Worksite Safety Report
Use this checklist to report unsafe conditions on your worksite. We ask for your name and email address so that we can follow up with you if we need more information. This report is confidential. Your name will NOT be shared with your Employer, nor used to file report to WorkSafeBC.
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Email *
Your Name *
Your Worksite (including address) *
Name of the General Contractor *
Name of the Electrical Contractor *
Approx. how many workers are on site? *
How many workers are on your crew? *
Are there more than 50 workers in one location at the same time? *
Have you observed more than four (4) workers at a time riding an Elevator?
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How many Hand Wash stations are there on site? (If none answer none)
How many Hand Sanitizer stations are there on site? (If none answer none)
Are Hand Wash and / or Hand Sanitizer stations properly maintained? (Refilled regularly, etc.)
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How many Flush Toilets on site? (If none answer none)
Are Flush Toilets properly maintained? (Regularly cleaned, stocked, etc.)
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How frequently are common areas like Lunch and Break Rooms cleaned and sanitized?
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Have you observed any Worker on site who appears visibly sick?
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Are you aware of any Worker on your site who has tested positive for COVID-19 (Coronavirus)?
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If you raised any of these, or any other Health & Safety concerns with your Employer, what was their response? (Please include approx. when you raised your concerns.)
Do you have any other comments specifically about your worksite to share?
A copy of your responses will be emailed to the address you provided.
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