Orientation handbook

Orientation handbook
CONTRACTOR’S
SAFETY & ORIENTATION
MANUAL
Produced by: Divisional Safety, Health & Environment
Date:
May 23, 2013
Updated:
February 19, 2014
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
1
INTRODUCTION:
This booklet shall be used to conduct safety and health orientations with large contractors that
are hired to perform construction throughout the Pembina Trails School Division. Management
and supervisors are required to provide the orientation to the prime contractor prior to their
starting work at PTSD.
Please review the book in its entirety, with explanations where required, with the contractor and
have them sign off on the following forms:





Contractors Safety Agreement Form
Department of Labour Form
Checklist
Terms and Conditions Form
Safety Orientation Agreement Form
The signed forms must be removed from the booklet and returned to the Safety & Health
Officer. Note: each employee that will be working on PTSD property must have a safety &
health orientation given by the prime contractor (either ours or theirs) and must sign a separate
agreement form.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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TABLE OF CONTENTS
Emergency Numbers…………………………………………………………………….4
Emergency Procedures for Contractors Working at PTSD…………………………. 5
Due Diligence / Responsibilities of Contractors……………………………………… 8
Contractor Safety Orientation
Contractor Safety Agreement Form………………………………………….. 9
Dept. of Labour Release Form……………………………………………… 10
Checklist……………………………………………………………………….. 11
Contractors Terms & Conditions……………………………………………. 13
Contractor Safety Orientation / Agreement Form………………………… 16
Safety Policy………………………………………………………………….. 17
Responsibilities / Accountability for Safety & Health…………………….. 18
Personal Protective Equipment …………………………………………….. 19
General Safety Rules………………………………………………………… 20
General Contractor Safety Information…………………………………….. 21
Asbestos……………………………………………………………………………….. 25
Mold…………………………………………………………………………………….. 27
Chemical Management & WHMIS Requirements…………………………………. 27
Confined Space Entry………………………………………………………………… 28
Hot Work………………………………………………………………………………. 28
Ladder Use……………………………………………………………………………. 30
Scaffolding…………………………………………………………………………….. 32
Lockout / Tag-Out & “Energized Electrical Work”…………………………………. 33
Hoarding & Protection of Excavations ……………………………………………… 35
Indoor use of Fuel Fired Equipment………………………………………………… 35
Overhead Powerlines…………………………………………………………………. 36
Mobile Equipment -Playgrounds………………………………………………..…… 36
Fall Protection…………………………………………………………………………. 36
APPENDICIES:
Appendix A – School Divisional Phone Numbers………………………………….
Appendix B – Asbestos Permit………………………………………………………
Appendix C - Hot Work Permit………………………………………………………
Appendix D – Live Electrical Work Permit………………………………………….
Appendix E – Lockout / Tag-out Procedure………………………………………..
Appendix F – Fall Protection Plan……………………………………..…………….
39
40
41
44
45
51
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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EMERGENCY NUMBERS
OUTSIDE AGENCIES
Emergency (Life Threatening):
Police (non-emergency)
Fire Paramedic Service (non-emergency)
Public Works Department (for Water Main Breaks)
Manitoba Hydro (gas and electric)
XL Alarms
911
986-6222
986-6380
311
480-5900
231-1072
FACILITIES & OPERATIONS DEPARTMENT PHONE NUMBERS
MAINTENANCE:
Weekend & Evening Security
Maintenance Supervisor (carpentry, roofing, play structures)
Asst. Director, Facilities and Operations
Director of Facilities and Operations
Utilities Supervisor (electrical, HVAC, plumbing & fire systems)
612-5910
981-9163
805-4736
226-2346
471-7985
Call Before You Dig (PTSD Fibre Optics)
489-8989
WORKPLACE SAFETY & HEALTH:
Divisional Safety & Health Officer
232-5338
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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EMERGENCY PROCEDURES FOR CONTRACTORS WORKING AT PTSD
Prior to starting work on Pembina Trails School Division property all contractors must:
1. Submit a list of employees that will be working on PTSD property to Facilities & Operations.
2. Submit a list of emergency contact numbers and cell phone numbers to PTSD staff.
3. Coordinate their emergency plans with the school emergency plans. E.g. Muster sites, means to
communicate an emergency to staff; accountability for your staff; first aid supplies, etc.
All contractors must participate in any school event, such as: lockdown, evacuation, fire drill,
tornado drill, etc. if the workers are working inside the school.
GENERAL EMERGENCIES:
1. Call or alert the school office using one of the School numbers listed in Appendix A, page 38.
2. Specify whether you need an Ambulance, Fire or Hazardous Material Spill or Police.
Have the following information available:
 Name of caller,
 Company name,
 Type of emergency (i.e.: injury and number, fire, etc.),
 Location (give the school or building‟s name and he address),
 Where the caller may be found on the job site,
 The phone number where the caller or site supervisor may be reached.
3. If possible, meet the emergency service requested at the building entrance.
4. Inform your supervisor and the Divisional Safety & Health Officer of the emergency.
FIRE / EXPLOSION:
1. Immediately stop what you are doing.
2. Remove all persons from immediate danger.
3. Pull the nearest fire alarm, if in a building.
4. Assign a staff member to call 911.
5. If possible, control fire with a fire extinguisher.
6. Proceed to evacuate the building in accordance with your Evacuation Plan. Confine the fire by closing (not
locking) doors and windows as you leave.
7. Take attendance as soon as you arrive at your muster site.
8. Call the Divisional Safety & Health Officer to report fire – 204-232-5338.
9. Have the prime contractor site supervisor wait for Fire Department at main entrance to building or main
entrance to construction site. All other construction personnel must wait at the muster site with the rest of the
school.
10. Do not re-enter the building until the All Clear has been given. The All Clear must be authorized by the most
senior Winnipeg Fire/Paramedics Services person at the scene.
LOCKDOWN:
1. Designated school/office personnel will announce over the PA system that there is a school lockdown in
effect.
2. Move into a safe place away from windows/doors, close the door of the room and turn out the lights. Where
possible, lock the door and mute your cell phone.
3. Lockdown procedures take precedence over fire bells/alarms.
4. Do not leave your location until you receive the “ALL CLEAR” from the designated school/office personnel.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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CHEMICAL SPILL (including asbestos and PCBs):
In the event of a spill containing asbestos or PCBs please contact the Divisional S&H Officer at 204-232-5338
Within Building:
1. Assess the situation – clear and seal area if necessary. If urgent and major – evacuate and call 911
2. Control – the source of spill if possible, (dike and contain to prevent entry into storm or sanitary sewers).
3. Alert the school that there has been a chemical spill.
4. Obtain a Material Safety Data Sheet (MSDS) for the chemical (s) spilled. Look up procedures for
neutralizing and disposal of the chemical. Contact the building caretaker to utilize the school spill kit and
follow the MSDS procedures for neutralizing or disposal of the chemical. Do not throw chemical waste into
the general garbage or BFI bins. All chemical waste must be disposed of through Miller Environmental.
5. If necessary, shut off heating, cooling and ventilation systems in contaminated area to reduce the spread of
contamination.
If the spill cannot be cleaned up using local resources:
1. Confine the area of the spill
2. Alert the school principal or building manager
3. Evacuate the students from the area.
4. Telephone the Emergency Operator at 9-1-1 and request a HAZMAT response (#204-945-4888 or 204-9444888). Tell the Emergency Operator:
 What has been spilled? Spell the name of the chemical if known.
 Approximate quantity of material spilled.
 Location of the spill.
