Safety Groups – Five Steps Worksheet

Element Name:

Step 1 - Set Standard

q  The standard describes exactly how the element will be implemented in the workplace

q  The standard clearly describes the specific responsibilities of everyone in the workplace (e.g., management, supervisors, workers, JHSC, Safety Group contact, etc.)

q  It outlines exactly how the standard will be communicated

q  It outlines exactly what health and safety training is necessary to meet the standard

q  It outlines exactly how the standard will be evaluated at the end of the year

q  The requirements of the standard are realistic

q  The standard meets minimum legislative requirements.

Step 2 - Communication

q  The standard will be communicated to

o  All those responsible for implementing the standard

o  All those who will be affected by the standard.

Groups of Persons requiring communication / Means of Communication
(e.g., bulletin boards, emails, memos, meetings, etc.)

Step 3 – Training

q  The training requirements outlined in the standard will be fulfilled as follows

Groups of Persons to be Trained / Training Content / Method of Training

Step 4 – Evaluation:

q  Proposed date of evaluation of the standard:

q  Means of evaluation (e.g., quizzes, surveys, workplace inspection observations, accident statistical review, etc.):

q  Persons responsible for conducting the evaluation:

Step 5 – Acknowledge Success/ Make Improvements:

o  Who will formally acknowledge / recognize this success?

o  How will success be formally acknowledged?

o  Date of acknowledgement:

q  Improvements recommended as a result of the above evaluation will be completed by:

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