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Version 1.1 - BC Forest Safety Council

1. Company Phone ee PER i In pre trip inspection I have detected no defect or deficiency in this motor vehicle as would be likely to affect the safety of Street Town its operation or result in its mechanical breakdown TIME am pm Signature Postal Code O Defect s as marked O Defect s Corrected Date Mech Signature Supervisor Driver Name Air Compressor Doors Compartment Mirrors Date Start Time End Time Air Lines Drive Lines Mud Flaps Battery s Emergency Equipment Oil Pressures Home Terminal Belts Hoses Engine Recording Device s Body Frame Exhaust System Seats Cycle 1 7 Days Or Cycle 2 14 days Brakes Adjustment Fuel System Suspension Brakes Service System Fuel Tanks Steering Mechanism Operating Under Logging Truck Hours Sec 37 15 1 Brakes Parking System Heat Defrost Transmission s Charging System Horns Wheels Tires Studs Vehicle License Plate Unit Clutch Lights Reflectors Windows Visibility Cooling System Load Security Devices W
2. Company Phone ee PER i In pre trip inspection I have detected no defect or deficiency in this motor vehicle as would be likely to affect the safety of Street Town its operation or result in its mechanical breakdown TIME am pm Signature Postal Code O Defect s as marked O Defect s Corrected Date Mech Signature Supervisor Driver Name Air Compressor Doors Compartment Mirrors Date Start Time End Time Air Lines Drive Lines Mud Flaps Battery s Emergency Equipment Oil Pressures Home Terminal Belts Hoses Engine Recording Device s Body Frame Exhaust System Seats Cycle 1 7 Days Or Cycle 2 14 days Brakes Adjustment Fuel System Suspension Brakes Service System Fuel Tanks Steering Mechanism Operating Under Logging Truck Hours Sec 37 15 1 Brakes Parking System Heat Defrost Transmission s Charging System Horns Wheels Tires Studs Vehicle License Plate Unit Clutch Lights Reflectors Windows Visibility Cooling System Load Security Devices W Wipers Washers Personal Use Km Start
3. 90 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze Tire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater Brake Flares Defroster Power steering Battery Windshield Description From To Odometer Start Finish Version 1 1 91 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze Tire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater Brake Flares Defroster Power steering Battery Windshield Description From To Odometer Start Finish 92 Radio Frequency Log All trucks must have the frequencies listed below programmed in their radios The road name and the approved road radio frequency will be posted at the beginning of every road Contractors may use their own licensed frequencies for in block loading and harvesting operations Frequency name Frequency Version 1 1 93 Radio Frequen
4. Company Phone ee PER i In pre trip inspection I have detected no defect or deficiency in this motor vehicle as would be likely to affect the safety of Street Town its operation or result in its mechanical breakdown TIME am pm Signature Postal Code O Defect s as marked O Defect s Corrected Date Mech Signature Supervisor Driver Name Air Compressor Doors Compartment Mirrors Date Start Time End Time Air Lines Drive Lines Mud Flaps Battery s Emergency Equipment Oil Pressures Home Terminal Belts Hoses Engine Recording Device s Body Frame Exhaust System Seats Cycle 1 7 Days Or Cycle 2 14 days Brakes Adjustment Fuel System Suspension Brakes Service System Fuel Tanks Steering Mechanism Operating Under Logging Truck Hours Sec 37 15 1 Brakes Parking System Heat Defrost Transmission s Charging System Horns Wheels Tires Studs Vehicle License Plate Unit Clutch Lights Reflectors Windows Visibility Cooling System Load Security Devices W Wipers Washers Personal Use Km Start Coupling Devices Lubrication System s Other TRAILERS S NO S 1 2 Km End 1 2 1 2 2 Total Air Lines Glad Hands Doors Compartments Mud Flaps Body Frame Landing Gear Suspension s Odometer Start Brakes Adjustment Lights Reflectors Wheels Tires Studs End Coupling Devices Load Security Devices Other Total KM S Driven Total Hour
5. Company Phone ee PER i In pre trip inspection I have detected no defect or deficiency in this motor vehicle as would be likely to affect the safety of Street Town its operation or result in its mechanical breakdown TIME am pm Signature Postal Code O Defect s as marked O Defect s Corrected Date Mech Signature Supervisor Driver Name Air Compressor Doors Compartment Mirrors Date Start Time End Time Air Lines Drive Lines Mud Flaps Battery s Emergency Equipment Oil Pressures Home Terminal Belts Hoses Engine Recording Device s Body Frame Exhaust System Seats Cycle 1 7 Days Or Cycle 2 14 days Brakes Adjustment Fuel System Suspension Brakes Service System Fuel Tanks Steering Mechanism Operating Under Logging Truck Hours Sec 37 15 1 Brakes Parking System Heat Defrost Transmission s Charging System Horns Wheels Tires Studs Vehicle License Plate Unit Clutch Lights Reflectors Windows Visibility Cooling System Load Security Devices W Wipers Washers Personal Use Km Start Coupling Devices Lubrication System s Other TRAILERS S NO S 1 2 Km End 1 2 1 2 2 Total Air Lines Glad Hands Doors Compartments Mud Flaps Body Frame Landing Gear Suspension s Odometer Start Brakes Adjustment Lights Reflectors Wheels Tires Studs End Coupling Devices Load Security Devices Other Total KM S Driven Total Hours Driven Contractor Midnight 13 14 1
6. 108 Pre work Planning Log Pre work planning should be completed at the start of every job new haul truckers Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required _ O Orientations for loading destination Contractor Sign off truckers only X I have reviewed the pre work planning with the contractor If by phone name date 20_ time Notes e g who is prime contractor lat long supervisor phone radio channels Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required O Orientations for loading destination Contractor Sign off X I have reviewed the pre work planning with the contractor If by phone name time date pp p0 truckers only Notes e g who is prime contractor lat long supervisor phone radio channels Version 1 1 109 Pre Work Planning Log
7. Version 1 1 39 Radio Frequency Log All trucks must have the frequencies listed below programmed in their radios The road name and the approved road radio frequency will be posted at the beginning of every road Contractors may use their own licensed frequencies for in block loading and harvesting operations Frequency name Frequency 60 SAFE WORK PROCEDURES LOGGING or LOWBED TRUCK DRIVER PERSONAL PROTECTIVE EQUIPMENT Steel toed footwear CSA approved green triangle symbol Hi vis clothing Hearing Protection Approved safety glasses PIREP in areas of avalanche potential INSPECTION REQUIREMENTS Complete daily pre trip and post trip requirements and forms for CVSE amp NSC o Brakes lights horn tires trailers air lines connections trailer securement Complete WorkSafeBC required checks o Bunks amp stakes stake cables fire extinguisher PPE o Binders warning devices bullboards Ensure the required government inspections of the vehicle are conducted and are current PROCEDURES generic VEHICLE OPERATIONS All logging trucks and lowbeds must be equipped with a two way radio programmed with the correct frequencies posted for each particular haul Drive with the headlights on at all times Always wear your seatbelt it s the law Passengers are not allowed unless they have proper authoriza
8. 15 Part 18 B Demonstrate Falling Cuts Total stump points divided by the number of stumps assessed equals final mark awarded Stump Tree Ground Dia B C U C U C U C U C Backstep Backstep Score species slope inches inches inches depth type opening high side low side inches inches 1 15 2 15 3 15 4 15 5 15 6 15 7 15 8 15 9 15 10 15 11 15 12 15 13 15 14 15 15 15 Total stump points divided by the number of stumps assessed no 15 equals final mark awarded ee Stump Comments 1 2 10 Version 1 1 87 88 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze Tire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater Brake Flares Defroster Power steering Battery Windshield Description From To Odometer Start Finish Version 1 1 89 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze Tire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater Brake Flares Defroster Power steering Battery Windshield Description From To Odometer Start Finish
9. If necessary have someone drop you off and pick you up Crew boats will be equipped as per Coast Guard regulations at all times HELICOPTER SAFETY Fasten seat belt when entering helicopter and leave it buckled until pilot signals you to get out Approach or leave helicopter on the down slope side to avoid main rotor Approach and leave in the pilots field of vision To avoid the tail rotor Remember that rotors can kill Do not walk towards the rear of the helicopter Carry tools horizontally below waist level never upright or over shoulder Hold onto your hard hat when approaching or leaving the machine unless chinstraps are used Do not touch bubble tempting though it may be or any of the moving parts when helicopter is parked tail rotor linkage etc Make sure there are no loose articles at the helipad which can be sucked into rotor blades It is every crewman s responsibility to watch out for the new guy who is unfamiliar with helicopters If helicopter is equipped with inflatable skids do not step on them When assisting pilot in landing do not give instructions that require confirmation Keep cooking fires well clear of helipad Read the booklet Be alert and live around the helicopter Regular briefings on working around a helicopter area are a good idea for all crewmembers If available review video Wind Noise and Haste Make yourself familiar with the safety equipment on the helicopter and how
10. O Defect s as marked O Defect s Corrected Date Mech Signature Supervisor Driver Name Air Compressor Doors Compartment Mirrors Date Start Time End Time Air Lines Drive Lines Mud Flaps Battery s Emergency Equipment Oil Pressures Home Terminal Belts Hoses Engine Recording Device s Body Frame Exhaust System Seats Cycle 1 7 Days Or Cycle 2 14 days Brakes Adjustment Fuel System Suspension Brakes Service System Fuel Tanks Steering Mechanism Operating Under Logging Truck Hours Sec 37 15 1 Brakes Parking System Heat Defrost Transmission s Charging System Horns Wheels Tires Studs Vehicle License Plate Unit Clutch Lights Reflectors Windows Visibility Cooling System Load Security Devices W Wipers Washers Personal Use Km Start Coupling Devices Lubrication System s Other TRAILERS S NO S 1 2 Km End 1 2 1 2 2 Total Air Lines Glad Hands Doors Compartments Mud Flaps Body Frame Landing Gear Suspension s Odometer Start Brakes Adjustment Lights Reflectors Wheels Tires Studs End Coupling Devices Load Security Devices Other Total KM S Driven Total Hours Driven Contractor Midnight 13 14 15 16 17 18 19 20 21 2 23 24 Noon 0 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 E OFF DUTY TOTAL Cycle Time ______ Actual Time TIME HOURS kms DRIVING gt AA Contractor ON DUTY a Oo a a kms 0 1 2 3 4 5 6 7 8 9 10 11 122 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
11. dangerous goods spill fire vehicle incident damage ATV incident damage other equipment damage other describe other describe Names contact info of any individual or witnesses involved in incident close call If first aid was rendered name of attendant Describe immediate and root cause of incident close call Immediate cause s Root cause s M M Notes failure to follow safe work inadequate work planning i procedures engineering design improper use of equipment tools lockout inadequate polices procedures failure to warn or instruct inadequate communications body motions pushing pulling repetition inadequate supervision inadequate risk hazard improper use of PPE assessment inadequate awareness of surroundings mental physical stress fatigue inadequate poor housekeeping maintenance inspections worksite conditions weather congestion layout circle inadequate physical abilities other other Version 1 1 145 Describe corrective action s to be undertaken Person responsible for corrective action Date action to be completed by Person responsible to sign here when completed Date when action was completed Report and actions reviewed by Notes Date Name Signature Position SEND A COPY OF THIS REPORT TO THE PA
12. A BC Forest Safety Council Unsafe is Unacceptable SAFEty Log FOR THE INDIVIDUAL OWNER OPERATOR 1 on site forestry worker and that is you How to Use the SAFEty Log This SAFEty Log is your in the truck machine pick up safety business centre The SAFEty Log has 7 sections 1 User Information e Front and center important information in case of emergencies e Includes ERP types of emergencies and plans dispatch information for hospital ambulance and travel plan e Includes certification log safe work procedures daily work activity forms pre work planning log and equipment maintenance log e Includes the sector s commitment to worker health and safety 5 My Safety Meeting and Communications e Includes safety meeting log safety alert log and injury report forms form 6 7 incident and close call report forms road conditions report e Includes corrective action log and notebook e Includes step by step instruction on how to become SAFE certified By using the SAFEty Log as your safety business log it allows you to track and verify your safety activities required to become a SAFE certified company If you have your own safe work procedures or other safety products that you have developed or have received from another party and wish to use them PLEASE do so In the spare tabs at the back you may want to add other important information like EMS documents radio calling procedures safe wor
13. Pre work planning should be completed at the start of every job new haul truckers Date Working For Name Supervisor who passed on the instructions and or pre work Phone Contractor Sign off x I have reviewed the pre work planning with the contractor If by phone name date 20 time Ol O O DG Items Reviewed Work plan reviewed Site hazard assessment complete O Controls in place Coordination of work site complete O ERP shared O First Aid O Supervisor ID ed Pre work documents included EMS training if required Orientations for loading destination truckers only Notes e g who is prime contractor long lat supervisor phone radio channels Date Working For Name Supervisor who passed on the instructions and or pre work Phone Contractor Sign off X have reviewed the pre work planning with the contractor If by phone name date 20 time O O O ooo Items Reviewed Work plan reviewed Site hazard assessment complete O Controls in place Coordination of work site complete O ERP shared O First Aid O Supervisor ID ed Pre work documents included EMS training if required Orientations for loading destination truckers only Notes e g who is prime contractor long lat supervisor phone radio channels 110 Pre Work Planning Log Pre work planning should be completed at the sta
14. Safe work procedures alternate methods to fall may be used Height Influence Version 1 1 81 82 6 Deadly Sins e Failing to progressively fall danger trees into open areas with the falling of other timber and before falling adjacent live trees OH amp S Regulation 26 26 1 e Using the practice of Domino Falling OH amp S Regulation 26 24 6 e Leaving cut up trees and failing to mark such trees and notify the work place supervisor and workers whom may enter the affected area of the location of the cut up trees OH amp S Regulation 26 25 2 e Failing to take appropriate measures to control the fall of trees which may include not ensuring the undercut is complete and cleaned out not leaving sufficient holding wood carelessly cutting off the corners of holding wood not ensuring that the back cut is placed higher than the undercut failing to have wedging tools immediately available at the tree being felled and the unnecessary brushing of timber OH amp S Regulation 26 24 5 e Permitting workers other than the faller and those permitted by the regulations to be within two tree lengths of the tree being felled OH amp S 26 29 1 2 3 e Falling trees within the specified minimum distances from unguarded overhead energized high voltage electrical conductors without complying with the requirements of this regulation OH amp S Regulations Part 19 Electrical Safety Version 1 1 83 84 Hand Falle