6. If the spill involves a flammable liquid, activate the building fire alarm system and initiate the evacuation
procedure.
7. Standby to meet the WFPS HAZMAT response team. Provide a current Material Safety Data Sheet for the
spilled material to the HAZMAT Chief.
8. Students, or staff responsible for students, shall not re-enter the building until advised to do so by the
Winnipeg Fire/Paramedic Services.
9. If relocation within the community is necessary, staff and students shall be advised and shall follow the
relocation procedures established by the school.
FIRST AID:
1. Administer FIRST AID and notify the Divisional S&H Officer at 204-232-5338
2. IF EMERGENCY INTERVENTION IS REQUIRED CALL 911
3. Wait for Fire/Paramedic Services and/or ambulance at main entrance to building or main entrance to
construction site.
REMINDER
It is the contractor’s responsibility to report all accidents or reportable incidents
to the Department of Labour, Workplace Safety and Health at 204-945-3446
and the Divisional S&H Officer 204-232-5338
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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THEFTS:
Please report all thefts as soon as possible to Facilities & Operations at: 204-488-1767, ext.
1227. You will then need to initiate a theft report with the City of Winnipeg Police. The Police
Report number will be required for insurance purposes.
BOMB THREAT:
1. Remain calm, listen carefully to what the caller is saying and write it down. Keep the caller
talking and attempt to obtain the following information:
a. Where is the bomb?
b. When will it explode?
c. What does it look like?
d. What kind of bomb is it?
e. What will cause it to explode?
f. Did you place the bomb?
g. What is your name?
h. Where are you calling from? (If you have call display, take note of the phone number
displayed.)
i. Record details such as:
i. Time of call,
ii. If caller is male or female,
iii. Accent,
iv. Speech characteristics,
v. Background noise.
2. When caller hangs up, contact the school principal – if construction is at a school. The
principal is responsible to follow the bomb threat procedures outlined in the emergency
response plan.
3. Have the following information available:
i. Name of caller,
ii. Company name,
iii. Exact location (give the building‟s name and if known the address) and details of the
bomb threat,
iv. Where the caller may be found on the job site,
v. The phone number where the caller or site supervisor may be reached.
Note: If the bomb threat takes place outside of school hours, call 911 and relay the
information to the police.
4. Notify the Divisional Health and Safety Office at 204-232-5338.
5. Follow the procedures outlined by the principal
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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DUE DILIGENCE / RESPONSIBILITIES OF PRIME CONTRACTORS &
CONTRACTORS
The ‘Prime Contractor’ for a construction project is defined under the Workplace Safety and Health Act and
is responsible to ensure that a construction project is undertaken in a safe and healthy manner and in
accordance with all applicable provincial and federal regulations.
This includes:
a.
b.
c.
Ensuring, so far as is reasonably practicable, that every person involved in work on the project
complies with the Workplace Safety and Health Act and the Regulations;
Co-coordinating the activities of Contractors, organizing and overseeing the performance of all
work at the construction project site and conducting activities in such a way as to ensure, so far
as is reasonably practicable, that no person is exposed to risks to his or her safety or health
arising out of, or in connection with activities at the construction project site;
Co-operating with any other person undertaking duties related to the project or exercising a
duty imposed by the Workplace Safety and Health Act, or any other applicable Act or
Regulations.
The ‘Prime Contractor’ shall ensure that a site supervisor is assigned and on site at all times while work is
ongoing and shall also ensure that a Workplace Safety and Health Committee is formed and functioning on
all projects as required by the WSH Act and Regulations. The ‘Prime Contractor’ shall ensure that meetings
of the Committee are held on a regular basis and that copies of the minutes are forwarded to the Divisional
project coordinator and S&H Officer.
A “Contractor” means a person who directs the activities of one or more employers or self-employed
persons involved in work on a project. Contractors have the same duties as Prime Contractors with respect
to the workers they employ or any sub-Contractor that works for them. A Contractor is to advise the Prime
Contractor of the name of every employer or self-employed person with whom the contractor has
contracted to perform work on the project.
Every contractor shall ensure, so far as is reasonably practicable, that every process or procedure
performed at a workplace does not create a risk to the safety or health of any person.
Pembina Trails School Division provides a safe environment for students, visitors and staff. To help ensure
this and minimize disruptions, contractors are required to know, understand and apply the Divisional Safety
Requirements while on site and in addition to federal, provincial Acts, Regulations and Guidelines.
Contractors working at the Pembina Trails School Division shall not engage in work that may compromise
the safety of students, staff and visitors at the Division.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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CONTRACTOR SAFETY AGREEMENT
All contractors and self-employed persons working on Pembina Trails School Division property must comply
with the Safety and Health Act and Regulations of Manitoba in the performance of this contract. Safety is of
paramount importance and as a condition of employment, is the personal responsibility of each worker.
Every contractor or self-employed person working on a project at one of our sites shall provide a copy of
their safety program. Where a contractor or self-employed person does not have their own safety program,
they will fall under the prime contractors S&H program and must comply with their Safety Program and be
provided with a safety orientation. Contractors or self-employed persons will be required to provide their
own risk assessments, safe work procedures and MSDS for the job they are doing.
Contact numbers and a schedule of workers needing to enter facilities must be provided to the
Maintenance Supervisor and School Head Caretaker.
Appropriate signage will be placed prior to work beginning. Where required, instructions on lock-out of
energy sources will be discussed with the Head Custodian or other appropriate worker at the site. Any live
work will require an “Energized Work Permit” from the WSH Officer.
As a condition of a contract with Pembina Trails School Division the contractor or self-employed person
must provide the following information.
WCB #: ____________________________
COR # __________________ Safety Program Registration # ____________________ or
Training Records: _______________________________________________________
I / We hereby acknowledge receipt of information on requirements for the Safety and Health at Pembina
Trails School Division and will adhere to the terms set herein and cooperate with all policies and
procedures.
Name of Contractor ________________________ Start Date: __________ End Date: ___________
Description of Contractor __________________________________________________________
_____________________________________________ Date: ____________________________
(Prime, Contractor, Self-Employed Person Signature)
_____________________________________________ Date:____________________________
(PTSD Representative Signature)
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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DEPT. OF LABOUR RELEASE OF EMPLOYER INFORMATION REQUEST
FORM
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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CHECKLIST
Workers Name: _________________________________________________Date:__________________________
(Please Print)
Company Name: ______________________________________________________________________________
(Please Print)
Pembina Trails School Division Contact Person(s):
Primary: ___________________________________________________ Phone#:__________________________
Secondary: ________________________________________________ Phone#:___________________________
Prior to performing work for The Pembina Trails School Division, the contractor / self-employed person has provided /
been advised of the following information:
Orientation Items
YES
NO
N/A
Comments
Sub-Contractor Has Provided To Us
Contact Name and Number where he can be reached
Name:_______________________ Cell:_________________
Names and contact numbers of job site safety supervisors
Name: _______________________ Cell:_________________
Name: _______________________ Cell:_________________
Name: _______________________ Cell:_________________
Proof of Liability Insurance:
Provide School Division with a copy of your Company‟s current
written Health and Safety Program
WCB Information:
 WSH Division – Release of Employer Information Request Form
 WCB Clearance , https://www.securewcb.mb.ca/clearances/logon.jsp
 Proof WCB Coverage
WHMIS:
Will Controlled Products Be Used?
Proof of WHMIS Training?
MSDS for all Controlled Products used while performing work on site?
Supervisor on site at all times
Safety meetings & inspections
Safety personnel on site at all times (larger projects)
Site Specific
Job Specific Safety Management Plan Including:
 Written hazard and risk assessments
 First Aid Preparedness
 Emergency Response Plans
 Washrooms
 Lunchroom
 Incident Reporting Procedures
 Restricted areas / traffic patterns
 Mandatory PPE (footwear, head, eye, fall protection)
 Hot Work
 Material Storage
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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 Safe Work Procedures – high risk work
- Fall protection
- Lockout & Energized Work Permit (working live)
 Crawl Space Access
 Housekeeping – ongoing daily, Project wrap-up
 Smoking
 Equipment (scissor lift, JLG, cranes, forklift, zoom boom etc.)
 Driving while on site
 List of workers entering the building. Check in / out
 Parking
 Worker orientation – see the attached
Owner Notification
Near Miss
Personal Injury
Property Damage
Safety meetings (tool box meetings)
Hot Work Permits
School’s Emergency Response Plan
Exits
Muster Point
Warning signals (follow all fire drill, lock down, lock out, etc.)
We Have Mutually Established
System of Information Exchange
Clarification of Responsibilities Re: WSH hazards associated with
the job
Company representative assigned to the project to ensure
compliance with prescribed requirements
Ensure relevant WSH requirements of our company are applied
to sub-contracted workers
A plan to monitor sub-contracted workers
When health and safety reports and documents are to be
submitted
Contracted Employer Safety Agreement Signed
Site Supervision – supervisor must be on site at all times.
Other
Other
I have been provided with a safety orientation. I understand this information and will ensure that this information is
provided to my workers and to any sub-contractors prior to commencing work on site. I understand the risks of
performing work in the facility both to myself and my workers. I will at all times ensure that my workers and my subcontractors work in compliance to the Workplace Safety and Health Act and in accordance to safety policies and
procedures of the School Division to minimize any risks.
I also understand that any unsafe work practices or other misconduct while working on Pembina Trails School Division
buildings or property may result in immediate escort from the facility and in the event that a contractor, their workers or
the self-employed person, do not agree to follow these expectations or will not use the appropriate safety equipment,
they will not be allowed to continue work on this site.
_______________________________________________
Date: _________________________________
Contractor or self-Employed Person Signature
_______________________________________________
Date: _________________________________
Prime Contractor Signature
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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CONTRACTORS TERMS & CONDITIONS GOVERNING WORK AT PTSD
The Pembina Trails School Division (PTSD) has begun a major initiative to ensure that contractors who conduct work on
Divisional property are made aware of their responsibilities and the requirements of the Workplace Safety & Health
Legislation.
GENERAL:
This document provides information regarding the terms and conditions for Contractors working on Pembina Trails
School Division premises. This document, when signed becomes part of the general terms and conditions of the contract
issued by the Pembina Trails School Division to the contractor. It is the sole responsibility of the contractor to ensure that
all Contractor personnel are aware of this document and comply with all the terms therein. Failure to comply may be
considered a fundamental breach of contract that may result in, but is not limited to, expulsion from the premises and
may be cause for exclusion from any further bidding considerations.
SITE SUPERVISOR:
The employee designated by the prime contractor and accepted by PTSD who supervises the job for which the
contractor has been engaged, to ensure compliance with all applicable regulations. The site supervisor MUST BE on
site at all times as long as work is ongoing at the project site.
CONTRACTOR PRE QUALIFICATION:
The Pre-Qualification process used by the school Division requires contractors to indicate whether they are „Safety
Certified‟ or actively participating in the Manitoba Building Contractors „COR‟ Safety Program. They are rated accordingly
in order for them to be allowed to bid on school Division projects.
Qualified contractors are occasionally brought in to deal with hazardous waste and controlled products, such as
asbestos. These contractors must be registered with the province as hazardous waste carriers and have experience in
the industry. Asbestos abatement contractors must meet the requirement as outlined in the Division‟s Asbestos
Management Program. These requirements ensure only qualified firms and trained workers work on Divisional property.
CONTRACTOR ORIENTATION:
A mandatory safety and health orientation for all Contractors working at Pembina Trails School Division is now a
requirement to ensure the responsibilities and the requirements are communicated and understood by all parties. Every
worker (general, mechanical, electrical, landscape and roofing contractor, etc.) wishing to work at the school Division
must complete the attached orientation and return it to the Divisional S&H Officer prior to starting work on any PTSD
project. Those who do not complete the orientation may not be allowed to work on any Divisional project.
CONDITIONS OF ENTRY & WORK:
1. The Contractor will provide Pembina Trails School Division Facilities & Operations department with the names of all
contractor personnel engaged in the project. This should be done at least 48 hours prior to commencing work on the
property.
2. All contractors working on PTSD property are required to have a Safety & Health Program in place. If you do not
currently have a S&H Program in place you will be required to follow the Prime Contractors Program. Any
contractors hired by PTSD that do not have a S&H Program will be required to follow PTSD S&H Program.
3. The Prime Contractor must arrange for Material and Equipment Storage Area, where necessary, and will advise
contractor personnel of general precautions and special requirements. At no time shall material be stored inside the
school. If work that is to be carried over from one shift to another, materials and tools must be stored in a
designated area and that area will be kept clean and tidy and free from hazardous conditions.
4. The prime contractor will ensure that the site is securely fenced and that all signage is in place. The prime
contractor signage must have: the contractor’s name, location of any first aid service, name and telephone
numbers of the persons who can be contacted for S&H matters, and the S&H representatives contact
information.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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5.
Any work that takes place over an entrance / exit must be protected and covered according to the Manitoba S&H
Regulations.
6.
Controlled or restricted materials are not permitted on the property without the permission of the School Division.
All WHMIS controlled materials entering the Divisional property must be clearly identified in accordance with
WHMIS regulations and must have Material Safety Data Sheets available on site at all times.
7.
The contractor shall not dispose or permit to be disposed any hazardous material except in accordance with the
regulations of the Province of Manitoba and The City of Winnipeg by-law 5058/88 part 5. The contractor must
remove all hazardous and non-hazardous materials. All asbestos related waste materials bagged and labeled
and must be disposed of at a proper disposal site and NOT in the Divisions BFI bins.
8.
Contractor personnel will comply with all provisions of the Manitoba Workplace Safety and Health Act chapter
W210 of the statutes of Manitoba and all the regulations thereof, including but not limited:
a.
to the wearing of personal protective equipment, eg. hard hats, protective footwear and safety
glasses at all times while on site, etc.
b.
proper use of confined space procedures,
c.
application of electrical lockout procedures,
d.
application of arc flash requirements
e.
equipment guarding
f.
emergency procedures,
g.
proper scaffolding set up
h.
and excavations
9.
Fall protection is mandatory when working over 3m or as required by Part 14, Section 14.1 (1) of the Manitoba
Safety & Health Regulation on all sites. Guard rails are required at all times, unless the situation does not allow
for it, only then may personal fall protection (travel restraint or fall arrest) be used.
10.
Workers must be trained in confined space entry prior to entering any PTSD crawl space. All contractors
that will be working in school crawl spaces must follow the posted procedures for crawl space entry. Although all
schools crawl spaces have been listed as low risk, any work taking place that may alter the air quality of the crawl
space will be considered high risk and will require full confined space entry procedures to be followed (air
monitoring, rescue, first aider, separate SWP, etc).
11.
Contractors must complete the attached Hot Work Permit 24 hrs in advance of all hot work conducted on
PTSD property and forward it to the S&H Officer. The contractor will provide adequate fire protection for all
equipment and welding operations. Trained fire watchers equipped with all necessary fire extinguishing equipment
are required during all hot work operations. Contractor personnel are to familiarize themselves with emergency
egress routes and must notify the Director of Facilities & Operations if an fire emergency situation occurs.
No live electrical work is allowed to be conducted on PTSD property at any time. In the event that the work
to be done cannot be de-energized the contractor must complete a PTSD “Live Electrical Work Permit”. No work
is allowed to proceed until the permit is approved by PTSD, Prime contractor and the subcontractor‟s supervisor.
12.
13.
The contractor will adequately protect the work, Divisional property, and the property of other contractors. The
Pembina Trails School Division assumes no liability for the loss or theft of the contractor‟s tools and equipment
while on Divisional property.
14.
All incidents, such as accidents or near misses involving contractor personnel MUST be immediately reported to
the site supervisor who will take the appropriate action. All accidents must be investigated by the prime contractor
and copies of the investigation must be forwarded to the Divisional S&H Officer. All serious incidents must be
reported to the Director of Facilities & Divisional S&H Officer.
15.
All building permits, licenses, or other legislated requirements for the approval, construction, and inspection of a
project are the sole responsibility of the Prime Contractor or his/her designee unless otherwise stated in the
contract agreement.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
14
16.
Construction Projects on PTSD sites
Contractually, there are safeguards in dealing with contractors who default on the performance of their work or
violate the procedures or any other Divisional protocols in dealing with hazardous materials or safe working
procedures. PTSD has the right to inform the contractor if they are negligent in the performance of his work, give
them a limited amount of time to take corrective action and failing that, terminate the Contract.
During the construction phase, the Director of Facilities and the S&H Officer have recourse and a method of
enforcement should a contractor or one of his employees be negligent when dealing with hazardous materials or
safety related issues posing a hazard to the trade employee or the school Division in general.
The first step would be notification to the Prime Contractor's site supervisor to take proper action or precautions.
If a satisfactory response is not received, the second point of contact would be the Contracting firm's Project
Manager or even Owner and at this point the notice would be in writing. If again, there is not satisfactory action
taken by the contractor, the offending employee can be excused from site or if the firm has not addressed the
issue, the firm can be excused. (In the case of immediate danger to workers or the general public, the Director of
Facilities and the S&H Officer have the right to immediately suspend all or part of work until the issue is
addressed).
I hereby certify that I have read and understood the above Terms and conditions and agree to comply with them as
written.
Date: ____________________________________________, 20______.
Signed:__________________________________________________________________________________
Name (Please Print)________________________________________________________________________
Title:____________________________________________________________________________________
Company: _______________________________________________________________________________
Address:_________________________________________________________________________________
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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CONTRACTOR’S SAFETY ORIENTATION / AGREEMENT FORM
All construction and maintenance work undertaken by contracted parties for Pembina Trails School Division will be
performed in a safe manner. The references outlined below must be read and the declaration form must be signed
prior to start-up. Review of contractor‟s safety orientation and signing of declaration form must be completed annually.
Contractor Name: _____________________________________________________________
Address: _________________________________________________________________
Does your company currently have a Safety & Health Program? □ Yes □ No
If yes, is your company COR or SECOR certified? □ Yes □ No Certification #:____________________
If no, does your company have any safety systems in place? □ Yes □ No
If yes, please specify:_______________________________________________________________________
Please mark  the items below for all applicable training you / your workers currently hold:
Fall Protection
Articulating boom lift
Asbestos Abatement
Confined Space
WHMIS (annual)
Mold Abatement
Scaffolding
Lockout / Tag-out
TDG
Ladder Training
Arc Flash
Working Alone
Forklift
Fire Extinguisher
Zoomboom
Respirator fit tested
Scissorlift
First Aid / CPR
DECLARATION:
 I have read the information provided to me by Pembina Trails School Division respecting my company‟s safety and
health requirements when working on PTSD property:
1. PTSD General Contractor Safety Orientation Manual
2. PTSD Safety Policy
3. Personal protective Equipment (PPE)
 As required by all employers in the Province of Manitoba, I have obtained current copies of Workplace Safety and
Health Legislation and Guidelines.

As required by all employers in the Province of Manitoba, I will ensure workers are: supervised by a competent
supervisor, familiar with WSH Act and Regulations, and properly trained prior to starting work on PTSD property.

As required by all persons in the Province of Manitoba, I will share required information with PTSD, and those
affected, necessary to identify and control both the existing and potential hazards.

I and my company‟s employees will ensure that all accidents, incidents and near misses that occur on PTSD
property will be immediately reported to the responsible PTSD supervisor and/or Safety & Health Officer.

I and my company‟s employees meet the minimum safety training requirements and have valid certifications,
qualifications and/or competencies as outlined in Manitoba‟s Workplace Safety and Health legislation.
Print name:
Company:
___________________ Signature:
________ Date:
(Month)
/ ______
(Day)
/ ___
(Year)
Please remove this page once signed and forward to the PTSD Divisional Safety & Health Officer
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
16
PTSD SAFETY & HEALTH POLICY (GBG)
The Pembina Trails School Division is committed to providing all staff, students, contractors, and
visitors to its facilities, a safe and healthy environment in which to work and to learn. The
Division recognizes the rights, roles and responsibilities of all employees with respect to
workplace safety and health; and accepts an overall responsibility to maintain a comprehensive
workplace safety and health program. The Division is committed to the prevention of
occupational injuries, illnesses and violence within the workplace; to the promotion of safety and
health consciousness; and to the ongoing education of all employees with respect to relevant
provincial legislation.
Pembina Trails School Division endeavours to meet its responsibilities for the health and safety
of the members of its community by complying with relevant health and safety standards and
legislative requirements, and by assigning general and specific responsibilities for workplace
health and safety. The Division shall give priority to ensuring a safe working environment when
planning, budgeting, directing, and implementing policies and activities.
In carrying out its responsibility and commitment to provide a safe and healthy environment, the
School Division has established a Safety and Health Committee at each school. The committees
were established to ensure the requirements of the Workplace Safety & Health Act have been
met and to serve as a resource for every person at the Division.
Pembina Trails School division is committed to the belief that:
 Safety & health are core values linked to every part of our Division;
 Active management commitment and employee involvement are key to ensuring an
injury-free and healthy workplace;
 Each task can be performed without injury;
 Operating without injuries is the foundation of operational excellence.
The Division recognizes that safety and health is a shared responsibility between management,
supervisors, employees, students and visitors – for providing and maintaining a safe
environment by conducting activities in a safe manner, by observing safety rules, reporting
unsafe conditions and by always practicing safe behavior. In order to achieve our goal all
employees must work together and contribute to a safe and healthy environment.
Adopted by the Board of Trustees on March 31st, 2010
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
17
RESPONSIBILITY / ACCOUNTABILITY FOR SAFETY & HEALTH
(WS&H REGULATIONS)
Workers’ Rights & Responsibilities:
Every worker while at work shall:











Familiarize themselves and comply with safety legislation and regulations.
Familiarize themselves and comply with all general safety rules.
Familiarize themselves and comply with specific safe work procedures.
Take reasonable care to protect themselves and others who may be affected by their
actions.
Proper use of safety equipment, clothing, and devices.
Participate in Safety Meetings and other safety related meetings.
Correct and report unsafe acts or where the safety of themselves or others is in
danger.
Cooperate with, or participate in, accident and incident investigations.
Report any anticipated loss of work time as soon as possible following an injury.
Maintain good housekeeping in the work area.
Set a good example.
Worker rights:




The right to know - about hazards in the workplace, and what precautions must be
taken to prevent injuries or illness from these hazards.
The right to participate - in safety and health activities at the workplace, including
involvement in the joint workplace safety and health committee, or as a worker
representative
The right to refuse - dangerous work or any task that the worker has reasonable
grounds to believe is dangerous to his/her safety and health or the safety and health of
other persons.
The Right to Protection from Discrimination - Workers cannot be disciplined or
discriminated against for exercising their rights and acting in the best interest of safety.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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PERSONAL PROTECTIVE EQUIPMENT (PPE)
It is the responsibility of all personnel to wear the items of personal protective equipment as required, both
in general, and as each job may dictate. It is the responsibility of the individual to assure the protective
equipment to be used is in good condition and if not, to replace it and send the defected equipment back to
the main shop to be repaired. No alterations are to be made to any PPE provided by the company. No
work will proceed without the use of proper personal protective equipment.
SPECIFIC PERSONAL PROTECTIVE EQUIPMENT:

Hard Hats - ANSI and/or CSA approved hard hats will be worn on all projects at PTSD. Are to
be in good condition and worn according to the manufacturer‟s design requirements.

Footwear – CSA Construction Grade approved footwear will be worn on all projects at all times.
The type of footwear to be worn is to provide adequate protection for the work environment and
the work task.

Respiratory Protective Equipment – The proper type of respirator must be worn when
performing any task in an environment where airborne respiratory hazard(s) exist. Those
hazards can include exposure to: dusts, toxic fumes, mist or vapors. If you are required to wear
a respirator for work, you must be fit tested and trained in the respirators use, care and
maintenance instructions prior to wearing it. You must be clean shaven in order to wear any
type of respirator.

Eye and Face Protection – CSA approved safety glasses, goggles or face shield must be worn
at all times when conducting any type of construction related work. When grinding, a face shield
must be worn in addition to the eye protection.

Hearing Protection – CSA approved hearing protection must be worn when the noise level in the
work area exceeds the permissible occupational exposure limit. (80 dBA)

Hand Protection – Appropriate gloves must be worn when handling rough, sharp, or hot items,
caustics, acids, solvents, concrete or chemicals.

Clothing – It is mandatory that shirts with at least a four-inch sleeve or long sleeves and long
pants be worn at all times. Shorts are not to be worn on site at any time.

Hi-Visibility Clothing – When working around heavy equipment, in an area where there is vehicle
traffic and whenever weather or light conditions make visibility poor, CSA approved hi-visibility
clothing must be worn.

Fall Protection – Any worker working at heights (3 meters in Manitoba) must use an approved
form of Fall Protection. Guardrails must always be considered first. All workers require fall
protection training prior to using any type of fall protection equipment.

Arc Flash PPE – Is required when live work is necessary. Arc Flash PPE includes arc flash
rated clothing, rubber gloves with leather covers, face shield and sock, protective headwear and
footwear. Any live work must be approved by PTSD prior to initiation and a completed Live
Electrical Work Permit and SWP must be completed and approved.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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GENERAL SAFETY RULES
General and specific safety rules are an integral part of a safety program. The following fundamental rules and practices
will reduce injuries to workers and damage to property.
Rules
1.
Every individual is responsible for safety.
2.
Approved hard hats and safety footwear shall be worn at jobsites as designated.
3.
Horseplay, fighting, etc. are forbidden on all jobsites.
4.
Report all injuries or damage to property and equipment, no matter how slight, to supervisor/foreman.
5.
Walk carefully at all times. Run only in an emergency.
6.
Wearing rings/jewelry is dangerous and should be avoided to prevent accidents or injuries. Any item or hair that
could become caught in a moving component must be removed or secured.
7.
Consumption of alcohol and illegal drugs or coming to work under the influence is strictly prohibited.
8.
Use proper lifting techniques.
9.
Perform all work in accordance to safe work practices, procedures and safety regulations.
10.
Only qualified personnel are allowed to operate machinery and mobile equipment.
11.
Only qualified/authorized personnel shall operate power-actuated tools.
12.
Consult the supervisor/foreman before operating a tool or machine that is new or unfamiliar.
13.
All employees shall ensure safety devices (guards, seat belts) are in good working condition and properly
installed before using equipment and machinery. While the equipment is in use, all safety devices must be used.
14.
Do not use any tool or equipment with defective or missing safety devices (tag out of service and return it for
repair).
15.
Report all unsafe acts or conditions to your supervisor/foreman.
16.
Use only approved supports and planks for platforms and scaffolds.
17.
Remove protruding nails from boards or ensure nails are embedded into the wood.
18.
Maintain good housekeeping on all jobsites.
19.
Do not use compressed air or gas to blow off or clean clothes.
20.
Food or beverages must not be stored or consumed in an area exposed to hazardous materials. Hazardous
products can contaminate the food or drink to be consumed.
21.
Safety glasses or a face shield shall be worn when concrete breaking, metal chipping, grinding, or any other
operation where the potential for foreign objects may exist.
22.
No employee shall ride any equipment unless it is specifically designed for passengers.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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GENERAL CONTRACTOR SAFETY INFORMATION
The following guide has been developed to communicate responsibilities & expectations of
contractors while conducting work at Pembina Trails School Division.
Hours of Work:
 Normal hours of work at any of the schools in Pembina Trails School Division are from 08:00 – 16:30 hrs,
Monday to Friday
 For after hours and weekend work, the contractor must receive permission from the appropriate PTSD
supervisor. The PTSD supervisor is responsible to notify security services.
Reporting in/out procedures:
 Workers are to report to and communicate with their supervisor every morning.
 If working inside the school, a list of names must be submitted to the school‟s secretary prior to starting work and
the workers must check in / out with the office.
 Workers should be informed of when they start work and when work ends and where to park their vehicles.
 If you are a sub-contractor your staff must have supervision at all times while on PTSD property.
Facility security:
 Site and facility security controls must be complied with.
 Workers should be instructed when the facility closes and when alarms are activated.
Parking:
 All contractors, their employees and sub-contractors must abide by each school‟s parking requirements.
 All parking spaces at each school are designated; contractors cannot park in assigned stalls.
 If there are no visitors stalls, contractors must park on the street or they can report to the front office at the
school and ask for a parking spot (if one is available).
 At no time are contractors allowed to park on sidewalks or playpads, etc.
Emergency procedures:
 The workers emergency contact numbers and cell phone numbers shall be made available to the site
supervisor.
 If you are a sub-contractor you must submit a list of employees that will be working on PTSD property to the
Director of Facilities.
 Workers will be given a list of emergency contact numbers from PTSD to assist them in the event of an
emergency.
 If you are a sub-contractor working on PTSD property, emergency procedures must be in place and include the
following: muster site that has been coordinated with the school‟s muster site; a means to communicate an
emergency to staff; accountability for your staff; a means of communication; list of emergency numbers; first
aider on site and first aid supplies; etc.
 Contractors working in schools are also required to comply with any school fire drills or evacuations and any
lockdowns or tornado drills.
Reporting of near misses, incidents & accidents:
 Report near misses, incidents & accidents to your supervisor.
 If you are a sub-contractor working on PTSD property you must report your incident to PTSD, S&H Officer.
 Complete records of incident & accident activities and submitted to the Divisional S&H Officer.
 Cause(s) & corrective action that will be taken must be disclosed.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
21
Alcohol, drugs, firearms in the workplace:
 No possession, sale or consumption of drugs or alcohol allowed on any PTSD property while at work
 Firearms are not allowed on PTSD property.
Smoking restrictions in the workplace:
 No smoking is allowed in the school or on PTSD property.
 Check with the site supervisor for specific smoking areas.
Use of iPods / earbuds, cell phones & radios:
 No use of iPods or ear buds while at work
 Cell phones are not to be used when driving
 Vehicle radio volume levels are not to interfere with the operator‟s ability to know what is happening around
him/her
 Where 2 way radios are used – only work related communication is allowed
 If working inside while school classes are in – radios (music) are not allowed
Work clothing:
 Workers are expected to wear clothing that is suitable for the work environment and provide protection (long
pants & shirts). Being shirtless or wearing shorts is not allowed on any site.
 Specialty clothing shall be worn when exposure to hazards exist (i.e. Fire retardant, chemical, asbestos,
corrosive, bio hazardous protective clothing, etc.)
Workplace housekeeping practices:
 Workers are responsible for their own clean up. This is to be done daily on an ongoing basis.
 Storage & disposal must be arranged with the site supervisor
WHMIS training & location of contractor’s MSDS:
 All personnel who work with or around hazardous chemical products must be WHMIS trained.
 All product containers must be labeled in accordance with legislated requirements
 Any WHMIS controlled products on site must have a Material Safety Data Sheet(s) available
 If you are a contractor, you must submit a copy of an MSDS for all products brought onto PTSD property to the
Divisional S&H Officer. You must also keep a copy of the MSDS at the work site.
 All chemicals used on PTSD property must be used in accordance with the MSDS
Waste management (Storage & disposal):
 Workers are responsible to manage & dispose of waste in accordance with federal, provincial and local waste
regulations & bylaws.
Working alone:
 Where a worker is required to work alone or when a worker is required to perform potentially dangerous work by
him or herself, a Working alone plan must be prepared and implemented to ensure employee safety and to
provide help should an accident occur.
 If this scenario occurs at a project, the subcontractor must develop a working alone plan and provide a copy to
the project supervisor.
 High risk, hazardous work is not allowed outside of working hours.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
22
Fire prevention, protection & control:
 A hot work permit is required for any hot work conducted on PTSD property. Please see any of the PTSD
facilities & operations supervisors for the permit. See Appendix C, page 41.
 Maintain good housekeeping
 Store flammables in proper containers in areas away from sun, sparks, welding and other sources of ignition.
 No smoking is allowed on PTSD property.
 Shut off ignition sources when fueling vehicles and equipment.
 Provide fire extinguishers where flammable products are to be used. Train employees to use fire extinguishers.
Emergency spill response:
 Workers need to follow spill procedures in the event of an emergency spill or release of a hazardous product.
 Procedures include:
1) Precautionary measures required if spill occurs (i.e. flammable products, PPE, hazards of contact or
exposure).
2) Action taken to contain spills.
3) Location of spill clean-up equipment.
4) Clean up procedures (use of absorbents and how to disposed of spilled chemical) .
5) MSDS‟s for all chemicals used must be readily available on site.
6) See page 6 for more details.
Safe Work Procedures:
 Workers are required to follow all safe work procedures for operating equipment and performing tasks.
 If you are a sub contractor you must ensure you have safe work procedures for all high risk tasks you are
conducting on PTSD property. All sub-contactor staff must be trained on the safe work procedures.
Machine safety & guarding:
 No equipment or tools are to be used without appropriate guards in place.
 If guards or protective devices are missing the equipment or tool must be taken out of service & tagged out or
locked out to prevent use
 Personal tools & equipment are subject to inspection and corrective action if a hazard is identified.
Vehicle & equipment operation:
 Vehicles & equipment are to be operated in a safe manner.
 Only qualified & licenced operators can operate equipment on a public roadway.
 Speed limits are to be observed (not greater than 15km/h) while on PTSD property.
 Where equipment requires certification to operate – proof of certification will be requested (forklifts, tele-handlers,
cranes, boom trucks, etc.).
Fall protection & elevated work:
 Identify where fall protection will be required, ie. when working over 3m.
 Create a fall protection plan. See Appendix F, page 51.
 Use appropriate form of fall protection as required by provincial legislation (3 meters in Manitoba).
 Ensure workers are trained.
 All staff working at heights must have fall protection training. Proof of training is required upon request.
 All equipment must be approved and in good condition & used in accordance with the manufacturer‟s design.
 An emergency rescue plan must be developed specific to the work being done.
Storage of materials or equipment while on site:
 Workers must be made aware of what materials & equipment can be brought onto site
 Arrangements for storage need to be made with their supervisor (i.e. vehicles, machines, chemicals, flammables,
explosives, cylinders).
 Materials are not to be stored inside school buildings.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
23
Hot Work
 Any hot work conducted on PTSD property must be accompanied by a PTSD Hot Work Permit. Permit
instructions must be followed and a 4 hr. fire watch implemented. Short cuts will not be allowed.
 See Appendix C, page 41.
Confined Space Entry:
 Any staff entering crawl spaces in PTSD must be trained in confined space entry. Contractors must have multi
gas detectors and rescue equipment available on site when conducting any confined space entry on PTSD
property.
Use of Facilities:
 Contractors are not allowed to use PTSD rest room or staff washrooms. Contractors are responsible to provide
washroom facilities (trailer or port-a-poty) and lunch room facilities (trailer) for all construciton staff and subcontractors.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
24
ASBESTOS
Asbestos containing materials shall not be used in any new construction or renovation at
Pembina Trails School Division.
The Division has an Asbestos Management Program (AMP) that identifies locations where
asbestos is either present or suspected. These locations include mechanical rooms,
crawlspaces, interstitial spaces and similar locations that are secured by locked access or other
means. All secured locations are identified by a sign on the door. However any classrooms that
may contain asbestos containing materials are not labeled. Contractors are required to meet
with the facility caretaker or the appropriate Facilities Supervisor to determine the location of the
asbestos containing material. If the contractor or Subcontractor, during the work, should
discover previously unidentified asbestos containing material, the contractor is to cease work
immediately and notify the PTSD S&H Officer. The S&H Officer will take immediate appropriate
action to verify presence of friable or non-friable asbestos and will be responsible for the removal
for any asbestos containing materials.
Any contractors that are removing asbestos material must be a certified asbestos abatement
company and must complete a PTSD Asbestos Work Permit, prior to the start of the work. (See
Appendix B, page 40.)
Sample Photos of asbestos containing materials:
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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Labeling of Mechanical Rooms:
As part of the Division‟s Asbestos Management
Program, the Division has established a signage and
labeling protocol for locations that may have ACM‟s
(asbestos containing material). These locations are
accessible to trained staff only. These locations also
include mechanical rooms, crawl spaces, interstitial
