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BC Forest Safety Council SEBASE Support Forms

  

(These support forms are provided for your convenience to assist companies in developing or enhancing their safety management system. They are intended to be modified and adapted as required. The BC Forest Safety Council does not imply or express any guarantee or compliance for your particular company situation. The forms open in Microsoft Word and are 97-2003 compatible.)

Element A    Management Leadership
A1 - Health and Safety Policy Statement
A2 - Worker Assessment Checklist
A3 - Training and Certification Log
A4 - Corrective Action Log

Element B    Hazard Identification and Risk Control
B1 - First Aid Assessment Worksheet
B1 - First Aid Requirements
B1 - First Aid Supplies Checklist
B1 - Initial Safety Meeting Agenda - New Worksite
B1 - Initial Safety Meeting Checklist
B2 - Site Inspection Checklist
B3 - Equipment Maintenance Log
B3 - Vehicle Inspection Report
B3 - Vehicle Pre-trip Inspection and Mileage Log
B4 - Worker Assessment Checklist

Element C    Standards, Procedures and Work Instructions
C1 - Personal Protective Equipment (PPE) Policy
C2 - Safe Work Procedures - Boom
C2 - Safe Work Procedures - Bucker
C2 - Safe Work Procedures - Cable Yarding - Chokerman
C2 - Safe Work Procedures - Cable Yarding - Landing Bucker
C2 - Safe Work Procedures - Cable Yarding - Landingman
C2 - Safe Work Procedures - Cable Yarding - Log Loader Operator
C2 - Safe Work Procedures - Cable Yarding - Mobile Swing Yarder Operator
C2 - Safe Work Procedures - Cable Yarding - Rigging Slinger
C2 - Safe Work Procedures - Cable Yarding - Swing Yarder Hooktender
C2 - Safe Work Procedures - Cable Yarding - Yarder Operator
C2 - Safe Work Procedures - Cable Yarding and Loading
C2 - Safe Work Procedures - Cable Yarding- Hooktender
C2 - Safe Work Procedures - Chokerman - Ground Skidding
C2 - Safe Work Procedures - Crawler Machine (Skidding and Trail Construction)
C2 - Safe Work Procedures - Delimber Operator
C2 - Safe Work Procedures - Driving - General
C2 - Safe Work Procedures - Loader Operator
C2 - Safe Work Procedures - Logging Truck Driver
C2 - Safe Work Procedures - Logging or Lowbed Truck Driver
C2 - Safe Work Procedures - Process Operator
C2 - Safe Work Procedures - Skidder Operator (Line)
C2 - Safe Work Procedures - Skidding Operator (Grapple)
C2 - Safe Work Procedures - Yarding Engineers - Cable Yarding
C2 - Safe Work Procedures- Feller Buncher Operator
C3 - Discipline Policy
C4 - Emergency Response Plan Contact Information
C4 - Emergency Response Planning
C4 - First Aid Supply Inventory
C4 - Guide to Creating an Emergency Response Plan
C5 - First Aid Requirements
C5 - First Aid Supply Inventory
CD - Wood Dust Exposure Control Plan
CH - Asbestos Exposure Control Plan
CH - Exposure Control Blood Borne Pathogens
CS - Boom Boat Engine Compartment Confined Space Entry Procedures
CS - Confined Space Hazard Assessment Dozer Boat
CS - Confined Space

Element D    Training, Education and Certification
D1 - Safety Orientation Checklist
D2 - Training and Certification Log
D3 - New Worker Assessment Checklist
D4 - Safety Team Members
Element E    Health and Safety Communications Systems
E1 - Crew Safety Meeting Minutes
E1 - Health and Safety Meeting Recording Form
E1 - Health and Safety Meeting
E3 - Incident Close Call Reporting Form
E4 - Hazard Report

Element F   Incident Reporting and Investigation Systems
F1 - Incident Investigation Form
F2 - Training and Certification Log
F3 - Safety Alert Template
F4 - Corrective Action Log

Element G    Non - Prime Contractor Management
G1 - Contractor Management Pre-qualification Checklist
G1 - Contractor Selection and Safety Checklist
G2 - Contractor Safety Meeting Minutes

Element H    Prime Contractor Management
H1 - Prime Contractor Orientation Form
H2 - Prime Contractor Safety Checklist
H3 - Prime Contractor Agreement - Schedule
H4 - Prime Contractor Corrective Action Log

SEBASE Injury Management/Return To Work

Element I    Injury Management/Return To Work
I1 - Injury Management Policy
I2 - Injury Management Return to Work
I9 - Functional Abilities Assessment Form
I9 - Short Term Work Form
I9 - Transitional Work Plan

SEBASE Technical Audit Modules

Lockout
LO - Lockout Procedures for Logging Trucks
LO - Lockout Requirements
LO - Safe Work Procedures on Quad Log Decks

Confined Space
CS - Boom Boat Engine Compartment Confined Space Entry Procedures
CS - Confined Space Hazard Assessment Dozer Boat
CS - Confined Space

Working at Heights
WH - Working at Heights

Hot Work
HW - Hot Work Permit Template 2007
HW - Hot Work Permit Template
HW - Hot Work Policy and Procedure

Respiratory Protection
RP - Respiratory Protection Program Template and Guide
Camps
RA - Camp Inspection Checklist
RA - Silviculture Contract Camp Standards

Working Near Power Lines
PL - Pre-work Power Line
PL - Pre-work Review Form Logging Near Energized High Voltage Conductors
PL - Safe Work Procedure Shock Hazard and Arc Flash Protection
PL - Shock Hazard and Arc Flash Protection Policy
PL - Working in Proximity to Powerlines

Combustible Dusts
CD - Wood Dust Exposure Control Plan

Chemicals and Asbestos
CH - Asbestos Exposure Control Plan
CH - Exposure Control Blood Borne Pathogens

Manual Tree Falling
MF - Faller Initial Safety Meeting Checklist
MF - Faller Site Hazard Assessment Checklist
MF - Fallers Hazard Report Form
MF - Falling and Bucking Checklist
MF - Hand Faller Checklist