15. Since the return to work has there been any change to your work duties or will there O g Yes No be any change to your hours of work your work schedule or your rate of pay 37 If NO Does your employer have any modified or transitional duties available gt 38 If yes please describe modified or transitional duties Yes O No O Have the modified or transitional duties been offered to you Yes O No O Signature and report date PLEASE READ CAREFULLY declare all the information have given on this report is true and correct and elect to claim compensation for the above mentioned injuries or disease understand it is a serious offence to knowingly make a false claim or to work and earn income while receiving workers compensation benefits without advising WorkSafeBC the Workers Compensation Board authorize WorkSafeBC and the Workers Compensation Appeal Tribunal to view or obtain a copy of records pertaining to my examination treatment history and employment from any source whatsoever including records of physicians qualified practitioners medical insurers hospitals and any employer understand the information is collected used and disclosed under the authority of the Workers Compensation Act and the Freedom of Information and Protection of Privacy Act acknowledge that WorkSafeBC may obtain and disclose information from my claim to my employer for the purpose of appeal or may disclose such information to ot
16. Turnaround Hump Other Additional comments How can the problem be prevented or eliminated Version 1 1 153 154 MY SAFETY MEETINGS AND COMMUNICATIONS Road Conditions Report Please describe the road or unsafe conditions you wish to report and what can be done to prevent or eliminate the situation Complete and submit to the road permit holder on the site Identification Road name Reported by Nearest km Date Reported to Severity Road Condition Grade Road Surface Steep Adverse Grade C Sign Missing Damaged Not Visible Unsatisfactory traction C Standing water Ruts gt 6 C Crown Lean L Washboard Pothole Rock C Shoulder Protruding Limb Danger Tree L Erosion Narrow CO Other Turnout Clear Needed CO Other Corner Switchback Bridge Culvert Ditch Inadequate Turning Radius Plugged Damaged C Grade too steep O Drainage Problem L Slope Lean Bridge Surface Railing Damaged L Traction Other Block Landing Other Unsafe Deck Turnaround Hump Other Additional comments How can the problem be prevented or eliminated Version 1 1 155 156 Corrective Action Log CAL When a problem is identified record the required corrective action what is the problem what needs to
17. Coupling Devices Lubrication System s Other TRAILERS S NO S 1 2 Km End 1 2 1 2 2 Total Air Lines Glad Hands Doors Compartments Mud Flaps Body Frame Landing Gear Suspension s Odometer Start Brakes Adjustment Lights Reflectors Wheels Tires Studs End Coupling Devices Load Security Devices Other Total KM S Driven Total Hours Driven Contractor Midnight 13 14 15 16 17 18 19 20 21 2 23 24 Noon 0 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 E OFF DUTY TOTAL Cycle Time ______ Actual Time TIME HOURS kms DRIVING gt AA Contractor ON DUTY a Oo a a kms 0 1 2 3 4 5 6 7 8 9 10 11 122 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 MUST TOTAL 24 Comments HOURS Contractor Cycle Time Actual Time kms Signature Remarks UPDATED MAY 9 2008 BC Forest Safety Council Unsafe ts Unacceptable
18. Individuals must assume responsibility for their own safety and the safety of co workers by following all safety rules procedures and practices by refusing to perform unsafe work and by taking collective responsibility for the unsafe conduct of others e Tenure holders licencees and prime contractors must take a leadership role in ensuring worker health and safety and assuring accountability for safety on the worksite Recognition of Safety Performance and Practices e The commitment to health and safety is to all workers not just direct employees When engaging contractors sub contractors and others to provide services the selection process and administration of contracts will include recognition and support of good safety performance and practices e Employers will recognize and support the safety performance of their employees e All owners of forested lands tenure holders and licencees will give weight to the safety record and current practices of companies in the awarding of contracts and in the determination of fees and levies Commitment to Training and Supervision e We understand the importance of workers being fully prepared for the work they do and the provision of competent supervisors who will insist on and enforce safe work practices All workers on the worksite must be competent and fully trained and certified for the work they are performing Legislation e tis understood that the regulatory environment of the Forest In
19. It is recommended feller buncher machines are equipped with 2 way radio e If at any time the machine becomes unstable shut it down and request assistance e Traffic control must be set up when falling trees within two tree lengths of roadways and other work area The roadway must be positively blocked with signs in place unless traffic control persons are employed e Follow the lock out or de energization procedures while conducting maintenance work on the machine e Do not try to fell trees which are larger than what the machine is designed for e Always enter and leave the machine in a safe manner Use the handholds for stability beware of the slipping hazards that exist particularly in the winter Version 1 1 37 SAFE WORK PROCEDURES PROCESSOR OPERATOR PERSONAL PROTECTIVE EQUIPMENT Hi vis hard hat Hearing protection Substantial appropriate footwear Hi vis clothing PROCEDURES 38 Check to ensure machine is in safe operating condition before using Ensure workers are clear of the hazardous areas Ensure guarding is being maintained Maintain good housekeeping Operate at a safe speed Follow the lock out or de energization procedures while conducting maintenance work on the machine Always enter and leave the machine in a safe manner Use the handholds and beware of the slipping hazards that exist particularly in the winter Ensure a man check system is set up while working alone Ensure tracks are adequately c
20. Q lt 5 Date andtime of incident yyyy mm da 6 Period of exposure resulting in occupational disease yyyy mm dd To 7 Describe how the incident happened 8 Describe the injury in detail what part of the body was injured 9 Side of body injured tet Rigt O Both O Notapplicable O 10 Describe the work incident location address city province and where incident occurred e g shop floor lunchroom parking lot 11 Did the injury ies or exposure result from a specific incident Yes O No I 6 7 WORKERS COMPENSATION BOARD OF B C RO6 08 Page 1 of 3 Independent Operator s Application for Compensation and Report of Injury or Occupational Disease continued WORKING TO MAKE A DIFFERENCE Worker last name Middle initial WorkSafeBC claim number if known Personal health number from BC CareCard Incident information continued 12 Contributing factors select AT LEAST ONE and as many as applicable a Lifting O b O k O Assault O O Struck ag o Animal bite Overexertion Motor vehicle accident Repetitive activity repeated over and over again O Crush Sliportrip Sharp edge Twist Fire or explosion Unsure other please explain below Fall Harmful substance in the work environment O 13 Were there any witnesses 14 Didthe incident occur in British Columbia Yes O No O Yes O No O 15 Were your actions at time of injury for your business 16 Did the incident occur on employer s premi
21. Wipers Washers Personal Use Km Start Coupling Devices Lubrication System s Other TRAILERS S NO S 1 2 Km End 1 2 1 2 2 Total Air Lines Glad Hands Doors Compartments Mud Flaps Body Frame Landing Gear Suspension s Odometer Start Brakes Adjustment Lights Reflectors Wheels Tires Studs End Coupling Devices Load Security Devices Other Total KM S Driven Total Hours Driven Contractor Midnight 13 14 15 16 17 18 19 20 21 2 23 24 Noon 0 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 E OFF DUTY TOTAL Cycle Time ______ Actual Time TIME HOURS kms DRIVING gt AA Contractor ON DUTY a Oo a a kms 0 1 2 3 4 5 6 7 8 9 10 11 122 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 MUST TOTAL 24 Comments HOURS Contractor Cycle Time Actual Time kms Signature Remarks UPDATED MAY 9 2008 BC Forest Safety Council Unsafe ts Unacceptable
22. be done to fix it and when it should be completed by Identified problem Required action to fix by when Completed by date J 20 _ 10 It 7 20 _ 10 It 7 20 _ 10 l 20 _ _ 1 1 20 _ 720 _ 10 _I 720 _ 70 It 7 20 _ 20 120 _ 20 _ 720 _ 10 Version 1 1 157 Corrective Action Log CAL When a problem is identified record the required corrective action what is the problem what needs to be done to fix it and when it should be completed by Identified problem Required action to fix by when Completed by date J 20 _ 10 It 7 20 _ 10 It 7 20 _ 10 _ 7120 _ 10 _ 720 _ 10 _I 720 _ 20 It 7 20 _ 10 120 _ 20 _ 720 _ 10 158 Submitting your SAFEty Log for SAFE Companies Certification 4 easy steps to SAFE certification The following pages provide the steps required to become a SAFE certified individual owner operator Step 1 Complete the audit submission checklist on the next page Step 2 Complete your contractor list in this section Step 3 Collect supporting records on your safety activities e ERP documentation e Travel plan e Training and certification log with copies of certificates e Safe work procedure sign off e Records related to your type of work Daily work activity forms radio frequency log vehicle pre trip inspection and mileage log e Pre work planning log e Equipment maintenan
23. down slopes when steepness is a problem Any slope greater than 35 shall not be traveled without specific safe work procedures in place The procedures must be reviewed before operating on steep slopes When traveling across any slope avoiding running over chunks and stumps because of the increased possibility of upset Keep turn winched up tight to apron or fairlead or to prevent turn from running into back of machine causing balance and directing problems Version 1 1 39 Release the turn when making a tight corner When skidding on side cuts trails on steep ground maintain safe distance from edge of cut in order to prevent sloughing of outer edge and rollover Do not attempt to bulldoze trees that are hanging over or across skid trails on side cuts as they could snap and spring back into operator s cab When setting a turn lower blade to ground try to lower blade behind a stump and set brakes to prevent runaway Use tire chains for traction on steep ground and when slippery Exercise care when using chains that chunks are not caught and flung up into the cab When coming down steep slopes make sure the corner of the blade does not hook a stump or rock causing the machine to swing sideways and subsequently upset Remember if you encounter any unsafe skidding situations in the course of your shift inform your supervisor and alternate methods will be initiated If at any time the machine becomes unstable shut it down and reque
24. driver is in the cab or is in the clear in front of the truck When approaching a truck with a grapple full of logs avoid traveling with the grapple at full height Keep the grapple low until near the truck then raise the grapple This will ensure better control of the loader at all times Logs shall be loaded to ensure the stability of the vehicle and load while in transit Logs shall be well positioned in their lay without crowding to avoid excessive strain on the stake liner and stakes To ensure stakes remain at a safe angle logs shall be laid tight to minimize slack in the stake cables Bunk and stake logs shall extend at least 12 inches 30cm beyond the bunks or stakes Logs shall be loaded clear of the bulkhead to avoid being bunk bound on corners When loading small diameter logs two tiers should be used as bunk and stake logs before loading short logs onto the load Never place split cracked or shattered logs on the bunk or against the stakes Not more than one third of the weight of the logs shall extend beyond the trailer or beyond the ends of the logs supporting them Version 1 1 45 46 Care should be taken to properly balance the load especially on off highway trucks A side heavy load or a load with too much weight on the trailer could cause a truck to tip over or spin out under wet or icy conditions Workers are not permitted to stand on the cab platforms of trucks when loading by conventional methods I
25. incidents or accidents to your Supervisor Foreman or First Aid Person as soon as possible No unauthorized personnel to be on the machine when yarding or moving Wear a hard hat and hi vis clothing when outside the cab Use personal protective equipment when required i e hearing protection Use safety goggles when cutting line Watch footing on the machine to avoid slips and falls Version 1 1 49 SAFE WORK PROCEDURES DRIVING General PROCEDURES AND PRACTICES 50 Conduct a pre trip vehicle check Use a Vehicle Pre trip Inspection and Mileage Log to track activity Report deficiencies and do not use if equipment is in unsafe condition Drive defensively at all times Ensure all vehicle occupants are wearing seatbelts You are responsible for your passengers Do not exceed posted speed limits On resource roads do not exceed 80kph or posted speed limits Drive safely and drive to the existing road conditions Lower speed as required Be aware of o Visibility reduced by dust fog rain and snow o Narrow roads with over width vehicles o Steep favorable and adverse gradients o Slippery and variable road surface conditions due to loose gravel snow ice or mud o Other users Use vehicle for intended use only purpose and weight limitations Drive with vehicle lights on at all times Secure all heavy or sharp objects in the cab of the vehicle Respect that loaded logging trucks have the right of way on single lane r
26. info flip Faller certification log book Safe driving procedures Daily man check record Hazard assessment checklist Danger tree risk assessment guide 6 deadly sins Hand faller checklist Vehicle pre trip inspection and mileage log Radio frequency log Forest professional Version 1 1 Safe work procedures Safe driving procedures Forester and engineers daily check combines corrective action log Vehicle pre trip inspection and mileage log Radio frequency log 29 30 Safe Work Procedures Sign Off am a check all that apply Y O Equipment operator O Log truck driver O Faller O Forest professional O Other ACTION Review safe work procedure for your specific type of work e This can be one of the safe work procedures provided in the SAFEty Log or another version that you have created or received from previous jobs have read the safe work procedures that pertain to my work understand its contents and agree to follow as outlined Signed Print name Date Version 1 1 31 32 SAFE WORK PRACTICES ALL WORKERS e You have right to refuse unsafe work e tis your responsibility to report any unsafe acts or hazardous conditions e Working while impaired by drugs medication alcohol or fatigue is prohibited e Report all incidents and near misses to the person you report to e Ensure you are trained qualified and physically and mentally capable for the job you are doing STOP and seek assi
27. road radio frequency will be posted at the beginning of every road Contractors may use their own licensed frequencies for in block loading and harvesting operations Frequency name Frequency Version 1 1 65 Radio Frequency Log All trucks must have the frequencies listed below programmed in their radios The road name and the approved road radio frequency will be posted at the beginning of every road Contractors may use their own licensed frequencies for in block loading and harvesting operations Frequency name Frequency 66 The Circle Check This drawing shows a general method of making a systematic circle check before taking out a truck at the beginning of a day s work Details of the check can of course be varied according to the type of vehicle but generally the principle of making a complete circle should be followed in all cases Be particularly cautious when you are walking with your back to traffic Some of the points to look out for are given in the sample Before you begin e set the parking brakes e shut off the engine e block the wheels ii pr FM ndshield re gt Wipers hS Pc Radator i Crankcase Levels klimors A y Wheel Lugs fiom Nuts amp Tires 1 Wheel Freeplay Fuel Tanks 1 Poses amp Electrical T Connechons era po
28. something is not right it is the driver who must have it corrected Do not leave the loading area until the problem is corrected Always wear required personal protective equipment when outside the vehicle Use caution and communicate with the loaderman when coupling up the trailer unit Do not climb on trailers unless absolutely necessary At some sites this is grounds for dismissal The location of the driver must be known by the loaderman at all times Stay inside the truck cab or out in front of the unit while being loaded Do not wrap front trailers while back trailers are still being loaded Do not climb on top of the truck or the load Branches must be trimmed from the logs before they are placed on the load Logs with protruding branches placed on top of the load must be removed by the loader and branches trimmed at ground level Communicate with the loaderman that the loading is complete and ready to install load wrapper Where possible have the loaderman install wrappers Observe the area for hazards before installing wrappers i e moving equipment debris icy conditions etc Ensure good footing while throwing wrappers over the load All logs must be restrained according to the trailer configuration Ensure firm grip on the cinch handle when closing the cinch Give notice on proper radio channel that you are leaving the landing and ensure all workers are in the clear before pulling out HAULING Obey all traffic control dev
29. supervisor work Address Month City town Address Month City town Phone Vear Address Month City town Address Month City town Phone Vear Address Month City town Address Month City town Phone Vear Address Month City town Phone Vear Address Month City town Version 1 1 163 164 Collecting Safety Activity Records Step 3 e Copy the pages of your SAFEty Log that have the Audit Submission on the corner Attach these copies with your Audit Submission Checklist step 1 Please ensure that you have at least 3 months of records to support your safety activities This is required to achieve SAFE Companies certification e Include a representative sample of records For example o Records for activities that occur on a daily basis provide 2 1 week periods during your operations 1 period in the beginning and 1 at the end E g truckers CVSE log operators daily activity check o Records for activities that occur on a regular basis not daily provide a minimum of 2 records per operating month if applicable E g travel plan e If you have other records that support your safety activities attach copies with your completed audit submission checklist For example You could replace with these kinds of records that demonstrate Travel plan out of town man check procedures Safe work procedure sign off commitment to use
30. the cut Upslope falling procedures Demonstrated ability to fall heavy leaner Demonstrated ability to fall short stubby snag Knows procedure for re falling cut up tree Cuts all limbs flush to log Bucking cuts correct Avoids bucking below F amp B Short log is left on dangerous roots STUMP PAGE 18 B is attached A minimum of TEN stumps must be documented Faller s Signature Bullbucker s Signature Version 1 1 85 Part 18 A Demonstrate Falling Cuts Objective The Professional Faller uses safe work procedures when making falling cuts ltems Comments Marking Conditions Undercuts amp Backcuts Note If the faller determined that the tree had to be wedged the undercut depth should be of the tree diameter Note Timber 60 inches or more in diameter can have the heart wood cut out of the stem but holding wood must be maintained on both corners of the stump to maintain control of the tree Note Short stubbys can have an undercut up to 50 Note Reference Info Flips Total stump points divided by the number of stumps assessed mark awarded Q E15 Preferred undercut and backcut are straight amp level and completed from high side Preferred undercut selected for wedging timber type and terrain Undercut is cleaned out and is the preferred percentage of tree diameter The undercut opening is of the preferred rati
31. the pre work planning with the contractor If by phone name date 20 time Notes e g who is prime contractor long lat supervisor phone radio channels Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required O Orientations for loading destination Contractor Sign off X have reviewed the pre work planning with the contractor If by phone name date 20 time truckers only Notes e g who is prime contractor long lat supervisor phone radio channels 116 Pre Work Planning Log Pre work planning should be completed at the start of every job new haul truckers Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required _ O Orientations for loading destination Contractor Sign off truckers only X I have reviewed the pre work planning with the contractor If by phone name date 20 time Notes e g who is p
32. time of the incident Yes O No Yes O No O I 19 Didyou receive first aid gt Ifyes please provide first aid attendant name if known Yes noO Date yyyy mm ad 20 Did you go to hospital clinic or visit a physician or qualified practitioner Ifyes please provide provider name if known Yes O noO Date yyyymm ad p If yes please provide provider address if known 21 Prior to this incident did you have any recent pain or disability in the area of your injury Yes O No O Wage information 22 Didyou miss work beyond the date of injury or exposure If NO WORK WAS MISSED and NO CHANGE to duties pay proceed to bottom of last page Yes O No O to sign date and submit this report If WORK WAS MISSED or if duties pay have been MODIFIED please answer ALL questions on this form 23 Provide the base salary amount for this employment position at the time ofinjury Hourly O Daily O Weekly O Monthly O Yearly O 24 Do you receive other amounts of compensation in addition to base salary 25 Ifyou are disabled from work will you continue to receive Yes O No O Base salary Yes O No O Do you receive vacation pay on every cheque Yes O No O Other amounts of compensation in additionto base salary Yes O No O Ifyes vacation pay Will you continue to receive vacation pay on every cheque Yes O No O Ifyes vacationpay____________ Please select check boxes for any ofthe following amounts you receive in addition to Please select check b
33. to submit this report within three days of an injury to one of your workers even if you disagree with the claim By submitting your report promptly you avoid penalties and delays in the adjudication of the claim Clearly PRINT details sign the form and submit it by FAX or MAIL CLAIMS CALL CENTRE FAX MAIL Phone 604 231 8888 604 233 9777 WorkSafeBC Toll free 1 888 967 5377 Toll free 1888 922 8807 PO Box 4700 Stn Terminal M F 8 00 a m to 4 30 p m Vancouver BC V6B 1J1 WorkSafeBC claim number if known Contact information Employer s name as registered with WorkSafeBC Type of business Do you have an account with WorkSafeBC WorkSafeBC account number POP Yes O No O Operating location number First name Middle initial Weight Height Gender MO FO Address line 2 Province state Country if not Canada Postal code zip Employer phone number please include area code Home phone number please include area code Employer contact fax please include area code Employer payroll contact fax please include area code Date of birth yyyy mm da Personal health number from BC CareCard 1 Doyouneed an interpreter 2 Preferred language 3 Dominant hand 4 Occupation Incident information Classification unit number Last name Preferred first name Address line 1 Q lt 5 Date andtime of incident yyyy mm da 6 Period of exposure resulting in occupational disease yyyy mm dd To 7 Describe how the incident hap
34. to the work you do and the plans you prepare COMMUNICATION e Ensure your man check arrangements are confirmed e Comply with any of your customer s local sign out procedures and be aware of location specific emergency response procedures e Ensure that you are familiar with the operation and charging procedure of hand held radios cell phones and satellite phones e When working alone and outside the range of radio or cell phone communication a satellite phone is recommended ENTERING ACTIVE AREAS e Know the general location of other crews at all times e Do not walk below a roadside with active construction yarding or loading e When passing any machinery get clearance from the operator e REMEMBER No worker other than the faller may be within 2 tree lengths of any tree being felled Version 1 1 95 FIXED WING AIRPLANE SAFETY GENERAL Fasten your seat belt upon entering the aircraft and leave it buckled until pilot has landed and signaled you to get out Make yourself familiar with the safety equipment on the aircraft and how to use it The pilot has the final say on flying but if you feel it is unsafe back out of the flight The person sitting in the co pilot seat should check the fuel gauges If in doubt ask the pilot Make yourself aware of emergency exits and procedures for getting out of the plane CONFIRMATION OF FLIGHTS Re confirm all reservations on all flights for crew pick up on same day Ensure tha
35. 5 16 17 18 19 20 21 2 23 24 Noon 0 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 E OFF DUTY TOTAL Cycle Time ______ Actual Time TIME HOURS kms DRIVING gt AA Contractor ON DUTY a Oo a a kms 0 1 2 3 4 5 6 7 8 9 10 11 122 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 MUST TOTAL 24 Comments HOURS Contractor Cycle Time Actual Time kms Signature Remarks UPDATED MAY 9 2008 BC Forest Safety Council Unsafe ts Unacceptable SAFE WORK PROCEDURES FALLERS e Insert your BC Faller Training Standard info flip e Insert your Faller certification log book Version 1 1 73 MY ADDITIONAL SWP NOTES 74 SAFE WORK PROCEDURES DRIVING General PROCEDURES AND PRACTICES Conduct a pre trip vehicle check Use a Vehicle Pre trip Inspection amp Mileage Log to track activity Report deficiencies and do not use if equipment is in unsafe condition Drive defensively at all times Ensure all vehicle occupants are wearing seatbelts You are responsible for your passengers Do not exceed posted speed limits On resource roads do not exceed 80kph or posted speed limits Drive safely and drive to the existing road conditions Lower speed as required Be aware of o Visibility reduced by dust fog rain and snow o Narrow roads with over width vehicles o Steep favorable and adverse gradients o Slippery and variable road surface conditions due to loose gra
36. ATION FOR COMPENSATION AND REPORT OF INJURY OR OCCUPATIONAL DISEASE WORKING TO MAKE A DIFFERENCE As an employer the Workers Compensation Act requires you to submit this report within three days of an injury to one of your workers even if you disagree with the claim By submitting your report promptly you avoid penalties and delays in the adjudication of the claim Clearly PRINT details sign the form and submit it by FAX or MAIL CLAIMS CALL CENTRE FAX MAIL Phone 604 231 8888 604 233 9777 WorkSafeBC Toll free 1 888 967 5377 Toll free 1888 922 8807 PO Box 4700 Stn Terminal M F 8 00 a m to 4 30 p m Vancouver BC V6B 1J1 WorkSafeBC claim number if known Contact information Employer s name as registered with WorkSafeBC Type of business Do you have an account with WorkSafeBC WorkSafeBC account number POP Yes O No O Operating location number First name Middle initial Weight Height Gender MO FO Address line 2 Province state Country if not Canada Postal code zip Employer phone number please include area code Home phone number please include area code Employer contact fax please include area code Employer payroll contact fax please include area code Date of birth yyyy mm da Personal health number from BC CareCard 1 Doyouneed an interpreter 2 Preferred language 3 Dominant hand 4 Occupation Incident information Classification unit number Last name Preferred first name Address line 1
37. Certificate Certificate Expiry Date Copy Type Attached Y Driver s licence O 20 First aid Level___ o 20 Transportation endorsement WHMIS Workplace Hazardous fF 20 Materials Information System 100 Fire Suppression and 1120 Safety training S100 A Refresher 1120 Faller certification ft 20 Forest Professional 20 _ RPF Registered Professional Forester RFT Registered Forest Technologist Air brake endorsement 20 _ Highway or Industrial Blasting ticket o 20 SAFE certification o 20 Other EEE A 4 20_ _ 20__ It is a good practice to carry a current version of your driver s abstract To receive a FREE Driver s Abstract call 1 800 950 1498 or go to your nearest Government Access Centre There are two types of abstracts Public P and National Safety Code N if you are a commercial driver make sure you ask for the N abstract Version 1 1 27 28 Safe Work Procedures This section relates to your specific type of work 1 Safe work procedure sign off 2 Safe work practices for all workers 3 Type of work Equipment operator Safe work procedures Safe driving procedures Equipment operators daily check combines corrective action log Vehicle pre trip inspection and mileage log Radio frequency log Log truck driver Faller Safe work procedures Radio frequency log The circle check CVSE integrated log BC Faller Training Standard
38. ECAUTIONS Ensure everyone is clear and accounted for before moving Give the proper signal with the horn before moving Ensure traction is adequate before moving on snow or ice use sand or a snub line if required When moving on steep grades with the rigging out lower the boom to counteract the weight of the counter weight When traveling up a steep grade lower the boom to avoid the boom coming back Keep drive chains behind when moving up a steep grade and ensure the travel brakes are adjusted Ensure path of the machine is clear of logs and other obstacles Use a signal man when moving the machine in congested or hazardous areas i e narrow road Do not move the yarder and tailhold back spar at the same time YARDING At no time should the grapple be handled when attempting to pick up a log If the grapple cannot be talked onto a log move the machine or use a choker SAFETY PRECAUTIONS The back end of all mobile grapple yarders shall be at least 2 feet clear of all obstacles Ensure no workers board the machine without the Operator s permission Make sure all crew members are in the clear before moving the turn Be careful of jillpoking logs already in the landing When necessary take signals from the Chaser Pile logs properly to avoid creating a hazard for loading crews Extra care should be taken while yarding with a mobile tailhold back spar to avoid tipping it GENERAL SAFETY PRECAUTIONS 48 Report
39. Follow the lock out or de energization procedures while conducting maintenance work on the machine Always enter and leave the machine in a safe manner Use the handholds for stability and beware of slipping hazards that exist particularly in winter Version 1 1 43 SAFE WORK PROCEDURES LOADER OPERATOR PERSONAL PROTECTIVE EQUIPMENT Hi vis hard hat Gloves Hearing protection Suitable footwear Hi vis clothing PROCEDURES Check to ensure the machine is in safe operating condition before use Wear seatbelt at all times when machine is operating Ensure all workers are in the clear Do not move logs overhead of workers on landing Communicate either verbally or by hand signals Spread logs for bucker so they may be bucked in a safe manner Organize landing log decks debris pile and truck loading Keep landing clear of bucked off ends and other debris Operate at a safe speed If logs are above the log truck stakes restrain the load until wrappers have been applied Follow lock out or de energization procedures while conducting maintenance work on the machine Always enter and leave the machine in a safe manner Use the handholds for stability and beware of slipping hazards that exist particularly in winter LOG TRUCK LOADING 44 All landing workers including truck drivers must be in view in the clear or their whereabouts known before logs or equipment are moved Logs must be decked in a manner to facilitate safe
40. MUST TOTAL 24 Comments HOURS Contractor Cycle Time Actual Time kms Signature Remarks UPDATED MAY 9 2008 BC Forest Safety Council Unsafe ts Unacceptable Company Phone ee PER i In pre trip inspection I have detected no defect or deficiency in this motor vehicle as would be likely to affect the safety of Street Town its operation or result in its mechanical breakdown TIME am pm Signature Postal Code O Defect s as marked O Defect s Corrected Date Mech Signature Supervisor Driver Name Air Compressor Doors Compartment Mirrors Date Start Time End Time Air Lines Drive Lines Mud Flaps Battery s Emergency Equipment Oil Pressures Home Terminal Belts Hoses Engine Recording Device s Body Frame Exhaust System Seats Cycle 1 7 Days Or Cycle 2 14 days Brakes Adju
41. RTY YOU REPORT TO 146 MY SAFETY MEETINGS AND COMMUNICATIONS Incident Close Call Reporting Form Date of incident Company Date reported Location Reported by Type of job Describe incident close call draw diagram on other side if helpful VI Category close call Notes bodily injury illness lost time dangerous goods spill fire vehicle incident damage ATV incident damage other equipment damage other describe other describe Names contact info of any individual or witnesses involved in incident close call If first aid was rendered name of attendant Describe immediate and root cause of incident close call Immediate cause s Root cause s M Notes failure to follow safe work inadequate work planning i procedures engineering design improper use of equipment tools lockout inadequate polices procedures failure to warn or instruct inadequate communications body motions pushing pulling repetition inadequate supervision inadequate risk hazard improper use of PPE assessment inadequate awareness of surroundings mental physical stress fatigue inadequate poor housekeeping maintenance inspections worksite conditions weather congestion layout circle inadequate physical abilities other other Version 1 1 147 De
42. Turn amp l Cerar Life Sh Wheel JP Licence Landing Gear j Plates 4 Tarps amp f Racks En Talgateor ae rear doors Suspension gi Version 1 1 67 Parking light Parking light ambar or whites amber or white Signal light Hsad Haad Signal fight ambar or white lightie Eghte ambar or hita Cioranos light Ghearance fight amber i amber Fis flector amber Reflector psd Reflector rad AA Liama Cioranos light red plats e Cleoranos light rad light white 7 Signal light red Signal light ned oar ambar Tai li Tail light sr amber banir aig ae Stop light red Stop light red 68 ABOUT THE CVSE INTEGRATED LOG BOOK e This template meets all the current content requirements for CVSE Commercial Vehicle Drivers Hours of Service Regulations Section 82 Motor Vehicle Act Regulations Section 37 18 02 and WorkSafeBC Section 26 66 8 e Drivers must have 14 days worth of records in the truck for inspection by CVSE RCMP or WorkSafeBC officers Sec 37 18 04 a e The original log must be forwarded to the company office within 20 days e Companies must keep daily log records for a minimum of 6 months e Pre and post trip inspections are still required and pre trip inspection needs to be signed off by the driver e The Log Hauling Exemption does not allow reset or deferral of off duty hours sec 37 15 3 4 e Logging truck hours exemption and regulations on
43. ame O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required _ O Orientations for loading destination Contractor Sign off truckers only X I have reviewed the pre work planning with the contractor If by phone name date 20 time Notes e g who is prime contractor long lat supervisor phone radio channels Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required O Orientations for loading destination Contractor Sign off X have reviewed the pre work planning with the contractor If by phone name date 20 time truckers only Notes e g who is prime contractor long lat supervisor phone radio channels 112 Pre Work Planning Log Pre work planning should be completed at the start of every job new haul truckers Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed o
44. ate of report yyyy mm dd For personal assistance please call our Claims Call Centre at 604 231 8888 or toll free within BC at 1 888 967 5377 The BC Legislature provides impartial advisers on all workers compensation matters The Workers Advisers Office is independent and separate from WorkSafeBC and provides free advice and assistance to help injured workers with their claims They have offices throughout the province and can be contacted at www labour gov bc ca wab or by telephone Richmond 604 713 0360 toll free 1 800 663 4261 Victoria 250 952 4393 toll free 1 800 661 4066 Kelowna 250 717 2096 toll fee 1 866 881 1188 Personal information on this form is collected for the purposes of administering a worker s compensation claim by WorkSafeBC in accordance with the Workers Compensation Act and the Freedom of Information and Protection of Privacy Act For further information about the collection of personal information please contact WorkSafeBC s Freedom of Information Coordinator at PO Box 2310 Stn Terminal Vancouver BC V6B 3W5 ortelephone 604 279 8171 6 7 R06 08 Page 3 of 3 MY SAFETY MEETINGS AND COMMUNICATIONS Incident Close Call Reporting Form Date of incident Company Date reported Location Reported by Type of job Describe incident close call draw diagram on other side if helpful VI Category close call Notes bodily injury illness lost time
45. aulked with ice lugs for winter operations Wear the seat belts when traveling SAFE WORK PROCEDURES SKIDDER OPERATOR LINE PERSONAL PROTECTIVE EQUIPMENT Hi vis hard hat Hearing protection Gloves Suitable footwear Hi vis clothing PROCEDURES Check to ensure machine is in safe operating condition before using Wear seat belt when operating machine Ensure good housekeeping to prevent slipping or tripping when entering or leaving machine All fire extinguishers and other items must be secured in a safe location Do not carry loose articles in the cab Do not enter an active falling area Stay a minimum of two tree lengths away Do not skid trees past a faller or other active falling areas Travel at a safe speed with or without a turn Exercise caution when working on hillsides Make sure chokers and main line are in safe working condition When winching align the machine with the direction of the pull Watch for whip action of logs being skidded When entering the landing make sure buckers and loaders are in clear view and you are given approval to enter Lower the blade and set parking brake before leaving the machine Follow the lock out or de energization procedures while conducting maintenance work on the machine Wear eye protection when cutting cables SKIDDNG ON SLOPES Do not attempt to travel across a slope that is too steep for maintaining proper balance of the machine Confine your travel to straight up and
46. below undercut holding wood is cut off Tree splits or barber chairs and there is excessive slope from back barring Anti kickback Step Reference Guide in Relation to Stump Diameter 75 of the anti kickback step must be within the preferred height tolerances as listed below Humbolt Swanson undercuts Preferred anti kickback step Up to 36 3 0 diameter 3 4 1 inch height difference 48 4 0 to 60 5 0 diameter 1 12 inch height difference 72 6 0 to 84 7 0 diameter 2 inch height difference 96 8 0 to 108 9 0 diameter 3 inch height difference 120 10 0 to 144 12 0 diameter 4 inch height difference 156 13 0 diameter and above 6 inch height difference Conventional and Pie frozen wood undercuts Preferred anti kickback step Up to 14 1 2 diameter 3 4 to 1 inch height difference 16 1 4 to 36 3 0 diameter 2 inch height difference 48 4 0 to 60 5 0 diameter 3 inch height difference 72 6 0 to 84 7 0 diameter 4 inch height difference 96 8 0 to 108 9 0 diameter 6 inch height difference 120 10 0 to 144 12 0 diameter 8 inch height difference 156 13 0 diameter and above Total marks for part 18 A and 18 B 86 12 inch height difference
47. ce log e Forest Safety Accord sign off e Safety meeting log e Safety alert log e Incident close call reports if applicable e Road conditions reports if applicable Step 4 Mail audit submission to the BC Forest Safety Council Please mail it to BC Forest Safety Council Attention SAFE Companies 103 65 Front St Nanaimo BC V9R 5H9 When received your company s name will be listed on our website as having an audit submitted Your audit will be reviewed and the Council will be in contact with you Version 1 1 159 160 Audit Submission Checklist Step 1 General Information Legal name of company Owner s name Address City town postal code Phone Fax Email Years in operation optional Type of business Insurance Information WorkSafeBC Classification Unit CU 6 digit ia don t have a WCB and have other insurance O WSBC POP personal optional protection O Private insurance provider Period of SAFEty Log Activities Start 1 20 Record Submission List All workers v if attached To 1 20 Emergency response plans ERP Forest Safety Accord sign off Travel plan Safety meeting log Training and certification log w copies Safety alert log Safe work procedure sign off Incident close call report if applicable Radio frequency log Road conditions report if applicabl
48. ced by dust fog rain and snow o Narrow roads with over width vehicles o Steep favorable and adverse gradients o Slippery and variable road surface conditions due to loose gravel snow ice or mud o Other users Use vehicle for intended use only purpose and weight limitations Drive with vehicle lights on at all times Secure all heavy or sharp objects in the cab of the vehicle Respect that loaded logging trucks have the right of way on single lane roads Do not tailgate other vehicles Pass trucks or equipment only after you receive a clearly visible and or audible signal from the operator Never chase a runaway vehicle Stay on your side of the road Version 1 1 99 RADIO USE Complete radio check and ensure correct frequency prior to entering radio controlled area Do not drive by the radio Expect oncoming traffic at all times Call your position according to the local radio protocol and signage Notify other radio equipped vehicles of oncoming non radio equipped traffic Do not use road radio channels for conversations use only for road traffic protocols Other than traffic control pull over and safely park when talking on the radio cell phone for an extended period of time PARKING 100 Park clear of traffic away from active areas in pullouts or extra wide straight sections of road Park facing the direction of exit with access for service towing activities Ensure the parking brake is on and the
49. ck to ensure machine is in safe operating condition before using Wear seat belt when operating the machine Make sure good housekeeping is maintained Ensure fire extinguishers and other items are securely fastened in a safe location Do not carry loose items in the cab Know the location of fellow workers particularly when using a chokerman When using a chokerman make sure all verbal and WorkSafeBC approved hand signals are used and understood before moving machine or lines Travel at a safe speed Exercise caution when working on hillsides Review and follow the written safe work procedures for operating on steep slopes Make sure chokers and main line are in safe working condition When winching align the machine with the direction of the pull Do not enter an active falling area stay a minimum of two tree lengths away Do not work in areas where there is a danger of pushing trees rocks or other debris into an active work area When pushing trees over remove the tension out of the trees using the blade or winch so they may be bucked without danger of tree springing back Build skid trails wide enough for skidder operation Slope trails towards the inside bank never outwards Before leaving machine lower the blade and set the parking brake Remember if you encounter difficulty contact your supervisor If the machine becomes unstable shut it down and request assistance Ensure tracks are equipped with ice lugs in winter
50. cy Log All trucks must have the frequencies listed below programmed in their radios The road name and the approved road radio frequency will be posted at the beginning of every road Contractors may use their own licensed frequencies for in block loading and harvesting operations Frequency name Frequency 94 SAFE WORK PROCEDURES FOREST PROFESSIONAL PERSONAL PROTECTIVE EQUIPMENT Adequate footwear with good traction soles caulk boots as required Hi vis hardhat Eye protection Personal first aid survival kit Hi vis clothing PROCEDURES e You are responsible for your own personal safety evaluate each situation for safety hazards independently e Follow all of your customer s specific safety procedures at all times e Conduct a shift project risk assessment and consider safety before commencing work Document these assessments in your Pre Work Planning Log and Safety Meeting and Communication Log TRAINING e You must be qualified trained or certified to operate any of the vehicles or tools you are using for your work These include pick ups all terrain vehicles motor cycles boats snow mobiles etc e You must be properly trained and briefed as a passenger in any of the aircraft watercraft or other transportation vehicles e Asa forest professional it is your professional responsibility to ensure the safety of the public other workers with respect
51. d kit O PPE Personal Protective Equipment O Whistle O Fire extinguisher and shovel O Additional emergency supplies matches blanket rations water Working by yourself O Someone knows your geographical location and description and work plans expected time of return and can initiate a rescue map of location and ERP procedure can use Travel Plan O Man check interval time agreed upon time O Emergency transportation location helicopter landing boat access Working with others O Make sure you get the ERP from your contractor for the worksite O Confirm who is the prime contractor Version 1 1 Types of Emergencies and Plans GENERAL Contact the contractor to provide the following information type of emergency geographical location and description approximate distance and direction from major centre time estimate of severity what is happening EQUIPMENT FIRE Immediately shut off power using emergency shut off buttons Have everyone clear the area If possible eliminate fuel supply If possible attempt to extinguish fire Contact your employer FOREST FIRES Report to your contractor and contain if possible Notify all personnel in block Access tools from fire cache Report to Ministry of Forests Fire Centre 1 800 663 5555 24 hrs MEDICAL AID injuries and fatalities Contact your contractors and or designated first aid person The designated first aid person will decide on method of evac
52. dustry can have profound impacts on safety Accordingly government ministries and agencies must take into account the importance of health and safety when developing reviewing and drafting applicable areas of law and regulation Continual Improvement e We are committed to the on going improvement of our practices and support efforts to develop and implement new methods procedures and technologies that have the potential to improve safety BC Forest Safety Council Unsafe is Unacceptable Version 1 1 129 130 MY SAFETY MEETINGS AND COMMUNICATIONS Safety Meeting Log Safety meetings with the contractors you work with keeps you up to date on the hazards of the work site and other safety related information A safety meeting can be anything from a phone call or a tailgate meeting to an organized meeting with many other workers Meeting with O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed Version 1 1 131 MY SAFETY MEETINGS AND COMMUNICATIONS Safety Meeting Log Meeting with O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items di
53. e Pre work planning log Contractor list Equipment maintenance log Equipment operator Y if attached Equipment operator daily check form Vehicle pre trip inspection amp mileage log Log truck driver Y if attached CVSE integrated log Version 1 1 161 Audit Submission Checklist Step 1 Faller v if attached Copies of Faller log book Daily man check records Site hazard assessment Vehicle pre trip inspection amp mileage log Forest professional v if attached Forest professional daily check form Vehicle pre trip inspection amp mileage log Training attended the SAFE Companies IOO SAFETY course or Small Employer OH amp S training course on Signature submit the attached for individual owner operator IOO SAFE certification Name X Date 162 Contractor List Step 2 Legal name of company Owner s name Address City town Postal Code Phone Number How many contractors licencees clients did you work for in the past year 1 2 3 5 6 10 11 15 gt 16 List 3 4 references of contractors or licencees that you have done business with during the last year These contractors may be contacted by the Council to discuss your safety activities Contractor Contact information Time Type of name frame of work and
54. e Any tree that is hazardous to worker because of location lean physical damage overhead hazards deterioration of limbs stem or root system or a combination of these Could also include hanging limbs jackpot or mechanical damage e Difficult trees Decide how they can be felled safely 2 Check for overhead hazards e Brushing e Hung up e Limb tied e Snag top 3 Check for ground hazards Pulled up roots e Stumps e Blow down 4 Check for other worksite hazards e Other workers fallers supervisors logging equipment operators e Equipment and machinery Comments Recommendations Version 1 1 79 Hazard Assessment Checklist Purpose By the end of this procedure fallers should have completed a thorough site overview hazard assessment to identify hazards and any potentially dangerous situations prior to falling any trees Instructions Conditions to Check Completed 2 Walk through the falling area to determine the predominant lean of the trees Review terrain and slope for hazards e Steep slope e Different species e Fire e Insects or beetles e Weather related blowdown snow wind e Dangerous trees e Any tree that is hazardous to worker because of location lean physical damage overhead hazards deterioration of limbs stem or root system or a combination of these Could also include hanging limbs jack
55. ery Windshield Description From To Odometer Start Finish 56 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze Tire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater Brake Flares Defroster Power steering Battery Windshield Description From To Odometer Start Finish Version 1 1 57 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze Tire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater Brake Flares Defroster Power steering Battery Windshield Description From To Odometer Start Finish 58 Radio Frequency Log All trucks must have the frequencies listed below programmed in their radios The road name and the approved road radio frequency will be posted at the beginning of every road Contractors may use their own licensed frequencies for in block loading and harvesting operations Frequency name Frequency
56. f this occurs the loader operator shall cease loading until the worker is removed Operators shall ensure that all workers are safely in the clear before initiating or continuing the motion of any mobile equipment Although operators are responsible it is also the responsibility of buckers and other workers to stay clear of any area considered to be hazardous due to the movement of such equipment There must be a specific procedure for all equipment and vehicle operators to allow safe movement through active log landings Landing workers in charge of traffic control shall be thoroughly instructed in this procedure Truck drivers must wear a hi vis orange or red hard hat and a hi vis clothing at all times when within the boundaries of the logging area The truck driver must not move his load until the load has proper binders attached SAFE WORK PROCEDURES CABLE YARDING YARDER OPERATOR PERSONAL PROTECTIVE EQUIPMENT Hi vis hard hat Hearing Protection Adequate Footwear Hi vis clothing It is the responsibility of the Operator to report maintenance problems which could interfere with the safe operation of the machine An Operator is expected to operate the machine in a safe efficient manner at all times COMMUNICATION e Safe and efficient operation of a swing yarder demands maximum cooperation between the people involved e An authorized means of communication must be used SAFETY PRECAUTIONS e Ensure all personnel understand sig
57. fety alerts received and read Date Received Description Included 138 MY SAFETY MEETINGS AND COMMUNICATIONS Safety Alert Log The following is a record of all safety alerts received and read Date Received Description Included Version 1 1 139 MY SAFETY MEETINGS AND COMMUNICATIONS Safety Alert Log The following is a record of all safety alerts received and read Date Received Description Included 140 MY SAFETY MEETINGS AND COMMUNICATIONS Injury and Incident Close Call Reporting All injuries on a worksite must be reported and recorded When an injury happens O Fill out a Form 6 7 for a medical injury O Submit to e WorkSafeBC if you are registered with WorkSafeBC e The employer you are working for e Keep a copy for yourself Incidents and close calls on your worksite should also be reported and recorded When an incident or close call happens O Fill out an incident close call report form O Submit to e The employer you are working for e Keep a copy for yourself Road conditions are an issue for everyone If you come across unsafe road conditions O Fill out a road conditions report O Submit to e The road permit holder prime contractor or MOFR e Keep a copy for yourself Version 1 1 141 142 INDEPENDENT OPERATOR S APPLIC
58. g company phone Contracting company contact person From 1 destination To 2 destination Date Estimated time of arrival Destination with phone number Travel route Contracting company name Contracting company phone Contracting company contact person From 2 destination To home destination Date Estimated time of arrival Travel route e Leave cell sat phone __ on at all times e Check for messages when in cell phone service range e Call and leave message at phone __ check in person at top of page if delayed for any reason e Call and leave message at __ if travel route changes e Vehicle information year make model color licence plate e BC drivers licence IN THE EVENT OF LATE CHECK IN Version 1 1 17 IN THE EVENT OF LATE CHECK IN 18 Travel Plan Leave the following information with check in person for each out of town trip where you are not returning home that day From home To Date Estimated time of arrival Destination with phone number Travel route Contracting company name Contracting company phone Contracting company contact person From 1 destination To 2 destination Date Estimated time of arrival Destination with phone number Travel route Contracting company name Contracting company phone Contracting company contact person F
59. hers in accordance with the law including the Workers Compensation Act and the Freedom of Information and Protection of Privacy Act 39 Worker signature 40 Date of report yyyy mm dd For personal assistance please call our Claims Call Centre at 604 231 8888 or toll free within BC at 1 888 967 5377 The BC Legislature provides impartial advisers on all workers compensation matters The Workers Advisers Office is independent and separate from WorkSafeBC and provides free advice and assistance to help injured workers with their claims They have offices throughout the province and can be contacted at www labour gov bc ca wab or by telephone Richmond 604 713 0360 toll free 1 800 663 4261 Victoria 250 952 4393 toll free 1 800 661 4066 Kelowna 250 717 2096 toll fee 1 866 881 1188 Personal information on this form is collected for the purposes of administering a worker s compensation claim by WorkSafeBC in accordance with the Workers Compensation Act and the Freedom of Information and Protection of Privacy Act For further information about the collection of personal information please contact WorkSafeBC s Freedom of Information Coordinator at PO Box 2310 Stn Terminal Vancouver BC V6B 3W5 ortelephone 604 279 8171 6 7 R06 08 Page 3 of 3 INDEPENDENT OPERATOR S APPLICATION FOR COMPENSATION AND REPORT OF INJURY OR OCCUPATIONAL DISEASE WORKING TO MAKE A DIFFERENCE As an employer the Workers Compensation Act requires you
60. ices Call location according to radio procedures for the haul Obey rules of the road as set out by road permit holder contractor Do steep slope assessment with supervisor on slopes over 20 Stop to check load and wrappers at the stamp hammer and points along the way before highway entry road junctions etc or every 3hrs 240 km UNLOADING Approach the unloading area in a safe manner Watch for other workers and machinery which might be present Wear required P P E when outside the vehicle Follow the safe unloading procedures established at the unloading site Ensure good communication with the loaderman The load must be restrained before wrappers are removed from the load Remain in a safe location and in view of the loaderman while being unloaded Usually the driver will remain in the cab of the truck or out in front of the truck Ensure workers and machinery are in the clear before moving through the log yard LOWBED Lowbeds with loads wider than 11 6 must have a radio equipped pilot vehicle in front for moves over 5kms Piloted lowbeds follow normal calling procedures Lowbeds with loads wider than 11 6 moving less than 5kms call all empty and loaded kms Lowbeds wider than 10 6 require flashing lights and flags Version 1 1 63 MY ADDITIONAL SWP NOTES 64 Radio Frequency Log All trucks must have the frequencies listed below programmed in their radios The road name and the approved
61. iewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required O Orientations for loading destination Contractor Sign off X have reviewed the pre work planning with the contractor If by phone name date 20 time truckers only Notes e g who is prime contractor long lat supervisor phone radio channels 118 Equipment Maintenance Log Before any maintenance is performed on your equipment ensure proper LOCK OUT LOCK OUT Procedures 1 Identify machine or equipment that needs to be locked out 2 Shut off the machinery or equipment Make sure that all moving parts have come to a complete stop Also ensure that the act of shutting off the equipment does not pose a hazard to other workers 3 Identify and de activate the main energy isolating device for each energy source 4 Apply a personal lock to the energy activating device for each energy source and ensure that all parts and attachments are secured against inadvertent movement 5 Test the lock out to make sure that it is effective and to verify that each energy source has been effectively locked out First ensure that all workers are in the clear and that no hazard will be created if the
62. inadequate supervision inadequate risk hazard improper use of PPE assessment inadequate awareness of surroundings mental physical stress fatigue inadequate poor housekeeping maintenance inspections worksite conditions weather congestion layout circle inadequate physical abilities other other Version 1 1 149 Describe corrective action s to be undertaken Person responsible for corrective action Date action to be completed by Person responsible to sign here when completed Date when action was completed Report and actions reviewed by Notes Date Name Signature Position SEND A COPY OF THIS REPORT TO THE PARTY YOU REPORT TO 150 MY SAFETY MEETINGS AND COMMUNICATIONS Road Conditions Report Please describe the road or unsafe conditions you wish to report and what can be done to prevent or eliminate the situation Complete and submit to the road permit holder on the site Identification Road name Reported by Nearest km Date Reported to Severity Road Condition Grade Road Surface Steep Adverse Grade O Sign Missing Damaged Not Visible Unsatisfactory traction C Standing water Ruts gt 6 Crown Lean C Washboard Pothole Rock L Shoulder Pro
63. ire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater Brake Flares Defroster Power steering Battery Windshield Description From To Odometer Start Finish Version 1 1 53 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze Tire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater Brake Flares Defroster Power steering Battery Windshield Description From To Odometer Start Finish 54 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze Tire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater Brake Flares Defroster Power steering Battery Windshield Description From To Odometer Start Finish Version 1 1 55 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze Tire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater Brake Flares Defroster Power steering Batt
64. ital VEHICLE INCIDENT If incident involves loading or unloading equipment shut off equipment Fill out the incident report form If applicable record other party s name address phone number and the vehicles plate number make colour and year Record names addresses and phone numbers of any witnesses Take pictures if possible ENVIRONMENTAL spills landslides floods etc Prevent further damage if possible Follow general response procedures 14 Dispatch information for hospital air ambulance You will need to be able to answer the following questions when calling for emergency assistance Who is calling Contact phone number Contact frequency name Latitude Longitude Geographic description and location Destination medical facility hospital Number of persons injured Age Sex Approx weight lbs Nature of injury Position of patient lying sitting standing Breathing problems yes no Is the patient unconscious yes no Is there uncontrolled bleeding yes no Is stretcher required yes no Is First Aid Attendant on site yes no Version 1 1 15 16 Travel Plan Leave the following information with check in person for each out of town trip where you are not returning home that day From home To Date Estimated time of arrival Destination with phone number Travel route Contracting company name Contractin
65. k procedures orientation documents etc Being SAFE certified lets everyone in the sector know you are committed to workers returning home safely after every shift If you have any questions please call 1 877 741 1060 or 1 888 632 0211 Version 1 1 3 User Information Provide a copy to each contractor you do work for Property of IOO s name Company name Primary type of business Address Home phone Business phone Cell satellite phone Other Emergency Contact 1 Name of emergency contact Relation to you Address Phone numbers Emergency Contact 2 Name of emergency contact Relation to you Address Phone numbers h Important Medical Information Medications Known medical conditions Other information Version 1 1 User Information Provide a copy to each contractor you do work for Property of IOO s name Company name Primary type of business Address Home phone Business phone Cell satellite phone Other Emergency Contact 1 Name of emergency contact Relation to you Address Phone numbers Emergency Contact 2 Name of emergency contact Relation to you Address Phone numbers h Important Medical Information Medicatio
66. loading Keep all buts or ends even Turn logs that should be loaded butt ahead Position log decks to eliminate extra maneuvering when loading Have all logs bucked limbed and stamped when required The truck must always be positioned properly for before hooking up the trailer Always use proper signals when directing truck movements A distinctive signal to indicate that the load is finished should be used Ensure all workers are in the clear Lift trailers off with caution and ensure that the trailer lifting strap has not deteriorated Providing that the loader can easily handle the trailer the lifting strap should be properly positioned on the trailer This will make it convenient for the driver to guide the reach and by the proper handholds which should be provided on the reach With some trucks the compensator can also be moved to facilitate hookup If the truck is to be backed onto the reach and coupled the trailer lifting strap can be repositioned slightly to permit the reach to lift off the ground before the trailer wheels are lifted The person hooking up the trailer should always stand off to the side to enable the operator to see the reach and the hitch LOG TRUCK LOADING If the deck is beside the truck logs shall not be picked up from it until the driver and or other workers have finished their duties and have moved to the safe zone Loading shall cease at any time that the loader operator is uncertain that the
67. lock out is not effective Lock out can be tested after each energy isolating device is locked out or after a group of energy isolating devices have been locked out Version 1 1 119 120 Equipment Maintenance Log Complete a maintenance log for all pieces of equipment machines vehicles and tools that you use Equipment Manufacture s required service interval nrs or mileage Date Mileage or hours Work completed By who Equipment user manual is in machine if applicable Version 1 1 121 Equipment Maintenance Log Complete a maintenance log for all pieces of equipment machines vehicles tools that you use Equipment Manufacturer s required service interval nrs or mileage Equipment Maintenance Log Complete a maintenance log for all pieces of equipment machines vehicles tools that you use Equipment Manufacturer s required service interval nrs or mileage Equipment user manual is in machine if applicable Version 1 1 123 Equipment Maintenance Log Complete a maintenance log for all pieces of equipment machines vehicles tools that you use Equipment Manufacturer s required service interval nrs or
68. ly apply if the driver is driving a commercial motor vehicle designed exclusively for the transportation of logs or poles sec 37 15 1 INSTRUCTIONS FOR FILLING OUT THE GRID A for each duty status 1 mark the beginning and time and the end time and 2 draw a continuous line between the time markers B Record the name of the municipality or the location on the highway or in a legal subdivision and the name of the province where the change in duty status occurs C If a driver is making deliveries in a municipality that result in a number of periods of driving time being interrupted by a number of short periods of other on duty time the periods of driving time may be combined and the periods of other on duty time maybe combined and D Enter on the right of the grid the total number of hours of each period of duty status which must total 24 hours Under subsection 98 4 or paragraph 99 2 a of the Commercial Vehicle Drivers Hours of Service Regulations the CVSE inspectors will provide drivers with a receipt upon inspection of the daily logs Schedule 3 It will document the place description of documents examined including log books load slips and other supporting documents the date and locations and will be signed by the inspector UPDATED MAY 9 2008 69 70
69. mileage Equipment Maintenance Log Complete a maintenance log for all pieces of equipment machines vehicles tools that you use Equipment Manufacturer s required service interval nrs or mileage Equipment user manual is in machine if applicable __ Version 1 1 125 Equipment Maintenance Log Complete a maintenance log for all pieces of equipment machines vehicles tools that you use Equipment Manufacturer s required service interval nrs or mileage Forest Safety Accord have read the attached Forest Safety Accord and understand its contents support the general commitment made by this Accord and will do my part to ensure that my actions make a difference to the safety performance of the BC forest sector Signed Print name Date Version 1 1 127 128 Our Key Beliefs e We believe that all fatalities and injuries are preventable e We believe in a culture where the health and safety of all workers is an over riding priority e We believe that excellence in health and safety is important to our long term SUCCESS Shared Responsibility e Weare collectively and individually responsible for the safety of all workers and all worksites e
70. n the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required _ O Orientations for loading destination Contractor Sign off truckers only X I have reviewed the pre work planning with the contractor If by phone name date 20 time Notes e g who is prime contractor long lat supervisor phone radio channels Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required O Orientations for loading destination Contractor Sign off X have reviewed the pre work planning with the contractor date 120 If by phone name time truckers only Notes e g who is prime contractor long lat supervisor phone radio channels Version 1 1 113 Pre Work Planning Log Pre work planning should be completed at the start of every job new haul truckers Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O Fir
71. nals e Use proper signals at all times e Any signal that is not clearly understood shall be treated as a STOP signal and ask for a repeat IF IN DOUBT STOP e If there is a danger of signals not being understood the operator shall repeat the signal before proceeding e Check radios daily at startup to ensure they are working properly MAINTENANCE e If the machine is kept clean the maintenance check can be done properly to correct problems before they become a safety hazard e Follow lock out or de energization procedures while conducting maintenance work on the machine SAFETY PRECAUTIONS e Clean up oil spills to prevent slips and falls e Use solvent for cleaning not gas or diesel e Keep guards in place e Shut down motor when refueling or doing maintenance work on motors or winch Never use compressed air to clean your person or clothes e Report any maintenance problems to the shop as soon as possible and use proper forms e The cleaning piling or adjusting of moving machinery is prohibited when contact with moving parts could injure a workman Version 1 1 47 RIGGING SAFETY PRECAUTIONS Inspect boom lines weekly and replace as required Inspect all other lines and rigging regularly and replace it as necessary Slack lines and place the grapple on the ground before leaving the machine unattended Guylines must be marked if they are a hazard to traffic Use proper spooling tool when spooling line eee SAFETY PR
72. ns Known medical conditions Other information Version 1 1 User Information Provide a copy to each contractor you do work for Property of IOO s name Company name Primary type of business Address Home phone Business phone Cell satellite phone Other Emergency Contact 1 Name of emergency contact Relation to you Address Phone numbers Emergency Contact 2 Name of emergency contact Relation to you Address Phone numbers h Important Medical Information Medications Known medical conditions Other information Version 1 1 10 Emergency Response Plan ERP OPERATING LOCATION Important Contact Information Name Emergency coverage limited in some areas Main 911 Local Regional Ambulance Emergency Services Air Evacuation Search and Rescue RCMP 24 Hour Spill Reporting Per 1 800 663 3456 Ministry of Forest BC 1 800 663 7867 WorkSafeBC 1 877 922 4357 BC Poison Control 1 800 567 8911 Canadian Coast Guard 1 800 567 5111 Initial Fire Reporting 1 800 663 5555 Contractor Contact ERP equipment required O Working radio cell phone O Personal first aid kit or level 1 first ai
73. ntations for loading destination Contractor Sign off truckers only X I have reviewed the pre work planning with the contractor If by phone name date 7 20 _ time Notes e g who is prime contractor long lat supervisor phone radio channels Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required O Orientations for loading destination Contractor Sign off X have reviewed the pre work planning with the contractor date 1 120 If by phone name time truckers only Notes e g who is prime contractor long lat supervisor phone radio channels Version 1 1 115 Pre Work Planning Log Pre work planning should be completed at the start of every job new haul truckers Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required _ O Orientations for loading destination Contractor Sign off truckers only X I have reviewed
74. o for the type of undercut selected Holding wood and preferred anti kickback step are maintained across the entire stump see table below Also see Note Preferred undercut and back cut are straight amp level and completed from high side Undercut is 1 3 of the tree diameter and is angled to ensure that the opening is at least 1 2 the length of the top cut Undercut is cleaned out Holding wood is maintained across the entire stump Also see Note Meets acceptable standard and depth of undercut is 1 3 tree diameter Holding wood is maintained across the entire stump Also see Note Acceptable standard Includes appropriate undercut and backcut are completed from high side are slightly off level depth of the undercut between 25 and 40 of the tree diameter Undercut is cleaned out The cuts forming the opening of the undercut are 1 3 to 1 2 the length of the top cut Backcut is slightly above the undercut slightly off level Holding wood is preferably maintained across the entire stump but at minimum must be on both corners Also see Note Undercut is off level not cleaned out or corrected too deep or too shallow over 40 or less than 25 of diameter opening is less than 1 3 the length of the top cut Backcut is flush to undercut no step Excessive holding wood left on the low side of the stump Unacceptable Fails to meet the acceptable standard undercut 50 or greater of the tree diameter no undercut dutchman backcut is
75. oads Do not tailgate other vehicles Pass trucks or equipment only after you receive a clearly visible and or audible signal from the operator Never chase a runaway vehicle Stay on your side of the road RADIO USE Complete radio check and ensure correct frequency prior to entering radio controlled area Do not drive by the radio Expect oncoming traffic at all times Call your position according to the local radio protocol and signage Notify other radio equipped vehicles of oncoming non radio equipped traffic Do not use road radio channels for conversations use only for road traffic protocols Other than traffic control pull over and safely park when talking on the radio cell phone for an extended period of time PARKING Park clear of traffic away from active areas in pullouts or extra wide straight sections of road Park facing the direction of exit with access for service towing activities Ensure the parking brake is on and the transmission is in 1st gear or park On steep grades use wheel chocks and always turn the wheels towards the nearest ditch Never park on a curve especially on the outside curve of a road When turning around back into the cut bank of the road and not towards the outside bank Use flares where required Version 1 1 51 MY ADDITIONAL SWP NOTES 52 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze T
76. ontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed Version 1 1 135 MY SAFETY MEETINGS AND COMMUNICATIONS Safety Meeting Log Meeting with O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed 136 MY SAFETY MEETINGS AND COMMUNICATIONS Safety Alert Log The following is a record of all safety alerts received and read Date Received Description Inciuded Safety alerts help you stay aware of hazards in the woods and information on keeping yourself and those around you safe Safety alerts from the sector are posted at BC Forest Safety Council http www bcforestsafe org on main page WorkSafeBC http www2 worksafebc com publications HazardAlerts asp Version 1 1 137 MY SAFETY MEETINGS AND COMMUNICATIONS Safety Alert Log The following is a record of all sa
77. oxes for any ofthe following amounts you will continue to receive base salary AND provide the amount in addition to base salary AND provide the amount Tips and gratuities Os _ PRoomandboadOs__ Tips and gratuities Os_________ Roomandboard O Shift differential M ther Os shiftdifferentia O pS Other Os Overtime O Overtime O 26 Provide your gross earnings for the past 3 months or 12 weeks prior to the date of injury or exposure 3months O 12weeks O 27 Do you work a fixed shift rotation 28 Ifno please explain Yes O No O 29 If yes show your normal work week by entering the paid hours 30 Did you continue to work past day of injury 31 Last day worked yyyy mm dd Yes O No O 32 Number of hours you were scheduled to work on 33 Number of hours you worked on last day worked 34 Number of hours paid by your employer on last day worked last day worked 6 7 R06 08 Page 2 of 3 Independent Operator s Application for Compensation and Report of Injury or Occupational Disease continued WORKING TO MAKE A DIFFERENCE Worker last name Middle initial WorkSafeBC claim number if known Personal health number from BC CareCard Return to work information 35 Have you returned to work 36 If YES Date you returned to work yyyy mm dd Yes O No O Since the return to work has there been any change to your work duties or will there O g Yes No be any change to your hours of work your work schedule or you
78. pened 8 Describe the injury in detail what part of the body was injured 9 Side of body injured tet Rigt O Both O Notapplicable O 10 Describe the work incident location address city province and where incident occurred e g shop floor lunchroom parking lot 11 Did the injury ies or exposure result from a specific incident Yes O No I 6 7 WORKERS COMPENSATION BOARD OF B C RO6 08 Page 1 of 3 Independent Operator s Application for Compensation and Report of Injury or Occupational Disease continued WORKING TO MAKE A DIFFERENCE Worker last name Middle initial WorkSafeBC claim number if known Personal health number from BC CareCard Incident information continued 12 Contributing factors select AT LEAST ONE and as many as applicable a Lifting O b O k O Assault O O Struck ag o Animal bite Overexertion Motor vehicle accident Repetitive activity repeated over and over again O Crush Sliportrip Sharp edge Twist Fire or explosion Unsure other please explain below Fall Harmful substance in the work environment O 13 Were there any witnesses 14 Didthe incident occur in British Columbia Yes O No O Yes O No O 15 Were your actions at time of injury for your business 16 Did the incident occur on employer s premises or an authorized worksite Yes O No O Yes O No O 17 Didthe incident occur during your normal shift 18 Were you performing your regular work duties at the
79. pot or mechanical damage e Difficult trees Decide how they can be felled safely 2 Check for overhead hazards e Brushing e Hung up e Limb tied e Snag top 3 Check for ground hazards Pulled up roots e Stumps e Blow down 5 Check for other worksite hazards e Other workers fallers supervisors logging equipment operators e Equipment and machinery Comments Recommendations 80 Unsafe is Unacceptable Dangerous Tree Risk Assessment Guide A BC Forest Safety Council Danger Tree Indicators lt 30 Lean gt 30 Lean Stem Assessment Stable Bark Unstable Bark Stress Cracks Split Butt Split Stem Free of Overhead Hazards Canopy Assessment Overhead Hazards Present we top and limbs up top and Limb Tied With sounding base is determined to be solid With sounding base sounds hollow complete a vertical bore Decay Factors Vertical bore determines Sufficient Shell Thickness for holding wood White fungus Pinicola Heart Rot D 7D DO RO RDO do D IN a MmM 0 N o Adequate Opening present for falling dangerous tree Adequate Opening must be made for falling dangerous tree Falling Factors Marginal Opening is made or present for falling dangerous trees 3 10 10 30 30 Rating and Recommended Actions Moderate Get Qualified Assistance
80. r Checklist Faller Bullbucker Company Date Location Block Site Nearest Town Weather BC FALLER TRAINING STANDARD REQUIREMENTS y Yes No Comments Proper clothing Hard hat red or orange Caulk boots Eye protection screen glasses Hearing protection muffs earplugs Gloves Whistle two way radio Hi Vis apparel Rain clothes are Hi Vis Leg protection 3600 minimum Proper saw size amp bar length for job Axe s spare wedges spare saw Axe in good shape pinned Carrying files ends covered Files in good condition Proper chain filing to manufacturer s recommendation Saw has full wrap handlebars Proper saw maintenance Proper saw handling two hands at all times Good body positioning MSI Gas and Oil containers nearby Working to weather conditions Escape routes established minimum 10 and to safe cover Several trees prepped Axe at tree wedges set Uses proper wedging procedures amp techniques Demonstrates directional control Uses saw sightlines Avoids brushing timber Avoids domino falling Procedures for pushing trees limb tied Danger tree risk assessment conducted Danger trees felled progressively Danger trees felled into open areas Procedures for wedging snags Procedure for danger trees outside boundary Enough fuel to make
81. r rate of pay 37 If NO Does your employer have any modified or transitional duties available gt 38 If yes please describe modified or transitional duties Yes O No O Have the modified or transitional duties been offered to you Yes O No O Signature and report date PLEASE READ CAREFULLY declare all the information have given on this report is true and correct and elect to claim compensation for the above mentioned injuries or disease understand it is a serious offence to knowingly make a false claim or to work and earn income while receiving workers compensation benefits without advising WorkSafeBC the Workers Compensation Board authorize WorkSafeBC and the Workers Compensation Appeal Tribunal to view or obtain a copy of records pertaining to my examination treatment history and employment from any source whatsoever including records of physicians qualified practitioners medical insurers hospitals and any employer understand the information is collected used and disclosed under the authority of the Workers Compensation Act and the Freedom of Information and Protection of Privacy Act acknowledge that WorkSafeBC may obtain and disclose information from my claim to my employer for the purpose of appeal or may disclose such information to others in accordance with the law including the Workers Compensation Act and the Freedom of Information and Protection of Privacy Act 39 Worker signature 40 D
82. rake Flares Defroster Power steering Battery Windshield Description From To Odometer Start Finish Version 1 1 105 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze Tire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater Brake Flares Defroster Power steering Battery Windshield Description From To Odometer Start Finish 106 Radio Frequency Log All trucks must have the frequencies listed below programmed in their radios The road name and the approved road radio frequency will be posted at the beginning of every road Contractors may use their own licensed frequencies for in block loading and harvesting operations Frequency name Frequency Version 1 1 107 Radio Frequency Log All trucks must have the frequencies listed below programmed in their radios The road name and the approved road radio frequency will be posted at the beginning of every road Contractors may use their own licensed frequencies for in block loading and harvesting operations Frequency name Frequency
83. ravel Plan Leave the following information with check in person for each out of town trip where you are not returning home that day From home To Date Estimated time of arrival Destination with phone number Travel route Contracting company name Contracting company phone Contracting company contact person From 1 destination To 2 destination Date Estimated time of arrival Destination with phone number Travel route Contracting company name Contracting company phone Contracting company contact person From 2 destination To home destination Date Estimated time of arrival Travel route e Leave cell sat phone __ on at all times e Check for messages when in cell phone service range e Call and leave message at phone __ check in person at top of page if delayed for any reason e Call and leave message at ___ if travel route changes e Vehicle information year make model color licence plate e BC drivers licence IN THE EVENT OF LATE CHECK IN Version 1 1 25 IN THE EVENT OF LATE CHECK IN 26 Training and Certification Log Your certification s confirm that you have completed the necessary training to perform your job Keep a copy of your certificates in this log It is important that you keep track of when your certifications are up for renewal
84. rime contractor long lat supervisor phone radio channels Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required O Orientations for loading destination Contractor Sign off X have reviewed the pre work planning with the contractor date __ 1 20 If by phone name time truckers only Notes e g who is prime contractor long lat supervisor phone radio channels Version 1 1 117 Pre Work Planning Log Pre work planning should be completed at the start of every job new haul truckers Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required _ O Orientations for loading destination Contractor Sign off truckers only X I have reviewed the pre work planning with the contractor If by phone name date 20 time Notes e g who is prime contractor long lat supervisor phone radio channels Date Working For Items Rev
85. rom 2 destination To home destination Date Estimated time of arrival Travel route e Leave cell sat phone __ on at all times e Check for messages when in cell phone service range e Call and leave message at phone __ check in person at top of page if delayed for any reason e Call and leave message at __ if travel route changes e Vehicle information year make model color licence plate e BC drivers licence IN THE EVENT OF LATE CHECK IN Version 1 1 19 IN THE EVENT OF LATE CHECK IN 20 Travel Plan Leave the following information with check in person for each out of town trip where you are not returning home that day From home To Date Estimated time of arrival Destination with phone number Travel route Contracting company name Contracting company phone Contracting company contact person From 1 destination To 2 destination Date Estimated time of arrival Destination hotel with phone number Travel route Contracting company name Contracting company phone Contracting company contact person From 2 destination To home destination Date Estimated time of arrival Travel route e Leave cell sat phone __ on at all times e Check for messages when in cell phone service range e Call and leave message at phone __ check in per
86. rt of every job new haul truckers Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required _ O Orientations for loading destination Contractor Sign off truckers only X I have reviewed the pre work planning with the contractor If by phone name date 20 time Notes e g who is prime contractor long lat supervisor phone radio channels Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required O Orientations for loading destination Contractor Sign off X have reviewed the pre work planning with the contractor date 1 120 If by phone name time truckers only Notes e g who is prime contractor long lat supervisor phone radio channels Version 1 1 111 Pre Work Planning Log Pre work planning should be completed at the start of every job new haul truckers Date Working For Items Reviewed N
87. s Driven Contractor Midnight 13 14 15 16 17 18 19 20 21 2 23 24 Noon 0 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 E OFF DUTY TOTAL Cycle Time ______ Actual Time TIME HOURS kms DRIVING gt AA Contractor ON DUTY a Oo a a kms 0 1 2 3 4 5 6 7 8 9 10 11 122 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 MUST TOTAL 24 Comments HOURS Contractor Cycle Time Actual Time kms Signature Remarks UPDATED MAY 9 2008 BC Forest Safety Council Unsafe ts Unacceptable Company Phone ee PER i In pre trip inspection I have detected no defect or deficiency in this motor vehicle as would be likely to affect the safety of Street Town its operation or result in its mechanical breakdown TIME am pm Signature Postal Code
88. safe work procedures Radio frequency log tracking of radio frequencies Pre work planning log receipt of pre work information from the contractor Equipment maintenance log maintenance activities Safety meeting log attendance at safety meetings copies Incident close call report reporting of incidents Vehicle pre trip inspection mileage log daily vehicle pre trip inspection completed Equipment operator s daily check daily inspection of machine worksite completed Fallers hazard assessment site hazard assessment of falling area completed Forest professional s daily check daily inspection of vehicle worksite completed e Keep your SAFEty Log active even after you have submitted your records to the Council for certification you will need this for next year Version 1 1 165
89. scribe corrective action s to be undertaken Person responsible for corrective action Date action to be completed by Person responsible to sign here when completed Date when action was completed Report and actions reviewed by Notes Date Name Signature Position SEND A COPY OF THIS REPORT TO THE PARTY YOU REPORT TO 148 MY SAFETY MEETINGS AND COMMUNICATIONS Incident Close Call Reporting Form Date of incident Company Date reported Location Reported by Type of job Describe incident close call draw diagram on other side if helpful VI Category close call Notes bodily injury illness lost time dangerous goods spill fire vehicle incident damage ATV incident damage other equipment damage other describe other describe Names contact info of any individual or witnesses involved in incident close call If first aid was rendered name of attendant Describe immediate and root cause of incident close call Immediate cause s Root cause s M Notes failure to follow safe work inadequate work planning i procedures engineering design improper use of equipment tools lockout inadequate polices procedures failure to warn or instruct inadequate communications body motions pushing pulling repetition
90. scussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed 132 MY SAFETY MEETINGS AND COMMUNICATIONS Safety Meeting Log Meeting with O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed Version 1 1 133 MY SAFETY MEETINGS AND COMMUNICATIONS Safety Meeting Log Meeting with O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subcontractor O Client O Prime Contractor Items discussed 134 MY SAFETY MEETINGS AND COMMUNICATIONS Safety Meeting Log Meeting with O Contractor subcontractor O Client O Prime Contractor Items discussed O Contractor subc
91. ses or an authorized worksite Yes O No O Yes O No O 17 Didthe incident occur during your normal shift 18 Were you performing your regular work duties at the time of the incident Yes O No Yes O No O I 19 Didyou receive first aid gt Ifyes please provide first aid attendant name if known Yes noO Date yyyy mm ad 20 Did you go to hospital clinic or visit a physician or qualified practitioner Ifyes please provide provider name if known Yes O noO Date yyyymm ad p If yes please provide provider address if known 21 Prior to this incident did you have any recent pain or disability in the area of your injury Yes O No O Wage information 22 Didyou miss work beyond the date of injury or exposure If NO WORK WAS MISSED and NO CHANGE to duties pay proceed to bottom of last page Yes O No O to sign date and submit this report If WORK WAS MISSED or if duties pay have been MODIFIED please answer ALL questions on this form 23 Provide the base salary amount for this employment position at the time ofinjury Hourly O Daily O Weekly O Monthly O Yearly O 24 Do you receive other amounts of compensation in addition to base salary 25 Ifyou are disabled from work will you continue to receive Yes O No O Base salary Yes O No O Do you receive vacation pay on every cheque Yes O No O Other amounts of compensation in additionto base salary Yes O No O Ifyes vacation pay Will you continue to receive vacation pay on ever
92. son at top of page if delayed for any reason e Call and leave message at __ if travel route changes e Vehicle information year make model color licence plate e BC drivers licence IN THE EVENT OF LATE CHECK IN Version 1 1 21 IN THE EVENT OF LATE CHECK IN 22 Travel Plan Leave the following information with check in person for each out of town trip where you are not returning home that day From home To Date Estimated time of arrival Destination with phone number Travel route Contracting company name Contracting company phone Contracting company contact person From 1 destination To 2 destination Date Estimated time of arrival Destination with phone number Travel route Contracting company name Contracting company phone Contracting company contact person From 2 destination To home destination Date Estimated time of arrival Travel route e Leave cell sat phone __ on at all times e Check for messages when in cell phone service range e Call and leave message at phone __ check in person at top of page if delayed for any reason e Call and leave message at __ if travel route changes e Vehicle information year make model color licence plate e BC drivers licence IN THE EVENT OF LATE CHECK IN Version 1 1 23 IN THE EVENT OF LATE CHECK IN 24 T
93. st assistance MAINTENANCE EXITING MACHINE 40 Follow the lock out or de energization procedures while conducting maintenance work on the machine Always enter and leave the machine in a safe manner Use the hand holds for stability and beware of slipping hazards that exist particularly in winter SAFE WORK PROCEDURES SKIDDING OPERATOR GRAPPLE PERSONAL PROTECTIVE EQUIPMENT Hi vis hard hat Hearing protection Gloves Suitable footwear Hi vis clothing PROCEDURES Check to ensure machine is in safe operating condition before using Wear seat belts when operating machine Ensure good housekeeping to prevent slipping or tripping when entering or leaving machine All fire extinguishers and other items must be secured in a safe location Do not carry loose articles in the cab Do not enter an active falling area Stay a minimum of two tree lengths away Do not skid trees past a faller or other active falling areas Travel at safe speed with or without a turn Exercise caution when working on hillside slopes Try to align machine straight with bundles when picking up a turn Use caution when making turns when skidding bundles of trees When entering the landing make sure workers are in the clear and you are given approval to enter Lower the blade and set the parking brake before leaving the machine Follow the lock out or de energization procedures while conducting maintenance work on the machine Always enter and leave
94. st Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required _ O Orientations for loading destination Contractor Sign off truckers only X I have reviewed the pre work planning with the contractor If by phone name date 20 time Notes e g who is prime contractor long lat supervisor phone radio channels Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required O Orientations for loading destination Contractor Sign off X have reviewed the pre work planning with the contractor If by phone name date 20 time truckers only Notes e g who is prime contractor long lat supervisor phone radio channels 114 Pre Work Planning Log Pre work planning should be completed at the start of every job new haul truckers Date Working For Items Reviewed Name O Work plan reviewed O Site hazard assessment complete O Controls in place Supervisor who passed on the instructions and or O Coordination of work site complete pre work O ERP shared O First Aid O Supervisor ID ed Phone O Pre work documents included O EMS training if required _ O Orie
95. stance if you are unsure e Wear and maintain all required personal protective equipment Version 1 1 33 34 SAFE WORK PROCEDURES EQUIPMENT OPERATORS Safe work procedures included for e Feller buncher e Processor e Skidder line e Skidder grapple e Crawler machine e Loader e Yarder ALWAYS REFERENCE MANUFACTURERS RECOMMENDATIONS AND INSTRUCTIONS Version 1 1 35 36 SAFE WORK PROCEDURES FELLER BUNCHER OPERATOR PERSONAL PROTECTIVE EQUIPMENT Hi vis hard hat Hearing protection Substantial appropriate footwear Hi vis clothing PROCEDURES e Inspect machine to ensure it is in safe operating condition before using e Wear seat belts while operating machine e Keep doors closed so that guarding is effective when working e Ensure good housekeeping is maintained e Operate at a safe speed e Maintain at least two tree lengths from other work and equipment at all times while cutting e Exercise due caution while working on hillsides e Do not travel across a slope that is too steep for maintaining proper stability of the machine e Confine travel to up and down slope e When traveling across any slope avoid running over logs chunks stumps etc which could cause the machine to become unstable e Review and follow the safe work procedures for operating machinery on steep slopes e Ensure the tracks are adequately caulked with ice lugs for winter operations e Ensure aman check system is established
96. stment Fuel System Suspension Brakes Service System Fuel Tanks Steering Mechanism Operating Under Logging Truck Hours Sec 37 15 1 Brakes Parking System Heat Defrost Transmission s Charging System Horns Wheels Tires Studs Vehicle License Plate Unit Clutch Lights Reflectors Windows Visibility Cooling System Load Security Devices W Wipers Washers Personal Use Km Start Coupling Devices Lubrication System s Other TRAILERS S NO S 1 2 Km End 1 2 1 2 2 Total Air Lines Glad Hands Doors Compartments Mud Flaps Body Frame Landing Gear Suspension s Odometer Start Brakes Adjustment Lights Reflectors Wheels Tires Studs End Coupling Devices Load Security Devices Other Total KM S Driven Total Hours Driven Contractor Midnight 13 14 15 16 17 18 19 20 21 2 23 24 Noon 0 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 E OFF DUTY TOTAL Cycle Time ______ Actual Time TIME HOURS kms DRIVING gt AA Contractor ON DUTY a Oo a a kms 0 1 2 3 4 5 6 7 8 9 10 11 122 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 MUST TOTAL 24 Comments HOURS Contractor Cycle Time Actual Time kms Signature Remarks UPDATED MAY 9 2008 BC Forest Safety Council Unsafe ts Unacceptable
97. t someone in camp knows the destination and ETA of all flights on arrival back at camp CREW BOAT SAFETY GENERAL 96 All operators will have the Boat Operators Course or be checked out by a qualified individual that includes being familiar with boat safety navigation adverse conditions and knowing all operating procedures Remember that the operator is responsible for the boat Wear a life jacket or floater coat when operating small craft Know the capabilities of the boat and don t run in any adverse conditions Check the weather forecast before heading out Familiarize yourself with the safety equipment on board the craft When operating larger craft familiarize yourself with the VHF radio Remember the calling and distress channel on VHF is CHANNEL 16 A license is required to operate the VHF radio When operating a boat one should be familiar with safe boat handling procedures and charts or better yet take a boating course Point out any exposed rocks and shoals to your crewmembers Always make sure someone knows your destination and your ETA back to the dock Preferably the cook in camp Provide a phone list to someone in charge while in unfamiliar camps When traveling along shoreline where road construction is in progress make arrangements with the Blaster when it is safe to pass by Your boat is an essential part of your safety equipment Make sure the boat is properly anchored with a Scope3 1 Do not tie to shore
98. the machine in a safe manner Use the handholds for stability and beware of slipping hazards that exist particularly in winter SKIDDING ON SLOPES Do not attempt to travel across a slope that is too steep for maintaining proper balance of the machine Confine your travel to straight up and down slopes when steepness is a problem Any slope greater than 35 shall not be traveled without specific safe work procedures in place Specific safe work procedures must be established for different types of skidding machines These procedures must be reviewed before operating on steep slopes Avoid running over chunks and stumps because of increased potential for machine upset Use caution when traveling on trails by maintaining a safe distance from the outer edge of the trail Version 1 1 4 42 Use tire chains for traction on steep ground and when slippery Be aware of limbs and chunks that may catch in the chains When traveling down steep slopes make sure the blade does not hook on a stump or rock causing the machine to swing sideways and upset If you encounter unsafe skidding conditions inform your supervisor and alternate methods will be initiated If at any time the machine is unstable shut it down and request assistance SAFE WORK PROCEDURES CRAWLER MACHINE SKIDDING AND TRAIL CONSTRUCTION PERSONAL PROTECTIVE EQUIPMENT Hi vis hard hat Hearing protection Gloves Substantial footwear Hi vis clothing PROCEDURES Che
99. tion Operate the logging truck in a safe manner Drive within the posted speed limits and or within safe speeds determined by the conditions of the road stay on the right side of the road as much as possible Obey the rules of the road and radio calling procedures as laid out by road permit holder road user group Always get into the truck in a safe manner using three points of contact provided to prevent slipping and tripping Wear the personal protective equipment required when getting out of the vehicle Report any observed unsafe haul road conditions to your supervisor the logging contractor or the sawmill personnel See Road Conditions Reporting Form Version 1 1 61 Where the use of chains is required always adequately chain up the vehicle in a safe flat location before you encounter areas where vehicle traction is questionable Do not stop trucks on haul roads except at safe passing points In case of breakdown use flares reflectors LOG LOADING 62 Ensure there is a safe area for loading Always make sure your brakes area properly set before exiting the truck don t use the handvalve Follow the communication system established at the loading site with the loaderman The driver and loaderman together must ensure that the load is built so logs are adequately contained and stable and safely loaded within the bunks Drivers of log trucks or other vehicles are ultimately responsible for how the truck is loaded If
100. tions water Working by yourself O Someone knows your geographical location and description and work plans expected time of return and can initiate a rescue map of location and ERP procedure can use Travel Plan O Man check interval time agreed upon time O Emergency transportation location helicopter landing boat access Working with others O Make sure you get the ERP from your contractor for the worksite O Confirm who is the prime contractor Version 1 1 Types of Emergencies and Plans GENERAL Contact the contractor to provide the following information type of emergency geographical location and description approximate distance and direction from major centre time estimate of severity what is happening EQUIPMENT FIRE Immediately shut off power using emergency shut off buttons Have everyone clear the area If possible eliminate fuel supply If possible attempt to extinguish fire Contact your employer FOREST FIRES Report to your contractor and contain if possible Notify all personnel in block Access tools from fire cache Report to Ministry of Forests Fire Centre 1 800 663 5555 24 hrs MEDICAL AID injuries and fatalities Contact your contractors and or designated first aid person The designated first aid person will decide on method of evacuation Complete the dispatch information for hospital found in Important Contact Information before contacting the helicopter company or hosp
101. to use it The pilot has the final say on flying but if you feel it is unsafe back out of the flight If possible store axe in luggage compartment Perform radio check with helicopter after being dropped off Ensure that any pressurized cans i e paint pepper spray are stored in the cargo hold of the aircraft Pepper spray must be transported in a Pelican Case Version 1 1 97 SAFE Do not approach or leave without the pilot s visual knowledgement Keep in pilot s field of vision at all times Observe Helicopter Safety Zones see diagram right On sloping ground always approach or leave on the downslope side for maximum rotor clearance If blinded by swirling dust or grit STOP crouch lower or sit down and await assistance AROUND HELICOPTERS PROHIBITED _ gt ACCEPTABLE PREFERRED If disembarking while helicopter is at the hover get out and off in a smooth unhurried manner Do not approach or leave a helicopter when the engine and rotors are running down or starting up Proceed in a crouching manner for extra rotor clearance Hold onto hat unless chin straps are used Never never reach up or chase after a hat or other articles that blow away e R Carry tools etc horizontally below waist level never upright or on the shoulder Keep helipad clear of loose articles water bags gro
102. transmission is in 1st gear or park On steep grades use wheel chocks and always turn the wheels towards the nearest ditch Never park on a curve especially on the outside curve of a road When turning around back into the cut bank of the road and not towards the outside bank Use flares where required MY ADDITIONAL SWP NOTES Version 1 1 101 102 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze Tire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater Brake Flares Defroster Power steering Battery Windshield Description From To Odometer Start Finish Version 1 1 103 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze Tire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater Brake Flares Defroster Power steering Battery Windshield Description From To Odometer Start Finish 104 Vehicle Pre trip Inspection and Mileage Log Brakes Fluids Tire pressure Vehicle Lights Antifreeze Tire spare Wipers Oil First aid kit Engine Belts Transmission Flashlight Heater B
103. truding Limb Danger Tree Erosion O Narrow C Other O Turnout Clear Needed Other Corner Switchback Bridge Culvert Ditch Inadequate Turning Radius Plugged Damaged Grade too steep Drainage Problem Slope Lean Bridge Surface Railing Damaged Traction O Other Block Landing Other Unsafe Deck Turnaround Hump Other Additional comments How can the problem be prevented or eliminated Version 1 1 151 152 MY SAFETY MEETINGS AND COMMUNICATIONS Road Conditions Report Please describe the road or unsafe conditions you wish to report and what can be done to prevent or eliminate the situation Complete and submit to the road permit holder on the site Identification Road name Reported by Nearest km Date Reported to Severity Road Condition Grade Road Surface Steep Adverse Grade C Sign Missing Damaged Not Visible L Unsatisfactory traction Standing water Ruts gt 6 C Crown Lean L Washboard Pothole Rock L Shoulder Protruding Limb Danger Tree Erosion Narrow Other Turnout Clear Needed Other Corner Switchback Bridge Culvert Ditch L Inadequate Turning Radius Plugged Damaged C Grade too steep O Drainage Problem L Slope Lean Bridge Surface Railing Damaged Traction Other Block Landing Other Unsafe Deck
104. uation Complete the dispatch information for hospital found in Important Contact Information before contacting the helicopter company or hospital VEHICLE INCIDENT If incident involves loading or unloading equipment shut off equipment Fill out the incident report form If applicable record other party s name address phone number and the vehicle s plate number make colour and year Record names addresses and phone numbers of any witnesses Take pictures if possible ENVIRONMENTAL spills landslides floods etc Prevent further damage if possible Follow general response procedures 12 Emergency Response Plan ERP OPERATING LOCATION Important Contact Information Name Emergency coverage limited in some areas Main 911 Local Regional Ambulance Emergency Services Air Evacuation Search and Rescue RCMP 24 Hour Spill Reporting Per 1 800 663 3456 Ministry of Forest BC 1 800 663 7867 WorkSafeBC 1 877 922 4357 BC Poison Control 1 800 567 8911 Canadian Coast Guard 1 800 567 5111 Initial Fire Reporting 1 800 663 5555 Contractor Contact ERP equipment required O Working radio cell phone O Personal first aid kit or level 1 first aid kit O PPE Personal Protective Equipment O Whistle O Fire extinguisher and shovel O Additional emergency supplies matches blanket ra
105. und sheets tins etc Secure other gear from effects of rotor wash After hooking up cargo sling move forward and to the side to signal pilot Ensure sling is not across skid Never ride on sling When directing pilot for landing stand with back to wind and arms upraised When transporting personnel loading staff should ensure that e Passengers are briefed as above e They are grouped together and well back at side of landing zone e They face away from helicopter during take off and landing e Each person looks after their own gear e They are paired off and ready to board in turn as soon as the pilot gives the signal Safety Education amp Publishing Unit Civil Aviation Authority of New Zealand July 2002 radio remember that he or SAFE WORK PROCEDURES DRIVING GENERAL PROCEDURES AND PRACTICES Conduct a pre trip vehicle check Use a Vehicle Pre trip Inspection Mileage Log to track activity Report deficiencies and do not use if equipment is in unsafe condition Drive defensively at all times Ensure all vehicle occupants are wearing seatbelts You are responsible for your passengers Do not exceed posted speed limits On resource roads do not exceed 80kph or posted speed limits Drive safely and drive to the existing road conditions Lower speed as required Be aware of o Visibility redu
106. ve of a road When turning around back into the cut bank of the road and not towards the outside bank Use flares where required Daily Man Check Record Regulation 26 23 f speaks about ensuring a faller s well being Regulation 4 21 3 speaks about the recording of man checks Date Location Worker s Name Visual and or Radio who checked on who Initials Visitors Project name Supervisor Company name Version 1 1 77 Daily Man Check Record Regulation 26 23 f speaks about ensuring a faller s well being Regulation 4 21 3 speaks about the recording of man checks Date Location Worker s Name Visual and or Radio who checked on who Initials Visitors Project name Supervisor Company name 78 Hazard Assessment Checklist Purpose By the end of this procedure fallers should have completed a thorough site overview hazard assessment to identify hazards and any potentially dangerous situations prior to falling any trees Instructions Conditions to Check Completed 1 Walk through the falling area to determine the predominant lean of the trees Review terrain and slope for hazards e Steep slope e Different species e Fire e Insects or beetles e Weather related blowdown snow wind e Dangerous trees
107. vel snow ice or mud o Other users Use vehicle for intended use only purpose and weight limitations Drive with vehicle lights on at all times Secure all heavy or sharp objects in the cab of the vehicle Respect that loaded logging trucks have the right of way on single lane roads Do not tailgate other vehicles Pass trucks or equipment only after you receive a clearly visible and or audible signal from the operator Never chase a runaway vehicle Stay on your side of the road Version 1 1 75 RADIO USE Complete radio check and ensure correct frequency prior to entering radio controlled area Do not drive by the radio Expect oncoming traffic at all times Call your position according to the local radio protocol and signage Notify other radio equipped vehicles of oncoming non radio equipped traffic Do not use road radio channels for conversations use only for road traffic protocols Other than traffic control pull over and safely park when talking on the radio cell phone for an extended period of time PARKING 76 Park clear of traffic away from active areas in pullouts or extra wide straight sections of road Park facing the direction of exit with access for service towing activities Ensure the parking brake is on and the transmission is in 1st gear or park On steep grades use wheel chocks and always turn the wheels towards the nearest ditch Never park on a curve especially on the outside cur
108. y cheque Yes O No O Ifyes vacationpay____________ Please select check boxes for any ofthe following amounts you receive in addition to Please select check boxes for any ofthe following amounts you will continue to receive base salary AND provide the amount in addition to base salary AND provide the amount Tips and gratuities Os _ PRoomandboadOs__ Tips and gratuities Os_________ Roomandboard O Shift differential M ther Os shiftdifferentia O pS Other Os Overtime O Overtime O 26 Provide your gross earnings for the past 3 months or 12 weeks prior to the date of injury or exposure 3months O 12weeks O 27 Do you work a fixed shift rotation 28 Ifno please explain Yes O No O 29 If yes show your normal work week by entering the paid hours 30 Did you continue to work past day of injury 31 Last day worked yyyy mm dd Yes O No O 32 Number of hours you were scheduled to work on 33 Number of hours you worked on last day worked 34 Number of hours paid by your employer on last day worked last day worked 6 7 R06 08 Page 2 of 3 Independent Operator s Application for Compensation and Report of Injury or Occupational Disease continued WORKING TO MAKE A DIFFERENCE Worker last name Middle initial WorkSafeBC claim number if known Personal health number from BC CareCard Return to work information 35 Have you returned to work 36 If YES Date you returned to work yyyy mm dd Yes O No O

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