Legislation NWT Safety Act NWT Occupational Health & Safety Regulations Core Elements # Element Associated Documents 0 Health & Safety Management System Manual None 1 Health & Safety Policy Policy S-01: Health & Safety 2 Hazard Assessment & Control Form 2.2: Job Safety Analysis Form 2.3: Tailboard Meeting 3 Safe Work Practices Click here for a list 4 Safe Job Procedures Click here for a list 5 Company Rules Form 5.1: NTPC Life-Saving Rules Contract Form 5.2: Car Sign-Out Agreement Form 5.3: Truck Sign-Out Agreement Form 5.4: Van Sign-Out Agreement Form 5.5: Charter Air Operator Standard Form 5.6: Lead Hand Authorization Form 5.7: Respiratory Communicable Disease Exposure Control Plan Form 5.8: Switchgear Access 6 Personal Protective Equipment Form 6.1: Issue of Personal Protective Equipment Form 6.2: Approved HSE Equipment Purchasing List 7 Preventative Maintenance None 8 Training and Communication Form 8.1: Site Orientation Form 8.2: Visitor Site Orientation Safety Contract Form 8.3: Group Health & Safety Meeting Minutes Form 8.4: Daily Meeting 9 Health & Safety Inspections Form 9.1: Worksite Visit Form 9.2: Safety Inspection Report Form 9.3: Vehicle Inspection Form 9.4: Heavy Equipment Inspection Form 9.6: Work Observation 10 Incident Reporting and Investigation K2 Incident Report Form (Form 10.1: Incident Report) Spill Report Form Form 10.2: Incident Investigation Sample Incident Investigation Report Form 10.3: Witness Interview Form 10.4: Concern Report Form 10.9: Post Incident Safety Stand-Down WSCC Employer's Report of Incident WSCC Worker's Report of Injury Corrective Actions K2 Form READ ME 11 Emergency Preparedness and Response Form 11.1: Emergency Declaration and Response Guidelines Form 11.2: Site Specific Emergency Preparedness & Response Plans Form 11.3: Emergency Operations Centre Response Plan Form 11.3.1: EOC Team Meeting Form 11.3.3: Emergency Debrief Form 11.4: Emergency Generation Preparedness Plan Form 11.5: Pandemic Emergency Preparedness Plan Form 11.6: Emergency Record Form 11.7: Fire Drill Record 12 Records and Statistics Form 12.1: Records List Form 12.2: Quarterly Health & Safety Statistics Report 13 Legislation Form 13.1: H&S Management System References Index Appendices # Appendix Elements Associated Documents 14.01 Project Safety Planning Form 14.01.1: Project Safety Risk Analysis Form 14.01.2a: Project Safety Plan - Major Works Form 14.01.2b: Project Safety Plan - Minor Works Form 14.01.4: Project Post-Work Safety Evaluation 14.02 Contractor Safety Management Form 14.02.1: Contractor Safety Requirements Form 14.02.4: Pre-Start Contractor Inspection Form 14.02.5: Contractor Monthly Safety Performance Report Form 14.02.8: Contractor Discipline Letter Template 14.03 Work Protection Code Form 14.03.1: Work Permit Form 14.03.2: Work & Test Permit Form 14.03.3: Hold-off Permit Form 14.03.4: Switching Plan Form 14.03.5: Surrender when Permit Holder is not Available Form 14.03.6: Lock Removal Authorization Form 14.03.7: Permit Issuer Guide Form 14.03.8: Authorized Work Protection List Form 14.03.9: Work Protection Log Form 14.03.10: Work Protection Code Authorization Record Form 14.03.11: Electrical System Security Form 14.03.12: Permit Transfer Form 14.03.13: Equipment Access Permit Form 14.03.14: Test Notification 14.04 JOHSC Form 14.04.1: JOHSC Meeting Agenda Form 14.04.2: JOHSC Meeting Minutes 14.05 Hearing Protection Form 14.05.1: Noise Survey 14.06 Equipment Form 14.06.1 - Mobile Equipment Operation Competence Assessment 14.07 Respiratory Protection Form 14.07.1 - Respirator Qualitative Fit Test 14.08 Fall Protection None 14.09 WHMIS Safety Data Sheets: Login and search for hazardous products by name. Username: ntpc Password: msds 14.10 Working Alone or in Isolation Road Travel Monitoring Procedure SafetyAware App Quick Guide iOS (iPhone) SafetyAware App Quick Guide Android 14.11 Discrimination, Harassment & Violence None 14.12 Ergonomics and Manual Handling Form 14.12.1: Manual Handling Risk Assessment Form 14.12.2: Keyboard Workstation Assessment 14.13 Confined Spaces Form 14.13.1: Confined Spaces Register Form 14.13.2: Confined Space Entry Plan 14.14 Return to Work WSCC Worker's Report of Injury Form 14.14.1: Return to Work Plan Form 14.14.4: Injured at Work Poster 14.15 Arc Flash Form 14.15.1: Arc Flash Survey 14.16 Asbestos Management Form 14.16.1 - Asbestos Inspection Form 14.16.2 - Asbestos Inventory Form 14.16.3 - Asbestos Management Plan Form 14.16.4 - Asbestos Abatement Plan Form 14.16.5 - Asbestos Abatement Report WSCC Asbestos Project Notification Form 14.17 First Aid None 14.18 Psychological Health & Safety None NA COR Audit Action Plan None