Safety Forms
Working Alone or Isolation Contact Form
Set the check-in method and schedule for a worker heading out alone or into isolation, then log every actual check-in against it on the same page, delivered as a real fillable PDF.
- Fillable PDF — type into it on any device, or print it blank
- Single page, 8.5" x 11" (Letter)
- Add your company logo at checkout — no extra charge
- Written by Canadian safety professionals to provincial OHS standards
- Instant download after purchase
Written by certified COR auditors · Trusted by Canadian contractors for 17+ years · Secure Stripe checkout · Instant delivery + re-download any time from your purchases page
Pairs with online training
Certificates issue instantly through our online training portal.
SOMEONE ALWAYS KNOWS WHERE THEY ARE AND WHEN THEY LAST CHECKED IN
What you get
- A fillable PDF - contact details, method, schedule, and every log entry are real form fields
- Header fields for the worker, location, job task, and both a primary and check-in contact person
- Check-in method (In Person, By Phone, or a custom Other) and frequency (Every Hour, Every 2 Hours, or a custom Other) set once at the top
- A 14-entry check-in log with time, a Contact Made checkbox, and a comments/wellbeing line for each check-in
- An emergency contact table (2 name/phone pairs across 3 rows) so the check-in contact person knows exactly who to call if a check-in is missed
- Supervisor and check-in contact person signature lines
- Your company logo added to the form, at no extra charge
How to fill it out and keep it. Open it in Adobe Acrobat Reader (free) or a desktop browser like Chrome or Edge, then use that program's own Save or Download button, not just closing the tab, so your entries are kept in the saved copy. On a phone, most PDF apps will let you view the form but not type into it - fill it out on a computer, or print it and use a pen.
Specifications
- Size
- 8.5" x 11" (Letter)
- Format
- Fillable PDF - type into it on any device, or print it blank
- Company logo
- Included - upload at checkout, or we print your company name instead
- Delivery
- Instant download after purchase
Why crews use it
- Setting the method and frequency once at the top, then logging against it below, means nobody has to re-explain the check-in plan every single time contact is made
- A dedicated Contact Made checkbox on every log row makes a missed check-in visible at a glance - an empty box partway down a mostly-checked column is the exact signal a supervisor needs to act on
- The emergency contact table lives on the same page as the check-in log, so if a check-in is missed the next step is already printed in front of whoever is watching, not filed somewhere else
- Supports working-alone and isolation procedures required under provincial OHS legislation for lone or remote workers
Built for
- Supervisors and check-in contacts responsible for a worker who is alone, remote, or in isolation for part or all of a shift
- Companies with field, night-shift, or single-person site roles that fall under working-alone regulations
- Safety coordinators assembling COR/SECOR audit evidence for a documented working-alone program
Why it matters
A working-alone policy that exists only as a paragraph in a manual doesn't tell anyone whether today's check-ins actually happened. Turning it into a log - method and schedule set once, then a checkbox and a comment every time contact is actually made - is what turns a policy into evidence that the worker was, in fact, checked on.
Try it right here
Click a box. Type a line. See how it feels before you buy.
This is the real form layout - what you type here isn't saved or sent anywhere, it's just so you can see the fields work before you pay.
Common questions
Before you buy
What people ask us about the Working Alone or Isolation Contact Form.
What is the Working Alone or Isolation Contact Form used for?
Working Alone or Isolation Contact Form for Canadian worksites. Professionally designed, print-ready format. Supports compliance with provincial OHS regulations. Delivered in both formats - an editable Word file to add your company name and customise for your worksite, plus a print-ready PDF. All required fields, signature lines, and dates included. Written by Canadian safety professionals. Instant download after purchase. It is written for Canadian workplaces and formatted so it can go straight into your safety program.
Is it editable, or print-ready only?
It is supplied in an editable format, so you can add your company name, adjust the wording to match how your crews actually work, and issue it under your own program.
Does using this form make us compliant?
No single form makes a company compliant. A form is the evidence half of a safety program - it records that something was checked and by whom. It carries weight at audit time when the written program behind it says the check is required and how often. If that program does not exist yet, that is the part we write.
What format is it, and when do I get it?
It is a digital download available immediately after checkout, and you can print as many copies as your own crews need.
From the team that wrote it
These forms come from a bigger program.
Inspection and competency forms are the evidence half of a safety program. If the program they belong to does not exist yet, or has not been updated in a few years, that is the part we write.