Notice of Audit (NOA) –
Single Account

Company Information
WorkSafeBC Account #
Legal Name (as registered with WorkSafeBC)
Trade Name/DBA
Address
City / Province / Postal Code
Company Contact Information
Company Contact / Title
Phone / Email
Auditor Information
Internal Auditor ☐ / Student Audit ☐ / External Auditor ☐
Auditor Name
Auditor email / Auditor Phone
If this is a team audit, enter lead auditor info above and enter team auditor names below:
Team
Team
Audit Type
Certification / ☐ / Maintenance / ☐
Recertification / ☐
Audit Timeline (all dates mm/dd/yyyy)
Anticipatedpre-audit meeting date / Anticipated post-audit meeting date
Anticipated start date of on-site audit activities
Anticipated end date of on-site audit activities
Anticipated audit report submission date
Audit Details
List all Classification Units (CU’s) under this account
CU# / CU# / CU# / CU# / CU# / CU# / CU#
Will all of the CU’s be included in the scope of the audit? / Y ☐ N ☐
If no, please list only those CU’s that will be included in the scope of the audit
CU# / CU# / CU# / CU# / CU# / CU#

Audit Scoping Table

List all Locations/sites / Sites selected for visit / Employee Count at Site
2013 / 2014 / 2015 / 2016 / 2017 / 2018 / 2019 / 2020 / 2021 / 2022 / 2023 / Shifts
M / S / W
Notes:
Headquarters in BC must be visited every audit year
Approximately 1/3 of all sites must be sampled each year, so that all sites are visited over the three-year COR cycle. / Sub-totals
Total Employee Count

How to use the Audit scoping table:

  1. List all company sites/locations in BC (BC Head Office in top box)
  2. Block out appropriate boxes under the “Sites selected for visit” columns
  3. Fill in the number of managers, supervisors, and workers corresponding to each site
  4. At the bottom, tally each column to sub-totals, thencombine sub-totals for an overall total

Signatures

CompanyManagementRepresentative (for internal andexternalaudits)

☐ I herebyacknowledgethatI willprovide trueand accurateinformationto theauditor tothebestofmyabilities.

Name / Signature / Date

ExternalAuditor

☐ I affirm that I have read, understood, and agree to abide by the terms and conditions of the SafetyDriven – Trucking Safety Council of British Columbia Auditor Code of Ethics. I havenotreceivedanyeconomicbenefitfrom OH&S consulting activitiesfrom thiscompanyinthe12 monthspreceding theaudit.In addition, I amnot in a position thatcould beinterpreted asa conflictof interest.

Name / Signature / Date

InternalAuditor

☐ I herebyacknowledgethatI willnotviolatetheAuditor CodeofEthics during this auditand thatIwilldomy bestto beobjectivewhile conducting this audit.

Name / Signature / Date

Submission

The NOA must be submitted to the TSCBC at least two weeks prior to the audit commencing

Receipt of your NOA will be acknowledged by return email within one business day

Do not proceed with your audit until the NOA/scoping has been approved by the TSCBC

Approval will be sent, by email, to the auditor within 5 business days of receipt of the NOA

PLEASE SUBMIT TO:

TRUCKINGSAFETYCOUNCILOFBC

210-20111 93A Avenue,Langley, BC V1M4A9

Tel: 604.888.2242

Fax: 604.888.2243

Email: