Northgate Contracting Ltd · Sample

Forms Package

From a sample client's manual

4 of 5

Forms with your company on every one

32 forms in Northgate's package
Worksite Safety Inspection and Observation form, stamped with the sample company name
Field Level Hazard Assessment form, stamped with the sample company name
1
Your company on every form
Your logo, or your company name, at the top of every form.
2
Word and PDF
Fill them in on a computer or tablet, or print a stack for the truck.
3
When to use each one
A one-page guide comes with every package.
When To Use Each Form
Safety program forms - Northgate Contracting Ltd.
Keep this sheet with your forms binder. It lists every form in your package and the moment each one should come out.
CORE FORMS - EVERY COMPANY USES THESE
FLHA - Hazard Assessment
Your most-used form. Complete at the start of every shift and again whenever the task or conditions change.
Near Miss - Safety Concern Report
Any worker can use this to report a near miss or safety concern. No blame - the report is the win.
SELECTED FOR YOUR OPERATIONS
Aerial Lifts
Complete before each shift when operating an aerial work platform. The operator fills it in as a pre-use inspection.

The 22 core forms

In every package, whatever your work.
Hazard assessment
  • FLHA - Hazard Assessment
  • Pre-Job Hazard Assessment & Toolbox Meeting
Inspections
  • Maintenance Record Form
Emergency response
  • Emergency Response Plan
  • Emergency Response Drill
Training and orientation
  • New Worker Orientation Form
  • Subcontractor Orientation Form
  • On-the-Job Training
  • Safety Competency Evaluation
  • Employee Formal Training Record
Incidents and corrective action
  • Incident Investigation Report Form
  • Near Miss - Safety Concern Report
  • First Aid Record
  • Corrective Action Log
  • Year end injury summary
Meetings, people and program
  • Safety Meeting Form
  • JHSC Meeting Minutes
  • Safety Summary
  • Right to Refuse
  • Employee Warning Report
  • Subcontractor Safety Questionnaire
  • Visitor Sign In Form
Plus the forms your work calls for, chosen from your questionnaire. For Northgate:
  • Worksite Safety Inspection & Observation Form
  • Aerial Lifts
  • Forklift Inspection Form
  • Harness Inspection Form
  • Vehicle Inspection – Monthly
  • Mobile Equipment Inspection Form
  • Office Inspection Form
  • Drug And Alcohol Testing Waiver
  • Offer of Modified Work
  • Notice of modified work available