Contractor Health Safety Information Package

C Co on nt tr ra ac ct to or r H He ea al lt th h a an nd d S Sa af fe et ty y
M Ma an na ag ge em me en nt t P Pr ro og gr ra am m

C Co on nt tr ra ac ct to or r

I In nf fo or rm ma at ti io on n p pa ac ck ka ag ge e

SaskPower
OHSAS 18001 Documentation

SaskPower Contractor Health and Safety Management Program

Table of Contents

Section I

Contractor Health and Safety Management Program Policy... I-3
Contractor Health and Safety Management Program Standard .. I-5

Section II

Guidelines
Purpose .... II-1
Background ... II-1
Roles and Responsibilities ... II-2
Process
Hazard and Risk. II-3
Qualification .. II-6
Orientation . II-7
Communication . II-8
Emergency Response.. II-9
Monitoring and Measuring .. II-10
Management Review .. II-10

Section III
Forms and Checklists

Complete List of SaskPower Hazards ..... III-1
Hazard and Risk Assessment Form ... III-2
List of SaskPower Safety Policies and Standards III-4
Tailboard Form ... III-5
Authorization to Work form .. III-6
Orientation Checklist (Level 1-Level 4) ...... III-8
Key Contact Form...... III-9
Pre-startup Agenda Template Level 1 and 2 ... III-10
Pre-startup Agenda Template Level 3 and 4 ... III-11
Incident Report form.. III-12
Incident Investigation form... III-14
Contractor Reference Chart... III-38

Section I, Page 2



P Po ol li ic cy y a an nd d S St ta an nd da ar rd d

S Se ec ct ti io on n I I

SaskPower


Contractor Health and Safety Management Policy
1.0 POLICY

SaskPower is committed to maintaining a Workplace in which safety is part of everything we do and is as
important as anything we do. One expression of our commitment to safety is the SaskPower Contractor Health
and Safety Management (CHSM) Policy. It is SaskPower policy that all contractors perform all Work in
accordance with all laws, regulations, bylaws, rules, and standards applicable to the performance of Work on
any SaskPower facilities and Worksites.

2.0 PURPOSE

The purpose of this Policy is to establish the safety requirements for Work performed by contractors, and to
protect the health and safety of Contractor employees, SaskPower employees and property, and of the public.

3.0 SCOPE

This Policy applies to all Contractors working at SaskPower facilities and Worksites.

4.0 ROLES AND RESPONSIBILITIES

4.1 The SaskPower Registration Unit shall:

Provide resources to support the requirements of the CHSM Policy and its standards.
Facilitate the development, implementation and maintenance of the Registration Unit CHSM program
guidelines and procedures .

4.2 Corporate Safety shall:

Comply with and provide support for implementing the CHSM Program.
Act as a resource in establishing safety requirements.

5.0 DEFINITIONS

5.1 Contractor

Contractor is a person, partnership or group of people (independent from SaskPower and retained by
SaskPower under contract) that directs the activities of one or more employees (of the contracting company or
of SaskPower, or both) or self-employed people involved in providing SaskPower with contracted Services.

5.2 Services (Work)

Services are all or any labour, duties, functions and activities required to be performed by the contractor under
the contract.

Section I, Page 3

SaskPower


6.0 TRAINING REQUIREMENTS AND MATERIAL

Training requirements shall be identified and managed in accordance with the SaskPower Safety Training
Management Process.

7.0 RESOURCES

Corporate Safety shall assist in all aspects of complying with this Policy, as outlined or requested.

8.0 REFERENCES

Saskatchewan
o The Occupational Health and Safety Act (Saskatchewan), 1993
o The Occupational Health and Safety Regulation (Saskatchewan), 1996
SaskPower (located on the SafetyNet)
o Safety Rulebook
o Safety Briefing # 28
o Corporate Security Policy
o Contractor Health and Safety Management Standard
Third Party
o Relevant Third Party Standards are located on the SafetyNet

Section I, Page 4

SaskPower


SaskPower Contractor Health and Safety Management Standard

1.0 PURPOSE

This standard supports the SaskPower Contractor Health and Safety Management (CHSM) Policy and
establishes the requirements for managing health and safety of contractors at SaskPower, including
qualification, orientation, monitoring & measuring, management review and recognition.

2.0 DEFINITIONS

2.1 Contract

Contract is the legally-binding agreement between SaskPower and the Contractor, which gives both parties
certain rights and obligations, and under which the Contractor provides Services.

2.2 Contract Administrator

Contract Administrator is the person designated by SaskPower to manage the terms of the Contract.

2.3 Contractor

Contractor is a person, partnership or group of people (independent from SaskPower and retained by
SaskPower under contract) that directs the activities of one or more employees (of the contracting company or
of SaskPower, or both) or self-employed people involved in providing SaskPower with services.

2.4 Hazard

Source or situation with a potential for harm in terms of injury or ill health, damage to property, damage to the
workplace environment, or a combination of these.

2.5 Hazard and Risk Assessment

The overall formal process to identify hazards and evaluate the risk of injury or illness arising from exposure to
a hazard, with an objective to eliminate the risk or to utilize control measures to reduce the risk.

2.6 Non-conformances

Non-conformance is any deviation from codes, standards, practices, processes, procedures, regulations,
management system performance etc. that could either directly or indirectly lead to injury or illness, property
damage, damage to the workplace environment, or a combination of these.

2.7 Risk

A combination of the likelihood and consequence(s) of a specified hazardous event occurring.

2.8 Services (Work)

Services are any and all of the labour, duties, functions and activities required to be performed by the
Contractor under the Contract.

Section I, Page 5

SaskPower


3.0 METHOD / PRACTICE


A documented hazard and risk assessment shall be performed for the contracted Work.
The assessment shall identify qualifications required of the Contractor, as well as controls and barriers
required to guard against identified hazards.
The assessment shall include identifying which SaskPower policies, standards, procedures and
processes apply to the situations.
Contract services shall be ranked in accordance with the Contractor Reference Chart.
Where contract requirements fit into multiple rankings, the default shall be to the higher level.
The Corporate Safety Department may be consulted to establish ranking of Work.

3.2 Qualifications

The required Contractor qualifications shall be based on scope of Work, and on legal or other
requirements.
The Contractors qualifications shall be verified.

3.3 Orientation

All Contractors shall participate in a site orientation, supplemented with an orientation based on the
scope of Work, as required.
The level of orientation shall be dependent on level of risk associated with the scope of Work.
The Contract Administrator or designate shall coordinate the orientation prior to Work commencing.
The orientation shall include the hazards and associated risks, expectations of control measures,
additional occupational health and safety (OH&S) requirements, site security, control and applicable
SaskPower policies, standards, processes and procedures, as required by the hazard and risk
assessment.
The orientation shall be conducted prior to accessing controlled areas at the Worksite.
o Unaccompanied Contractors shall be orientated to restricted areas, personal protective equipment
(PPE) requirements, site hazards, facility safety rules and the emergency plan.
o Accompanied Contractors shall remain with the SaskPower guide at all times. A review of the
emergency plan and PPE shall also be performed.
Direct supervision shall supplement orientation, when required by the hazard and risk assessment.
Records of orientation shall be maintained in accordance to safety management system (SMS) record
management protocol.

3.4 Communication

Communications with the Contractor shall take place when:
o there is safety information that is relevant to the contractor.
o there are changes to the hazards and risks, SaskPower facilities, scope of Work, employees,
products, equipment, safety rules and / or other requirements.
o A Contractor has been involved in a health and safety related incident.
The contact persons for both SaskPower and contractor shall be identified and communicated to
affected personnel.
The type and frequency of communication shall be identified.

