Workplace OHS-Compliance Survey (DSG-ProF003)

Workplace OHS-Compliance Survey

(DSG-ProF003)
Thank you for participating in our survey!

Depending on the arrangements made, the results of your responses may be shared with your Employer or Workplace.

The purpose of the survey is to help employers, operating in Ontario (Canada), increase their knowledge about their main responsibilities under Occupational Health and Safety legislation, and to evaluate how well they are complying with their duty to ensure their workplaces are safe.

The survey is composed of questions that are organized into four (4) parts:
1. Roles and Responsibilities, digging into the 'prescribed' clauses of the Occupational Health and Safety Act ('OHS-Act').
  Followed by the remaining parts, which extract the organization's adherence to 'general duty' clauses of the OHS-Act.
2. Reporting and Records Management,
3. Hazards in the Workplace; and,
4. Instruction and Training.
The data collected, and reported to the Employer/Workplace, is for educational/consulting purposes only and will not be shared with an OHS-regulator (unless the consultant is legally compelled to do so in a legal proceeding).

Participants, during completion of the survey, will have the opportunity to provide supporting materials as part of an audit process (for their review/improvement processes only). Should they wish for our consultants to review the submitted materials and provide further insight/evaluation they are encouraged to contact our offices.

Work safe. Stay healthy!
DeBoer Safety Group

info@deboersafetygroup.com | 1-888-541-1142
Name (optional)

First NameLast Name
Email
OPTIONAL - Please provide your email address if you'd like to receive a copy of your survey submission and final report.
Can we add you to our DSG-mailing list for our SAFETY-FIX newsletter, updates and announcements?

I'm okay with being added to the DeBoer Safety Group email list.No, please don't add me to the list but still send my survey submission. Thanks!
Date of Survey Completion*

DayMonthYear
Employer/Workplace Details
Employer Finder (optional)
Are your primary operations occurring in the province of Ontario - CANADA?*

YesNo
Please describe the work your company performs or services you provide?
We, at company XYZ ....
Which best describes your industry?*
Select an option that best describes your industry
Which best describes your company?*

Single site (only 1 location of operation)Multi-site (more than 1 location)
Is your company?*

UnionizedNon-unionizedHybrid; portions unionized
How many people (workers, supervisors, management; regular staff) work at your location?*

Do you have any immediate concerns regarding OHS in your workplace:

	Yes	No	Comments
Previous accidents/injuries
Prior experience with OHS-inspectors (inspecting and investigating in the workplace)
Prior workplace injury claims (WSIB/WCB)
Related-HR issues (hiring, lay-off, leave, discipline or terminations)
Other (please specify)

NOTE: This survey is meant as a 'self-audit' activity for employers. Where an employer indicates a positive result on an audit question it is highly recommended that they also source supporting information/documentation to support their finding.

Typically in an audit, supporting information will take the form of a:
- DOCUMENT
- INTERVIEW
- OBSERVATION;
- Or a combination thereof.
Should a survey participant wish to provide supporting information for their finding(s), to support their OHS-compliance efforts, they will have the opportunity to provide it within the body of the survey.

Provided supplementary/supporting material will be included as appendices to the generated report (following survey submission).

Should you have any questions or comments, please contact us.

Work safe. Stay healthy!
DeBoer Safety Group

info@deboersafetygroup.com | 1-888-541-1142
Will you be providing supporting information (per NOTE above)?*

YesNo
Are you interested in a comprehensive review, of your submission, by one of our OHS-consultants?*

YesNo

Part 4- Instruction and Training

The Occupational Health and Safety Act ('OHS-Act') provides 'general duty clauses' which outline the things that an organization must "do" to satisfy the required elements of the OHS-Act. These general-duties are, typically, workplace-specific, job/task-related or considered 'industry-standard practices'. It is the organization's efforts, and actions, to comply with general duty clauses that establish its "due-diligence".
NOTE: Regarding prescribed clauses v. general duty clauses

Where an element, as part of the survey, is directly prescribed (in the OHS-Act) the prescribed statute or regulation is provided for the user's reference.
1. MANDATORY TRAINING - Have your workers and supervisors completed mandatory occupational health and safety awareness training (as required by O.Reg 297/13)?

YesNo
2. MANDATORY TRAINING - Have you, provided your workers with information and instruction on preventing workplace violence and harassment, and the functions of your related-programs (i.e. reporting, investigation and subsequent actions)?

YesNo
3. WORKPLACE SPECIFIC TRAINING - Do you and your supervisors provide workers, and staff, at your workplace with workplace-specific training on identified hazards?

YesNo
4. REGULAR INSTRUCTION - Do you, as an employer, provide (regular) information, instruction and (ongoing) supervision to your workers to protect their health and safety (per. OHS-Act s.25(2)(a))?

YesNo
P4. Instruction and Training - Supporting DOCUMENTS, for AUDIT.

Browse Files

Cancelof
P4. Instruction and Training - Supporting information/notes, for AUDIT (i.e. "INTERVIEW")
P4. Instruction and Training - Supporting OBSERVATION, for AUDIT
P4. Instruction and Training-Action Plan
You've answered "No" to one or more questions above. You can use the space above to create an action plan, and achieve compliance.
P4 ActionPlan

Workplace OHS-Compliance Survey

Survey completion
Do you have any additional concerns or comments?
Contact information and other details can be securely transmitted to DeBoer Safety Group through this form.
Thank you for completing the DSG-Workplace OHS-Compliance Survey. Following your submission, you'll be able to access your results shortly.

When it comes to health and safety in the workplace, always:
- Regularly REVIEW health and safety in the workplace, in consultation with your workers
- Take corrective ACTION when health and safety issues are identifited
- UNDERSTAND health and safety is something that can be CONTINUALLY improved.
Additional resources are available to you, visit:
Work safe. Stay healthy!
DeBoer Safety Group

info@deboersafetygroup.com | 1-888-541-1142
Geo-location
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Workplace OHS-Compliance Survey

Employer/Workplace Details

Part 1- Roles and Responsibilities

Part 2- Reporting and Records Management

Part 3- Hazards in the Workplace

Part 4- Instruction and Training

Workplace OHS-Compliance Survey

	Yes	No	Comments
Have experience, training a knowledge to oversee the work?, AND
Have knowledge of any potential or actual hazards associated with the work:, AND
Are familiar with the health and safety legislation (as it applies to their work)?