Safety talk?

200

Agency to call when in a dangerous situation.

What is the police? (911)

200

In 2018, 79 of these type injuries were reported in Ontario.

What is a Slip Trip and Fall?

300

Instructions posted on the Health & Safety Board in case of Emergency.

What is an emergency plan?

300

This report must be filled out to report an injury requiring the attention of a physician or treatment in a hospital.

What is the Employee's Report of Injury?

300

Number of steps to follow as per the WSIB poster in case of injury at work

What are four steps?

300

Number of hours Superintendent has to enter all injury information into the system and send to ESDC

What is 72hrs?

300

In 2018, 18 of these type injuries were reported in Ontario.

What is a animal interaction?

400

A collection of supplies used to provide medical treatment.

What is a first aid kit?


400

This report must be filled out to report an injury not resulting in Lost Time and not requiring the attention of a physician or treatment in a hospital.

What is Minor Injury Report?

400

This Act is to protect workers from health and safety hazards on the job.

What is the Canadian Occupational Safety & Health Regulations?

400

All threatening behaviours, comments or any act of violence, including threat of suicide and self-harm, must be reported to this office by your Superintendent.

What is the Area Performance Centre (APC)?

400

In 2018, 10 of these type injuries were reported in Ontario.

What is a object interaction?

500

People who provide medical assistance.

What are first aid certified employees.

500

This form is to be used when investigating any incident.

What is the Incident Investigation  Data Collection Sheet?

500

The edition of the Canadian Labour Code posted with our board.

What is Part II

500

Agency the dog interactions must be reported to.

What is city bi-law office? (311)

500

In 2018, Mike Shearon, our General Manager's area (all of Ontario), reported this many injuries.

What is 1156?