3.5 Emergency Response

Contractors are to have an emergency response plan and / or shall adopt for SaskPowers emergency
response plans.
Section I, Page 6

SaskPower


3.6 Monitoring and Measurement

The level of monitoring and measuring depends on the level of risk associated with scope of Work that
the contractor is performing.
Monitoring and measurement processes may include one or more of the following:
o providing direct supervision of contractor.
o attending pre-job startup meetings, as well as tailboard and other safety meetings.
o performing Work observations, audits and inspections.
o reviewing post contract safety performance.
o reviewing incident reports and investigations.
o reviewing contractor safety performance statistics.
Monitoring and measurement processes shall include the following:
o requiring the contractor to report all incidents to the contract administrator or designate.
o requiring the contractor to submit investigation and corrective action reports to the contract
administrator upon request.

3.7 Management Review

Contractor safety performance shall be reviewed in Registration Unit management meetings. The
management review may include:
o an overview of contractor safety statistics.
o a review of any significant risk areas related to contractor management.
o an assessment of the suitability, effectiveness and adequacy of the CHSM program.
o monitoring opportunities for improvement.
The results of the management review shall be documented.

4.0 REFERENCE

Saskatchewan
o The Occupational Health and Safety Act (Saskatchewan), 1993
o The Occupational Health and Safety Regulations (Saskatchewan), 1996.
SaskPower (located on the SafetyNet)
o SaskPower Safety Rulebook - Revision R1
o SaskPower Corporate Safety Policies and Standards
o SaskPower Corporate Security Policy
Third Party
o Relevant Third Party Standards are located on the SafetyNet

Section I, Page 7



G Gu ui id de el li in ne es s

S Se ec ct ti io on n I II I

SaskPower


Contractor Health and Safety Management Program
Contractor Information
1.0 PURPOSE

The Contractor Health and Safety Management (CHSM) Program outlines general health and safety
requirements for the consistent management of risks associated with the Contract Work. A Contractor
performing the Work for SaskPower is to meet or exceed SaskPowers health and safety requirements. The
Contractor Reference Chart on Page 38 of Section III, summarizes the health and safety requirements.

2.0 BACKGROUND

2.1 Occupational Health and Safety Law

The Occupational Health and Safety Act, 1993, and The Occupational Health and Safety Regulations,
1996 (together called OH&S Laws) is the Saskatchewan law that assigns employers, (such as
SaskPower) and Contractors the responsibility for the safety of all persons in a place of employment
under the control of the employer or contractor.
The Act is based on a worksite responsibility system, in which there is shared responsibility for
Worksite health and safety.
In Saskatchewan and across Canada the worksite responsibility system also:
Promotes the participation of workers in the protection of their own health and safety;
Promotes the provision of health and safety information to workers for their protection;
Includes an internal resolution process for health and safety issues and problems that arise;
and
Provides the right the right to know, right to participate, and right to refuse dangerous Work.
Occupational Health Officers (OHO) support the OH&S legislation by:
Providing guidance to employers in Saskatchewan;
Issuing notices of contravention when they perceive a contravention;
Responding to complaints, dangerous occurrences, critical incidents and Work refusals.

2.2 Due Diligence

Applied to OH&S, due diligence means that employers shall take all reasonable precautions to prevent
injuries at a Worksite.
Due diligence is a legal concept in that if a person is charged with a contravention of OH&S legislation,
due diligence may be used as a defence, if the person can establish that all reasonable precautions
were taken to protect the health and safety of Workers.
Contract Administrators can demonstrate due diligence by:
o Performing hazard and risk assessments
o Orientating Contractors
o Verifying qualifications, where required
o Performing start-up meetings
o Monitoring Work (ex. work observations)
o Involving senior management where problems arise

For more information on contractor health and safety, including Drug and Alcohol Requirements for
Contract Work, refer to:
www.saskpower.com/tenders/contractors_suppliers_vendors/contractor_safety_resources.shtml

Section II, Page 1

SaskPower


3.0 ROLES AND RESPONSIBILITES

3.1 On behalf of SaskPower, the Contract Administrators are to:

3.1.1 Orientate Contractor prior to Work starting and verify the contractor;
Is informed of hazards as well as controls;
Is aware of and abides by the applicable safety requirements included in: SaskPower CHSM
Program; SaskPower policies & standards; SaskPower practices & procedures; SaskPower Safety
Rulebook; contract specifications; and the OH&S legislation;
Has appropriate skill and ability;
Is fit for work and not under the influence of drugs or alcohol;
Takes steps to ensure safety measures in contract specifications are in effect; and
Arranges start-up meetings.

3.2 Contractors are to:

3.2.1 Be aware of and abide by the applicable safety requirements included in: OH&S legislation,
SaskPower CHSM Program; SaskPower policies & standards; SaskPower Safety Rulebook;
3.2.2 Ensure employees have appropriate skills, ability and qualifications to perform Work;
3.2.3 Ensure employees are fit for Work and not under the influence of drugs or alcohol;
3.2.4 Attend start-up meetings, where required, prior to starting Work;
3.2.5 Ensure activities under their control are adequately supervised; and
3.2.6 Perform an ongoing hazard and risk assessment.

3.3 Contractor Supervisors are to:

3.3.1 Ensure employees are fit for Work and not under the influence of drugs or alcohol;
3.3.2 Participate in safety start-up meetings;
3.3.2 Identify hazards and associated risks before the start of the job, as well as daily and when
conditions change.
3.3.3 Conduct tailboard meetings;
3.3.4 Ensure Contractor employees attend safety meetings;
3.3.5 Ensure proper equipment and personal protective equipment is available and used properly;
3.3.6 Ensure safe work procedures and practices are followed;
3.3.7 Provide specific safety instruction to employees, as required;
3.3.8 Set an example in the use of safety equipment and in Work habits;
3.3.9 Stop Work being performed in an unsafe manner;
3.3.10 Report incidents to SaskPower immediately; and
3.3.11 Participate in incident investigations, as required.

3.4 Contractor Employees are to:

3.4.1 Only perform a job that they understand, are qualified for and are equipped to perform;
3.4.2 Be fit for Work and not under the influence of drugs or alcohol;
3.4.3 Work safely in manner instructed;
3.4.4 Use appropriate personal protective equipment and safety equipment;
3.4.5 Follow approved safe work practices and procedures;
3.4.6 Participate in tailboard meetings;
3.4.7 Identify hazards and incorporate appropriate controls;
3.4.8 Protect themselves, their fellow employees and the general public; and
3.4.9 Understand three basic employee rights that OH&S legislation provides:
a) Right to know; Right to participate; and Right to refuse to do Work that they believe to be
unusually dangerous;
3.4.10 Report health and safety concerns; and
3.4.11 Report all incidents to their supervisor.

Section II, Page 2

SaskPower


4.0 PROCESS


Contractor Health and Safety Management Standard, Section 3.1

A documented hazard and risk assessment shall be performed for the contracted Work.
The assessment shall identify qualifications required of the Contractor, as well as controls and barriers
required to guard against identified hazards.
The assessment shall include identifying which SaskPower policies, standards, procedures and
processes apply to the situations.
Contract services shall be ranked in accordance with the Contractor Reference Chart.
Where contract requirements fit into multiple rankings, the default shall be to the higher level.
The Corporate Safety Department may be consulted to establish ranking of Work.

4.1.1 SaskPower Hazards

A health and safety hazard is a source or situation with a potential for harm in terms of injury or ill health,
damage to property, damage to the workplace environment, or a combination of these. Where practical,
hazards are to be removed. When they cannot be removed, controls are to be used to reduce risks.

The SaskPower List of Hazards, also shown on Page 1 of Section III, are:

Adverse Weather Animals Biological
Burns/Scalds Chemicals Fumes/dust/gas/mists
Asbestos Radiation Noise
Collision/Crashing Traffic Crushing/Pinch Points
Electrical Mechanical Fire/Explosion
Falls from heights Slips/trips/falls Sharp/protruding
Heat/Cold Ergonomics Human factor issues
Working Near Water Struck by falling or flying objects

The following chart called the P-E-M-E-P chart - also helps identify the People, Equipment, Material,
Environment and Process associated with hazards. Any other hazards that are identified by the Contractor are
also to be considered.
People
Competence
Experience
Training
Distraction
Violence
Horse play
Fatigue
Stress
Fitness
Situational Awareness
Equipment
Capabilities
State
Isolated
De-energize
Lock Out/Tag Out
Maintenance
Pinch points
Collision
Struck by
Material
Characteristics
Heavy/awkward
Asbestos
Snag/cut points
Conductive

Environment
Weather
Confined space
Noise
Sufficient light
Housekeeping
Bio hazards
Process
State changes
Energize/de-energize
Moving/at rest
Heating/cooling
Opening/closing
Raising/lowering
Freezing/thawing
Ascend/descend
Pressurize/de-pressurize

Section II, Page 3

SaskPower


4.1.2 Purpose Hazard and Risk Assessment

The purpose of the hazard and risk assessment is to identify hazards and evaluate the risk of injury or
illness arising from exposure to a hazard, with the goal of eliminating the risk or using control measures
to reduce the risk. Refer to Page 2 of Section III for a hazard and risk assessment form. Forms other
than SaskPowers may be used, however, if they meet or exceed requirements established by
SaskPowers hazard and risk assessment form.

4.1.3 Types of Controls

Ideally, there should be multiple layers of controls protecting Workers from a hazard and associated
risk. (For example, personal protective equipment is the last line of defence, but it should not be the
only means to protect a Worker.)
The types of controls include:
1. Engineering Controls, such as re-design of a worksite, equipment re-design, and tool re-design.
2. Administrative Controls, such as re-design of work methods and re-scheduling of work.
3. Managing Controls, such as safety policies and standards, work procedures, training and personal
protective equipment.
For the List of SaskPowers Safety Policies and Standards, refer to Page 4 of Section III.

4.1.4 Hazard and Risk Assessment Process

For a hazard and risk assessment the following process includes (but is not limited to):
(a) A standardized hazard and risk assessment form, as a stand alone document, or as part of a
tailboard form or the Authorization to Work Form;
(b) Documenting information at the top of form, including Contractor contact information,
description of Work, Workers involved and date.
(c) Identifying tasks done for the Work;
(d) Identifying potential hazards for each task;
(e) Determining level of risk, using exposure and consequence on the safety evaluation matrix;
(f) Identifying controls to put in place, with consideration given to how effective and adequate the
proposed controls would be.
The hazard and risk assessment is updated whenever there are any changes to the Work.

4.1.5 Safety Evaluation Matrix

The safety evaluation matrix is a tool used to determine the level the Contractor in order to identify and
manage health and safety requirements.
The level assigned to contract Work increases as consequence and exposure increase. The higher the
level, the more requirements to manage the health and safety of the Contractor.
Level 3
High Consequence
Low Exposure

Ex. Elevator repair
Level 4
High consequence
High exposure

Ex. Building
construction
Level 1
Low Consequence
Low Exposure

Ex. one time Janitor
Level 2
Low Consequence
High Exposure

Ex. Janitorial (daily)

Section II, Page 4

Fatality
Major
Injury
Minor
Injury
Negligible
Injury
Very
Unlikely
Unlikely
Likely
Very
Likely
Increasing exposure
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SaskPower


Identify hazards and assess the associated risks:
o Consider the EXPOSURE
- Very Likely: exposure to the hazard (without controls) will very likely result in a consequence.
- Likely: exposure to the hazard (without controls) will likely result in a consequence.
- Unlikely: exposure to the hazard is unlikely to result in a consequence.
- Highly Unlikely: exposure to the hazard is highly unlikely to result in a consequence.

Exposure Typical Exposure
Very Likely More than1 Month
Likely 1 Week to 1 Month
Unlikely Less than a Week
Very Unlikely Less than a Day
*Multiple visits increase likelihood from a L1 to L2 or a L3 to a L4.

o Consider the CONSEQUENCE
- Fatality: The hazard could result in a fatality, serious permanent disability or substantial
property damage.
- Major injuries: The hazard could result in injuries requiring medical aid consisting of emergency
assessment, in-patient treatment, lost time with the potential of permanent disability or
significant property damage.
- Minor Injuries: The hazard could result in injuries up to and including medical aid consisting of
assessment and observation, no lost time or minor to major property damage.
- Negligible Injuries: The hazard could only result in minor injury up to first aid or none-to-minor
property damage.

Consequence Injury Type
Fatality Fatality
Major Injury Lost Time
Minor Injury Medical Aid
Negligible Injury First Aid
To identify the level number for the Work, locate the intersection point of consequence and exposure,
using chart on previous page:
- Level 1 (low exposure / low consequence) - Level 2 (High exposure / low consequence)
- Level 3 (low exposure / High consequence) - Level 4 (High exposure / High consequence)
Place the Work into a higher level when the level is not clear.

4.1.6 Tailboard

A tailboard form is another means to capture a hazard and risk assessment. Refer to Page 5 of
Section III for an example of a tailboard form. Forms other than SaskPowers may be used, however, it
is to meet or exceed requirements established by SaskPowers form.
To complete a tailboard a Worker should lead the discussion and prepare the tailboard with the other
Workers before commencing the Work. The tailboard is to include, but not be limited to:
Documenting the job steps;
Identifying hazards;
Identifying the most effective barriers to eliminate or control the hazard;
Developing the emergency response plan
The Workers are to initial or sign prior to Work starting.

Section II, Page 5

SaskPower


4.1.6 Authorization to Work Form

When a Contractor does not have an existing contract with SaskPower; there may not have been an
orientation and hazard and risk assessment performed. This may be due to unplanned or emergency
work.
The Authorization to Work Form documents a process for hiring a Contractor and to review key health
and safety requirements with a Contractor.
The Authorization to Work Form, shown on Page 6 of Section III, is to be filled out by the Contractor
and completed by the SaskPower Contract Administrator.
If there is doubt about the Contractors competence, the Contractor shall not begin Work, unless
directly supervised by SaskPower.
Components of the Authorization to Work Form:
o contractor information;
o description of work;
o applicable work procedures/practices;
o qualifications/competencies, as required;
o a hazard and risk assessment;
o requirement for site specific orientation;
o reporting of dangerous situations and incidents;
o identification of a current WCB account;
o contractors acknowledgement of terms / conditions;;
o an assessment and authorization of contractor by
Contract Administrator.

4.2 Qualification


The required Contractor qualifications shall be based on scope of Work, and on legal or other
requirements.
The Contractors qualifications shall be verified.

4.2.1 General

Contracts are only to be awarded to appropriately qualified and / or competent Contractors.
Contractors are to ensure their Subcontractors are qualified.
Qualifications identified in hazard and risk assessment are to be verified.
Prior to the start of contract Work, the Contractor will be asked questions to ensure qualifications and
competency, as required. Examples of questions:
Do you have documentation to verify your qualifications (ex. trade certificate)? Demonstrate.
Have you been trained to do this Work? Demonstrate.
Do you have safe work procedures / practices for the specific high hazard Work? Demonstrate.
Is the supervisor competent to supervise the high hazard Work?
Is equipment maintained as required? Demonstrate.
Are daily inspections of equipment performed? Demonstrate.

4.2.2 WCB Requirements

The Contractor is to have an active WCB account which may be demonstrated by a Letter of Good
Standing (Clearance Letter). If not, the contractor is to notify the SaskPower Contract Administrator.
The Contractor may be requested to submit a WCB Experience Rate Statement.

4.2.3 Vendor Registration

A potential SaskPower vendor can register with SaskPower, using www.saskpower.com.
SaskPower vendors information, including that of health and safety, is retained.

Section II, Page 6

SaskPower


4.3 Orientation


All Contractors shall participate in a site orientation, supplemented with an orientation based on the
scope of Work, as required.
The level of orientation shall be dependent on level of risk associated with the scope of Work.
The Contract Administrator or designate shall coordinate the orientation prior to Work commencing.
The orientation shall include the hazards and associated risks, expectations of control measures,
additional occupational health and safety (OH&S) requirements, site security, control and applicable
SaskPower policies, standards, processes and procedures, as required by the hazard and risk.
The orientation shall be conducted prior to accessing controlled areas at the Worksite.
o Unaccompanied Contractors shall be orientated to restricted areas, personal protective equipment
(PPE) requirements, site hazards, facility safety rules and the emergency plan.
o Accompanied Contractors shall remain with the SaskPower guide at all times. A review of the
emergency plan and PPE shall also be performed.
Direct supervision shall supplement orientation, when required by the hazard and risk assessment.
Records of orientation shall be maintained in accordance to safety management system (SMS) record
management protocol.

4.3.1 Level One (1) Contractor

The SaskPower Contract Administrator will perform an orientation (refer to the orientation checklist on
Page 8 of Section III) for a Level 1 Contractor prior to services commencing.
Orientation will include, but not be limited to: site emergency response plan, restricted areas, personal
protective equipment and incident reporting.
Orientations for Level 1 Contractors may be verbal and not documented.
When orientation is not practical, perform direct supervision.
Where a Contractor performs services for SaskPower multiple times throughout the year, an annual
orientation is acceptable unless conditions have changed.

4.3.2 Level Two (2) Contractor

In addition to requirements for a Level 1 Contractor, the following is required for a Level 2 Contractor:
o Hazard and risk assessment, performed prior to the Work, daily and when conditions change;
o Verification Contractor qualifications and WCB registration, where applicable;
o Documented orientation, including, but not limited to: site rules, facility tour, Safety Rulebook,
safety procedures; applicable OH&S Legislation; and
o Communication contacts and methods.

4.3.3 Level Three (3) Contractor

In addition to requirements for Level 1 and 2 Contractor, the following is required for Level 3:
o Contract Administrators requirement for work observations.

4.3.4 Level Four (4) Contractor

In addition to requirements for Level 1, 2 and 3 Contractor, the following is required for Level 4:
o Contractors and Contract Administrators requirement for work observations;
o Regular safety meetings, including a startup meeting; and
o Post Performance Evaluation.

Section II, Page 7

SaskPower


4.4 Communication


Communications with the Contractor shall take place when:
o there is safety information that is relevant to the contractor.
o there are changes to the hazards and risks, SaskPower facilities, scope of Work, employees,
products, equipment, safety rules and / or other requirements.
o A Contractor has been involved in a health and safety related incident.
The contact persons for both SaskPower and contractor shall be identified and communicated to
affected personnel.
The type and frequency of communication shall be identified.

4.4.1 Key Contact

Identification of key contact personnel for the Contractor and SaskPower is to happen prior to the Work
beginning, so that in the event of an emergency, contact information is readily available.
A Key Contact Form, shown on Page 9 of Section III, may be used for retention of communication
needs.
Information retained is to include, but not be limited to:
o Contractor company, mailing address, Contractor contact name, email, telephone numbers
(including office, cellular, facsimile, emergency);
o SaskPower Contract Administrator name, mailing address, email, telephone numbers (including
office, cellular, facsimile, emergency); and
o Information for alternate Contractor contact and SaskPower Contract Administrator contact.

4.4.2 Start-up Meetings

Start-up meetings are another means for SaskPower to communicate to Contractors prior to the start
of Work.
The startup meeting agenda for Level 1 & 2 (low risk) Contractors has fewer requirements than the
Level 3 & 4 (high risk) Contractors, shown by the templates on Page 10 and 11 in Section III,
respectively, as the health and safety requirements align with orientation requirements.
Additional information may be covered in the startup meeting, including, but not limited to provisions
contained in the contract and other Contractors requirements regarding the Work

Section II, Page 8

SaskPower


4.5 Emergency Response


Contractors are to have an emergency response plan and / or shall adopt SaskPowers emergency
response plans.

The emergency response for a Worksite is dependent on, but is not limited to: the type of Work,
hazards, level of risk, the number of Workers and the location of the Work.
Potential emergencies are to be identified in a hazard and risk assessment process, so that an
appropriate emergency response plan is documented and available to Workers.
The emergency response plan is to include, but not be limited to the following:
Identification of potential emergencies;
Procedures for dealing with the identified emergencies;
The identification of, location of and procedures for the emergency equipment;
The emergency response training requirements;
The location and use of emergency facilities;
The fire protection requirements;
The alarm and emergency communication requirements;
The first aid services required;
Procedures for rescue and evacuation; and
The designated rescue and evacuation Workers.
To determine First Aid equipment requirements, refer to Tables 9 -12 of The Occupational Health and
Safety Regulations, 1996.

Section II, Page 9

SaskPower


4.6 Monitoring and Measuring


The level of monitoring and measuring depends on the level of risk associated with scope of Work that
the contractor is performing.
Monitoring and measurement processes may include one or more of the following:
o providing direct supervision of contractor.
o attending pre-job startup meetings, as well as tailboard and other safety meetings.
o performing Work observations, audits and inspections.
o reviewing post contract safety performance.
o reviewing incident reports and investigations.
o reviewing contractor safety performance statistics.
Monitoring and measurement processes shall include the following:
o requiring the contractor to report all incidents to the contract administrator or designate.
o requiring the contractor to submit investigation and corrective action reports to the contract
administrator upon request.

4.6.1 Work Observations

Work observations are an important tool to use for monitoring the Work.
Work Observations by Contractors and Contract Administrators are required for Level 4:
- Quarterly minimum for services greater than 6 months
- Monthly minimum for services between 3 to 6 months

4.6.2 Incident Reporting and Investigation

If an incident has occurred, Worker is to notify the supervisor, who in turn contacts the SaskPower
Contract Administrator.
The Contractor must prepare an incident report. The incident report form is shown on Page 12 of
Section III.
The Contractor may be required to conduct an investigation at the discretion of the Contract
Administrator. The incident investigation report form is shown on Page 14 of Section III.

4.7 Management Review


Contractor safety performance shall be reviewed in Registration Unit management meetings. The
management review may include:
o an overview of contractor safety statistics.
o a review of any significant risk areas related to contractor management.
o an assessment of the suitability, effectiveness and adequacy of the CHSM program.
o monitoring opportunities for improvement.
The results of the management review shall be documented.

Section II, Page 10



F Fo or rm ms s a an nd d C Ch he ec ck kl li is st ts s

S Se ec ct ti io on n I II II I

SaskPower


SaskPower Hazard Classifications

For SaskPowers List of Hazards for each Registration Unit (RU), refer to RUs Complete
List of Hazards on the SafetyNet. The document includes Hazard Description, Related
Barriers, Legal Type, Legal Document and Description.

Adverse Weather

Animals Biological
Burns/Scalds

Chemicals Fumes/dust/gas/mists
Asbestos

Radiation Noise
Collision/Crashing

Traffic Crushing/Pinch Points
Electrical

Mechanical Fire/Explosion
Falls from heights

Slips/trips/falls Sharp/protruding objects
Heat/Cold

Ergonomics Human factor issues
Working Near Water Struck by falling, flying or
dropping objects

PEMEP Chart

The following P-E-M-E-P chart also considers identifying people, equipment, material,
environment and process associated with hazards.

People
Competence
Experience
Training
Distraction
Violence
Horse play
Fatigue
Stress
Fitness
Impairment
Situational
Awareness
Equipment
Capabilities
State
Isolated
De-energized
LOTO
Maintenance
Pinch points
Collision with
Struck by

Material
Characteristics
Heavy/awkward
Asbestos
Snag/cut points
Conductive

Environment
Weather
Confined space
Noise
Sufficient light
Housekeeping
Bio hazards

Process
State changes
Energized/de-
energized
Moving/at rest
Heating/cooling
Opening/closing
Raising/lowering
Freezing/thawing
Ascending/descending
Pressurized/de-
pressurized

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SaskPower


Falls from heights Slips/trips/falls Sharp/protruding objects

P-E-M-E-P (other considerations)

People
Competence
Experience
Training
Distraction
Violence
Horse play
Fatigue
Stress
Fitness
Impairment
Equipment
Capabilities
State
Isolated
De-energized
LOTO
Maintenance
Pinch points
Collision with
Struck by

Material
Characteristics
Heavy/awkward
Asbestos
Snag/cut points
Conductive

Environment
Weather
Confined space
Noise
Lighting
Housekeeping
Bio hazards

Process
State changes
Energized/de-energized
Moving/at rest
Heating/cooling
Opening/closing
Raising/lowering
Freezing/thawing
Pressurized/de-
pressurized

Hazard Risk Rating

Level 3
High Consequence
Low Exposure

Level 4
High Consequence
High Exposure

Level 1
Low Consequence
Low Exposure

Level 2
Low Consequence
High Exposure

Exposure Typical Exposure Consequence Injury Type
Very Likely More than 1 Month Fatality Fatality
Likely 1 Week to 1 Month Major Injury Lost Time
Unlikely Less than a Week Minor Injury Medical Aid
Very Unlikely Less than a Day Negligible Injury First Aid

Likely Very
Likely
Very
Unlikely
Unlikely
C
o
n
s
e
q
u
e
n
c
e

Exposure

Fatality
Major
Injury
Minor
Injury
Negligible
Injury

Identify the intersection point between CONSEQUENCE and
EXPOSURE / LIKELIHOOD to determine if the scope of work is Level 1
(low risk), Level 2 (medium risk), Level 3 (high risk) or Level 4 (major
risk).

SaskPower

SaskPower Health and Safety Policies, Standards and Processes

SaskPower

Contractor Management Policy Hazard Control Policy
Contractor Management Standard Workplace Violence Standard
Working Alone Standard
Personal Protective Equipment Policy Excavation and Trenching Standard
Eye and Face Protection Standard Confined Space Standard
Arc Flash Standard Respiratory Protection Standard
Full Body Harness Standard Animal Control Standard
High Visibility Standard Electrical Safe Work Standard
Hearing Protection Standard Fall Protection Standard
Foot Protection Standard Portable Gas Monitors Standard
Hand and Arm Protection Standard Scaffolding Erection & Use Standard
Gloves of Insulating Material Cranes & Hoists Standard
Hard Hat Standard Personnel Hoisting Standard
Respiratory PPE Standard Rigging Standard
Chemical Suits Standard Asbestos Standard
Prescription Safety Eyewear Standard Operation of Powered Mobile Equipment Standard
Personal Gas Monitors Standard WHMIS Standard
PFAS Components Standard Ergonomics Standard
Hearing Conservation & Noise Control
Emergency Response Policy Working in Hot Conditions Standard
Automated External Defibrillator (AED) Standard Working in Cold Conditions Standard
Emergency Response Standard Biological Hazards Standard
Emergency Response Testing Protocols Standard Portable Ground Sets Standard
First Aid Radiation Safety Standard
Incident Report & Investigation Policy Working In, On or Near Water Standard
Incident Reporting & Investigation Standard
Incident Management Process Job Hazard Assessment Policy
Hazard and Risk Assessment Standard
Health and Wellness Policy
Health and Wellness Standard Motor Vehicle Safety Policy
Shift Work Standard Vehicle Recovery Standard
Transportation Compliance Standard
Safety Management Policy Safe Driving Standard
Work Observations Standard Traffic Control Standard
Workplace Visitor Standard Motor Vehicle Safety Equipment Standard
Fatigue Management Standard Load Securement Standard
Safety Meetings Standard Operation / Maintenance of Vehicles over 5000 kg
H&S Inspections Standard
Safe Work Procedures Standard Processes/Programs/Services
Safety Briefing Process
Public Safety Policy H&S Training Management Process
Public Safety Campaigns & Initiatives H&S Orientation Process
Safety Directive Process
Processes/Programs/Services Safe Behavior Recognition Program
SaskPower Safety Rule Book Audit Management Process
Internal Communications Process
Drug and Alcohol Policy External Communications Process
Drug and Alcohol Standard Standard Protection Code

Grey: Not available for Contractors
Italics: not complete

SaskPower Tailboard Form

Did conditions change? Changes to consider: Weather / Person in Charge / Sequence of jobs / New people on site, etc. Does
everyone know of the changes?
Meeting Date: Person in Charge:
Location:
Job being Performed:

Other Information:
Worker Present Initials Worker Present Initials

Job Steps Hazards Required Barriers

Emergency Plan:
Identify Exact Location for Emergency Response:
Emergency Numbers: Hospital:
Police: Fire: Medical:
Supervisor remarks:

Person in Charge Signature:

Date/Time:

SaskPower

Contractor Authorization to Work Form

It is SaskPower policy that Contractors perform work in accordance with all laws, regulations, bylaws, rules, and standards applicable
to the performance of work on any SaskPower facilities and worksites. The Authorization to Work Form and Hazard and Risk
assessment is to be completed by the Contractor.

Contractor Company Name: Tele:
Contractor Supervisor Name: Cell:
Contractor Address:
SaskPower Worksite:
Date:
Period of Work Start : End :
SAFE WORK METHOD
Work Description Please indicate with a checkmark ( )
Working on roof Painting Window cleaning
Asbestos Work Overhead Door Maintenance Abrasive blasting
Mould Remediation Working Outside Regular hours Tree Felling/Pruning
Driving on SaskPower Property Sub Contract Labour &/or Equipment Working Alone
Operating Powered Mobile
Equipment
Working on/near energized apparatus Working by buried facilities
Welding Abrasive cutting/coring Hoisting or Lifting
Using Power Tools Erecting scaffolding Excavation or Trenching
Demolishing Explosives Using Chemicals
Working at Heights Transporting Dangerous Goods Confined Space
Hot Work Plumbing / Heating / Mechanical Noise / Vibration work
Electrical Work Surveying Vehicle Recovery
Working where public may be exposed Other (specify):
Do you have a safe work method(s) to undertake the work indicated above? Please circle yes / no
Have you been trained and are you competent in the safe work method(s)? Please circle yes / no

I . of Declare that I/We
Contractor Representative - please print Contractor Company Name

a) understand obligations under the Saskatchewan Occupational Health and Safety Act, 1993, and Saskatchewan Occupational
Health and Safety Regulations, 1996, other applicable Provincial Regulations and applicable SaskPower OH&S policies and
standards.
b) have valid certification, qualifications and/or competencies required by Saskatchewan Provincial legislation.
c) am fit for work, free from the negative effects of alcohol and / or drugs.
d) will cease working, make safe the workplace and contact the Contract Administrator if an incident has occurred or I become aware of a
situation, that creates a danger to myself or others.
e) _________(have / do not have) a current WCB account (or indicate if you do not know).
f) have participated in a pre-job safety meeting, including a hazard & risk assessment and orientation, and agree to comply with SaskPowers
safety rules any and special instructions.
g) Report an incident that has caused injury or property damage to the Contract Administrator.

Signed: Contractor Representative

Date

TO BE COMPLETED BY THE CONTRACT ADMIMISTRATOR
The contracted work is Level: 1__ 2__ 3__ 4__,in accordance with the Contractor Reference Chart. A hazard & risk assessment has
been performed, prior to the commencement of work.

Signed: Contract

Date

Hazard and Risk Assessment Worksheet
Occupation or Title Company Reviewed By

Assessment Date Department Review Date Analyst

Tasks Hazard Exposure Risk Rating Controls
List tasks normally done for work. Consider health & safety
risks and property damage
(use P-E-M-E-P)
Consider likelihood &
consequence. Find intersection
on risk rating chart.
Identify controls in place.
Consider effectiveness and
sufficiency.

Falls from heights Slips/trips/falls Sharp/protruding objects

P-E-M-E-P
People
Competence
Experience
Training
Distraction
Violence
Horse play
Fatigue
Stress
Fitness
Impairment
Equipment
Capabilities
State
Isolated
De-energized
LOTO
Maintenance
Pinch points
Collision with
Struck by

Material
Characteristics
Heavy/awkward
Asbestos
Snag/cut points
Conductive

Environment
Weather
Confined space
Noise
Lighting
Housekeeping
Bio hazards

Process
State changes
Energized/de-energized
Moving/at rest
Heating/cooling
Opening/closing
Raising/lowering
Freezing/thawing
Pressurized/de-pressurized

Hazard Risk Rating

Level 3
High Consequence
Low Exposure

Level 4
High Consequence
High Exposure

Level 1
Low Consequence
Low Exposure

Level 2
Low Consequence
High Exposure

Likely Very
Likely
Very
Unlikely
Unlikely
C
o
n
s
e
q
u
e
n
c
e

Fatality
Major
Injury
Minor
Injury
Negligible
Injury
Identify the intersection point between CONSEQUENCE and
EXPOSURE / LIKELIHOOD to determine if the scope of work is Level 1
(low risk), Level 2 (medium risk), Level 3 (high risk) or Level 4 (major
risk). Multiple visits increase likelihood from a L1 to L2 or a L3 to a L4.
Exposure Typical Exposure
Very Likely More than 1 Month
Likely 1 Week to 1 Month
Unlikely Less than a Week
Very Unlikely Less than a Day

Consequence Injury Type
Fatality Fatality
Major Injury Lost Time
Minor Injury Medical Aid
Negligible Injury First Aid

Exposure

SaskPower


Orientation Checklist for Level One- Four (L1 - L4) Contractors

Date of Orientation: Orientation Performed by:
Contractor Company name:
Contractor oriented: Signature:

____ Perform hazard identification and risk assessment
May use a stand alone Hazard & risk analysis form, Authorization to Work form or Tailboard form
Refer to: SaskPower List of Hazards specific to RU

____ Verify Contractor qualifications
WCB (for L2, L3, L4) Applicable trade certifications, qualifications, competencies
Appropriate Supervision for work Applicable Training
Appropriate safe work procedures / practices for high hazard work (L3 and L4)

____ Perform general safety orientation (may be verbal for L1 only)
May use Contractor Health, Safety & Environment Handbook

____ Perform site specific orientation
Site specific general rules and security SaskPower Safety Rulebook
Personal Protective Equipment Standard Protection Code, if applicable
Facility tour Site specific safety procedures, process

____ Identify communication channels
May use Key Contact Form
Specify method of communication (email, telephone, in person) and frequency of communication

____ Communicate applicable sections of The Occupational Health and Safety Regulations, 1996
Including, but not limited to: General Duties, Right to Know, Participate and Refuse Dangerous Work and
specific regulations for medium to high hazard work.

____ Identify site emergency response procedures
Emergency response plan Emergency evacuation plan

____ Communicate contractors requirement for work observations
(in addition to work observations performed by Contract Administrators)
Work Observation form
For L3: - Start of contract work

For L4:- Quarterly: services greater than 6 months
- Monthly: services between 3 to 6 months

____ Communicate scheduled meetings requirements
Startup Meetings (for L4 only) Weekly/Monthly Safety Meetings (for L4 only)
Tailboard Meetings (for L3 & L4 only) OHC Meetings

____ Communicate incident reporting and investigation requirements
Incident Reporting Investigation Reporting

____ Communicate post performance evaluation requirements
Post Performance Evaluation Form (For L4 only)

____ Record Management Requirements
Retention of Safety Records Submitting Safety Records to Contract Administrator
Records may include: Hazard and Risk Assessments, orientation sign off forms, work observations, site inspections,
equipment inspection logs, safety meeting minutes, incident reports/investigations.

SaskPower

Contractor Communication Key Contacts

SaskPower Contact Information

SaskPower Contract Administrator: __________________________________ (print name)
Title:
Telephone: __________________ Fax: __________________
Cell: _______________________ Email: _________________________________

Alternate SaskPower contact:
Name: __________________________________ (print name)
Title:
Telephone: __________________ Fax: __________________
Cell: _______________________ Email: _________________________________
Other Contact numbers: _______________________________________________
SaskPower Emergency Telephone Number:________________________________
Other communication arrangements: _____________________________________
____________________________________________________________________

Contractor Contact Information
Contractor: _____________________________
Key Contact: _______________________________
Title: ______________________________
Telephone: __________________ Fax: __________________
Cell: _______________________ Email: _________________________________
Alternate Contractor contacts:
Contractor: _____________________________
Key Contact: _______________________________
Title: ______________________________
Telephone: ________________ Fax: _____________
Cell: _______________________ Email: _________________________________
Other communication arrangements: _____________________________________
_________________________________________________________________
Copy: Contractor; SaskPower Contract Administrator

SaskPower


Start-up Meeting Agenda
(Level 1 and 2 Contractors)

No. Agenda Item When to Include Responsibility

1 Welcome and Introductions

Always SaskPower
2 Explain the Purpose for the Briefing

Always SaskPower
3 Review the Agenda

Always SaskPower
4 Review clients requirements and
expectations regarding the projects
health and safety (H&S)

Always SaskPower
4.1 SaskPowers project H&S Program and site
safety rules

Always explain to degree warranted in the
circumstances
SaskPower
4.2 Contractor H&S Program, including
emergency response

circumstances
SaskPower
4.3 Provisions contained in the tender package,
contract, purchase order (as applicable)

circumstances
SaskPower
4.4 Contractors incident and investigation
reports. If none available, refer to
SaskPowers forms

Always should reiterate that the
Contractor is to notify SaskPower of any
incident
SaskPower
5. Other Business As warranted

6. Adjournment Always

SaskPower

Start-up Meeting Agenda
(Level 3 and 4 Contractors)

No. Agenda Item When to Include Responsibility
1 Welcome and Introductions Always SaskPower
2 Explain the Purpose for the Briefing Always SaskPower
3 Review the Agenda Always SaskPower
4 Review project H&S requirements Always SaskPower
4.1 Identify Contractors project supervisor Always the supervisor should be identified
and expectations discussed
Contractor
4.2 Contractor is to submit copy of: Always to degree warranted SaskPower
Contractors safety manual and/or safety program
COR
1

Contractor emergency response plan with respect
to SaskPowers emergency response procedures.

Completed SaskPower Hazard Assessment Form
Employees certificates for:
- COCC Interactive Rights and Responsibilities
- Vicom Safe-T-Disc CSTS course or equivalent

Employee qualifications training certificates before
employee starts work on site.

Contractor compliance / plan with Standard
Protection Code
2
.

Equipment certifications
Certificate of insurance
The Worker Compensation Board Insurance
Incident reporting and investigation process
List of controlled products and associated MSDS
4.3 H&S roles / responsibilities of SaskPower
versus Contractor
Always SaskPower
4.4 Contractors H&S Project reports
(tailboards, work observations)
Always frequency should be established and
report submittal procedure defined.
SaskPower
4.5 SaskPowers site visit H&S reports Always should review planned work obs. /
inspections / visits
SaskPower
4.6 Identify Contractors OHC members Only where a OHC is required under Sask
OH&S Act
Contractor
5 Other Provisions contained in tender (as
applicable)
Always SaskPower
5.1 Quality Control Package As applicable Contractor
5.2 Other submittals required by contract As applicable Contractor
6 Status and Proof of Notifications to
appropriate Ministries (Labour, Environment)
If Applicable
6.1 Notice of project Where work requires Notice of Project. Contractor
6.2 Notice of Type III Asbestos Work Only where Type III asbestos work will occur Contractor
6.3 Notice of Trenching Only where required Contractor
6.4 Notices and Approvals Only where required Contractor
6.5 Building Permits Where the nature of the work requires Contractor
7 Other Business As warranted
8 Adjournment Always
COR
1
- Certificate of Recognition (COR) or Small Employer Certificate of Recognition (SECOR); or
- Evidence that the Contractor has applied for the certificates
Standard Protection Code
2
- The Contractor has to obtain and hold Standard Protection Code permits with the Plant.
Equipment certifications
3 -
Submit and have a pre-work Quality Control package approved.

Contractor Incident Reporting

Date of Incident: _______________ Time of Incident: _______________

Business Unit: _______________ Location of Incident: ____________________

Contractor Company: ___________________________________

Contractor Employee Name: ___________________________________

Type of Incident: Personal Incident Motor Vehicle Incident
Property/Equipment Damage Regulatory
Reportable Public

Incident Classification:
Near Miss: Yes
No

Investigated:
Contractor: Yes No
SaskPower: Yes No

Incident Severity: (Select one)

Minor (Near Miss; First Aid Injury; Vehicle/Property Damage incident resulting in less than $4000 damage;
Violation of company standard, rule or procedure, unscheduled inspection by regulatory agency)

Significant (Medical Treatment; Suspected Exposure to toxic substances; Threatened Violence; Near Miss-
High Potential; Vehicle/Property Damage incident resulting in between $4000 and $10000 damage; Unplanned
contact with Utility Service-De-energized; Contravention issued by regulatory agency; Events, not otherwise
defined, that result in or may have reasonably resulted in a significant and immediate adverse impact to the health
and safety of the public)

Major (Lost Time Injury; Restricted Work Cases; Verified exposure to toxic substance; Actual Violence;
Vehicle/Property Damage incident resulting in between $10000 and $25000 damage; Overturning of a unit;
Unplanned contact with utility service-Energized; Dangerous Occurrence that results in damage up to $25000 and no
personal injury; Stop work order from regulatory agency; Investigation by regulatory agency; Verified public
exposure to toxic substance (i.e. PCB); Threatened violence by a Contractor employee to a member of the public)

Critical (Serious bodily injury; Permanently disabling injury (i.e. amputation, paralysis); Fatality;
Vehicle/Property Damage incident resulting in damage greater than $25000; Dangerous Occurrence that results in
damage greater than $25000 or personal injury; Investigation by regulatory agency where probability of charges will
be laid; Public-Serious injury or fatality resulting from contact with SaskPower facilities; A violent act committed by
a Contractor employee to a member of the public)

Incident Sequence Summary (Brief factual description of incident. Relevant events, in chronological order, that
happened prior to the incident, during the incident, and immediate actions that followed the incident. Identify who
(function, not name), what, when, where, why.)
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________

Cause Type of Incident: (Select as many as applies)

Bodily Reaction-Involuntary Motion
Bodily Reaction-Repetitive Strain
Bodily Reaction-Voluntary Motions
Caught In/Under/Between-Collapsing Materials
Caught In/Under/Between-Moving Objects/Objects
Contacts-Animals
Contacts-Dog Bites
Contacts-Poisoning, Insect Bites
Contacts-Toxic-By Absorption
Contacts-Toxic-By Ingestion
Contacts-Toxic-By Inhalation
Contacts-Toxic-By Welding Flashburn
Electrical-Electrocuted
Electrical-Eye Injuries from Flashes
Electrical-Injury from Flashes
Electrical-Shocks or Burns
Fall From Elevation-Jumping from Elevations
Fall From Elevation-Ladders
Fall From Elevation-Piled Materials
Fall From Elevation-Poles/Trees/Towers
Fall From Elevation-Shafts/Floor/Openings
Fall From Elevation-Stairs
Fall From Elevation-Vehicles/Buckets/Etc.
Fall From Elevation-Walkway/Platforms/Etc.

Fall On Same Level
Hearing Loss
Motor Vehicle Accident
Stress
Overexertion-Handling Poles
Overexertion-Lifting Objects
Overexertion-Pulling/Pushing Objects
Overexertion-Welding
Overexertion-Throwing Objects
Public Transportation-Bus/Train/Airplane
Rubbed or Abraded-Cut/Puncture by Object
Rubbed or Abraded-Foreign Matter in Eye
Rubbed or Abraded-Objects Being Handled
Rubbed or Abraded-Repetition of Pressure
Rubbed or Abraded-Vibrating Objects
Struck Against-Moving Object
Struck Against-Stationary Object
Struck By-Falling Object
Struck By-Flying Object
Struck By-Dropping Object
Temperature Extremes-Cold Environment
Temperature Extremes-Cold Object
Temperature Extremes-Heat Environment
Temperature Extremes-Hot Object
Injury/Illness Summary: (Complete this section only if this incident involved injury or illness)

Severity: First Aid
Description of First Aid Treatment Provided:
________________________________________________________________________________

Medical Treatment
Restricted Work
Lost Time Injury
Fatality

Body Location of Injury/Illness: (Select as many as applies)
Head
Neck
Torso
Arm
Hand

Back
Leg
Foot
Other: _____________________

SaskPower


SaskPower Incident Investigation Form

Reporting Information:
Date of Incident: Time of Incident: Date Reported: Incident #:
Report Type:
Initial
Date:
Update
Date:
Final
Date:
Investigation Team:
Lead Investigator: Contact Information:
Team
Members:

Incident Affiliation:
Company Incident Employee Name: Supervisor Name:
Contractor Incident Contractor Company: Contractor Name:
Witness Information:
Witness Name: Telephone:
Witness Name: Telephone:
Location Information:
SMS Unit: Incident Site / Location Description:
Incident type: (Check all that apply)
Personal Incident Motor Vehicle Incident Property / Equipment Damage Regulatory Public
Incident Classification:
Near Miss: Yes No Incident Severity: Minor Significant Major Critical

Incident Summary: (Brief factual description of incident. Three sentences or less.)

Sequence of Events: (Relevant events, in chronological order, that happened prior to the incident, during the incident, and immediate
actions that followed the incident. Identify who (function, not name), what, when, where, why. Stick to facts. Avoid acronyms, jargon.
Attach drawing of incident site, schematics, maps, and reports)
Date
(yyyy/mm/dd)
Time
(24 hrs)
Details

MVI Summary: (Complete this section only if this incident involved a Motor Vehicle Incident)
Location:
Roadbed Surface Type: Asphalt Gravel Concrete Dirt
Light Conditions: Darkness Daylight Dusk Dawn
Road Conditions: Dry Wet Covered w/ snow Covered w/ ice
Weather Conditions: Clear Sunny Raining Cloudy Foggy Snowing
Vehicle & Driver Information Vehicle #1 SaskPower Vehicle
Driver Name: Occupation:
Drivers License # & Province: Drivers License Class:
Years of Driving Experience: Last Defensive Driving Course: (yyyy/mm/dd)
Unit No: Serial No:
License Plate #: Year: Make/Model:
Speed: (kms/hr) Speed Limit: (kms/hr) Direction of Travel:
Seat Belts Worn: Yes No Charges Laid: Yes No Charge Description:
Description of Damage: (Attach photo to file)
Repair Estimate:

Property Damage Summary: (Complete this section only if this incident involved damage to SaskPower Property)
Description of Property Damage: (Attach photo to file)
Repair Estimate:

3
rd
Party Property Damage Summary: (Complete this section only if this incident involved 3
rd
Property Damage)
Description of 3
rd
Party Damage: (Attach photo to file)
Repair Estimate:
3
rd
Party Name:
3
rd
Party Address: 3
rd
Party Telephone #:
3
rd
Party Insurance Company: 3
rd
Party Insurance Policy #:
3
rd
Party Insurance Company Address: 3
rd
Party Insurance Company Telephone #:

Injury / Illness Summary: (Complete this section only if this incident involved injury or illness)
Severity: First Aid Medical Aid Restricted Work Case Lost Time Injury Fatality
First Aid Provider Name: First Aid Provider Qualifications:
Description of First Aid Treatment Provided:
Injured Party(s) Information:
Name
(In case of fatality, complete this
section only AFTER next of kin
have been notified)
Affiliation
Current Condition
(eg. hospitalized, under medical
treatment, at home)
Employee Contractor Third Party

Attachments: (Identify and explain attachments)
Photos Description:
Diagrams Description:
Video Description:
Driver Statement
Other Explain:

Cause Analysis Table: (Check all that apply)
Job Factors
1. Codes/Practices/Procedures
1.1 Not developed
1.2 Inadequate code, practice or procedure
1.3 Code, practice or procedure not followed
1.4 Inadequate communication of
code, practice or procedure
1.5 Inadequate assessment of risk
1.6 Not implemented
2. Tools and Equipment
2.1 Inadequate availability
2.2 Defective
2.3 Inadequate maintenance
2.4 Inadequate inspection
2.5 Tool used incorrectly
2.6 Inadequate assessment of tools for task

3. Design
3.1 Inadequate hazard assessment
3.2 Inadequate design specification
3.3 Design process not followed
3.4 Inadequate assessment of ergonomic
impact
3.5 Inadequate assessment of operational
capabilities
3.6 Inadequate programming

Systemic / Management Factors
4. Planning
4.1 Inadequate work planning
4.2 Inadequate management of change
4.3 Conflicting planning
4.4 Inadequate assessment of needs & risks
4.5 Inadequate documentation
5. Communication
5.1 Unclear roles, responsibilities, and
accountabilities
5. 2 Lack of communications
5.3 Inadequate direction/information
5.4 Misunderstood communications
6. Knowledge/Skill
6.1 Inadequate training/orientation
6.2 Training need not identified
6.3 Lack of coaching
6.4 Failure to recognize hazard
6.5 Inadequate assessment of needs
& risks
Personal Factors Natural Factors
7. Capabilities
7.1 Limited physical capabilities (height,
strength, size, weight, reach, etc.)
7.2 Sensitivity to sensory extremes (sight,
sound, sense of smell, balance, touch)
7.3 Substance sensitivities / allergies
8. Judgment
8.1 Failure to address recognized
hazard
8.2 Conflicting demands/priorities
8.3 Emotional stress
8.4 Fatigue
8.5 Criminal intent
8.6 Extreme judgment demands
8.7 Substance abuse
9. Natural Factors
9.1 Fires
9.2 Flood
9.3 Extreme weather
9.4 Other

Cause Analysis:
Cause (i.e. 2.2) Cause Explanation (i.e. Steering axle had metallurgical flaw)

Interim Action Plan: (Immediate action taken to control the incident scene)

Action Taken Accountability

Corrective Action Plan: (Long term action taken to control the incident scene)
Action Planned or Taken Accountability
Target Date
(yyyy/mm/dd)
Complete Date
(yyyy/mm/dd)

Incident Sign Off: (Report must se signed off by all listed personnel prior to closure in accordance with the Incident Classification &
Notification Guide)
Supervisor: Print: Date:
Manager: Print: Date:
Executive: Print: Date:
Safety Coordinator: Print: Date:

For Critical I ncidents Only:
President: Print: Date:
Chief Safety Officer: Print: Date:

Contractor Reference Chart Note: This chart is the minimum requirement COR = Certificate of Recognition safety Program

LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4
Definition
Low level of consequence & exposure
On property infrequently & for short duration
Definition
Low level of consequence & high level exposure
On property frequently & for longer durations
Definition
High level of consequence & low level of
exposure.
On property infrequently & for a short duration
Definition
High level of consequence & exposure
On property frequently & for extended durations.
Source contracted services
Verbal / Written
Refer to Purchasing Policy & CHSM Policy
Written
Verbal / Written
Written
Hazard Identification
Determine scope, assess hazards.
Documentation not required.
Reference Complete List of Hazards & H&R
Forms
Determine scope of work, assess hazards.
Daily documented H&R or if conditions change
Forms
Forms
Forms
Qualifications
Identify based on scope and level of risk
Reference safety software Training Module
Confirm necessary qualifications (if required)
Qualifications
Confirm necessary qualifications (if required)
Qualifications
Confirm qualifications & monitor
Request COR or equivalent (if applicable)
Qualifications
Confirm qualifications & monitor
Request COR or equivalent (if applicable)
Communication
Establish contacts for contractor and SaskPower

Communication

Communication
Pre-Job meeting
CA to participate in and/or monitor meetings
Communication
Pre-Job / Safety / tailboard meetings
CA to participate in and/or monitor safety meetings
Orientation
May be in verbal form & take place as contractor is
introduced to work place
For frequent requirements of same contractor,
annual orientation is acceptable unless change
Direct supervision when orientation not practical
Refer to Contractor Orientation Checklist and site
orientation forms & process
Orientation
Requires orientation prior to services & annually
Document orientation
annual orientation is acceptable unless a change
Direct supervision when orientation not practical
Refer to Contractor Orientation Checklist & site
Orientation
Requires orientation prior to services starting
Document orientations
annual orientation is acceptable unless scope of
work, conditions or procedures change
orientation forms / processes
Orientation
Requires orientation prior to services starting
Document orientations
Annual orientations are acceptable unless scope of
work, conditions or procedures have change

Emergency Response
Contractor to be orientated to SaskPowers ERP.
May also be defined in contract specifications
Manage as per document / record control
procedures
Emergency Response
Contractor to have ERP &/or be orientated to
SaskPowers
May also be defined in contract specifications
procedures
Emergency Response
SaskPowers
Shall be defined in contract specifications
procedures
Emergency Response
SaskPowers
Shall be defined in contract specifications
procedures
Monitoring and Measurement
May require direct supervision &/or consultation
Document deficiency in non-conformance report,
record in safety software & notify Purchasing
Incident reporting-refer to Incident Reference Chart
May require direct supervision, work observations
&/or consultation
record in safety software & notify Purchasing.
Incident reporting-refer to Incident Reference
Chart
Contract administrator performs work observations
May also require direct supervision &/or consultation
Contract administrator & contractor work obs:
- Quarterly min: services greater than 6 months
- Monthly min: services for 3-6 months
May require direct supervision, inspection &/or audit
Post safety perf eval at end of contract or annual
Management Review
Contract Administrator
Corporate Safety
Management Review
RU Management Purchasing
Contract Administrator Corporate Safety
Management Review
Management Review
PROCESS
(L1-4)
Prepare for
contracted Work
Define hazards
SaskPower facilities
or activities may
pose to contractor &
applicable safety
policies, stds, rules
Determine level
of risk for
contract work
(L1-4)
Identify
qualification
requirements
Orientate
(Document for L2-4)
Pre-Job startup
Meeting (Document
for L3-4)
Daily H & R or
when there are
changes
(Document L2-4)
Direct Supervision
(if required)
Monitor Work
Obs, Inspections,
Audits, Incident
Investigations
(Document L3-4)
Conduct post safety
performance eval
(Document L3-4)

Contractor Health Safety Information Package

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