spaces and similar locations that are secured by
locked access or other means.
These areas are identified by signage on the entrance
to the space. The signs indicate that the area does or
may contain asbestos and the precautions that must
be taken as per the Divisional Asbestos Management
Program. All suspect material in these spaces shall be
treated as ACM, unless testing confirms otherwise.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
26
MOLD
If the Contractor or subcontractor should discover mold, the contractor is to cease work
immediately and notify the PTSD Carpentry Supervisor. The Carpentry Supervisor will notify the
Divisional S&H Officer and they will take immediate appropriate action to verify presence mold
and will be responsible for the removal of the mold.
CHEMICAL MANAGEMENT & WHMIS REQUIREMENTS
All chemicals brought into the School Division must be handled according to the Workplace
Hazardous Materials Information System (WHMIS). Chemicals are also governed by the
requirements of the Transportation of Dangerous Goods regulations and the Manitoba Fire
Code.
Each contractor is responsible to provide specific instruction on the chemicals they will be using
on site and provide WHMIS training for all of their workers. All employees must be fully qualified
and properly equipped to handle specific chemicals brought on site by the contractor.
Copies of Material Safety Data Sheets (MSDS) must be kept on site at the school and must be
submitted to the S&H Officer prior to the start of work.
Reminder:
 Never assume that an unlabeled material is what it seems and do not use any
substance in an unmarked container. Have unlabeled materials identified and correctly
labeled before use.
 Every Chemical has an information sheet known as the Material Safety Data Sheet
(MSDS). You should refer to the appropriate MSDS before using any WHMIS
controlled product.
 Remember that chemicals can be extremely toxic and dangerous when not handled
correctly. If not fully competent in the use of any product, report the fact to your
Supervisor and get the proper training.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
27
CONFINED SPACE ENTRY
All contractors and consultants must conform to the Workplace Safety and Health regulations and School Division‟s
guidelines with respect to entering crawl spaces and / or confined places.
A confined space may be defined as an enclosed or partially enclosed space having restricted access and egress and
which, due to its design, construction, location, atmosphere, the materials or substances in it, or other conditions, it may
become hazardous to a worker entering it or does not have an easy means of escape or rescue of a worker entering it.
Confined spaces at the School Division include areas such as, but not restricted to, Boilers, HVAC systems, lift systems,
and some crawl spaces. Contractors and consultants will follow the WSH regulations and guidelines on “Confined Space
Entry”. All staff must be trained in confined space and must have rescue equipment and air testing equipment available
on site prior to starting any work. A confined space entry permit is also required to be completed and signed by the
contractor‟s site supervisor. If uncertain about the area, consult with the Divisional S&H Officer. Copies of the competed
entry permit must be submitted to the Divisional S&H Officer.
Admittance into any Divisional crawl space requires the contractor to follow all posted instructions as well as sign in on
the permit sheet posted on the door, have a means of communication, a buddy system (some spaces require two person
entry) and a multi gas detector.
HOT WORK
The Pembina Trails School Division has a “Hot Work Permit” for dealing with “Hot Work”. Hot work is defined as any
operation where heat is used or generated in sufficient intensity to cause a fire or explosion. In order to reduce the risk of
fire or explosion, the normal safety precautions must be in place and the following procedure must be strictly adhered to.
This includes roofing and any welding, grinding or cutting.
Prior to Commencement of the Work:
Prior to the start of any Hot Work project, the contractor conducting the work will:
a.
Obtain a Hot Work Permit from the site Caretaker or Facilities supervisor. Observe and follow all
instruction listed on the hot work permit. Deviations from the permit instructions are not allowed.
b.
Inspect the site for combustibles and fire alarm system.
c.
If a fire alarm system exists, the contractor must request a Fire Alarm Shutdown and obtain approval
prior to the start of the work. The school or worksite will then go into fire watch until the work is
completed.
d.
Notify the appropriate Facilities supervisor that hot work will be taking place.
On Completion of the Work Project:
When work on the Hot Work project has been completed, the contractor will:
a.
Notify the site caretaker that the work has been completed.
b.
Ensure that the area is secure.
c.
Let the caretaker know that they can re-activate life safety systems (i.e. smoke and heat detectors).
d.
At the time of completion.
a.
Inspect the site for fire,
b.
The contractor must provide a 4 hour fire watch after the completion of the work.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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The Hot Work Permit procedure is as follows:
1.
Prior to start of any hot work operation, the permit issuer must personally examine the work area to confirm that
the following minimum safety precautions have been taken:
a. Hot work equipment inspected and in good working condition
b. The equipment or material to be worked on is thoroughly cleaned of all deposits of oil, carbon, dust, or other
combustible/flammable residues.
c. Whenever possible, the hot work operation should be moved to a designated fire safe area to minimize the
risk of fire in the facility.
d. Sprinklers, where provided, are in commission and will not be taken out of service while this work is being
done.
e. All combustibles materials have been located at least 35 feet from the operation and any combustible
materials that cannot be moved, protected with metal guards or flameproof covers (i.e. fire-resistant
tarpaulins).
f. The work will be confined to the area or equipment specified on the permit.
g. Surrounding floors have been swept clean and, if combustible, wet down.
h. Ample portable extinguishing equipment has been provided and is easily accessible. These extinguishers are
not from the immediate area, but are additional ones.
i. Exhaust and return air fans (HVAC) within 35 feet have been turned off.
j. All floor, wall, and ceiling openings within 35 feet of the operation have been tightly covered to prevent sparks
or slag from entering an unobserved area. Cover floors made of combustible material with fire-resistant
tarpaulins or other noncombustible material. Cover all wall and floor openings. Plug floor openings with an
approve fire stop material.
k. If Hot Work is conducted on walls and ceilings, move combustibles away from the back side of the wall.
l. If Hot Work is conducted near the ceiling, suspend fire-resistive tarpaulins beneath the work.
m. Hot work areas must be isolated with tape, barricades, or traffic horses to warn personnel from walking into
and under this area when work is in progress and divert them from hazards, such as falling sparks and flash
burns.
n. Compressed oxygen is not to be used under any circumstances for the purpose of ventilation, comfort,
cooling, blowing dust from clothes, or for cleaning the work area.
2.
3.
All appropriate emergency procedures must be reviewed with the person doing the hot work.
The Hot Work permit must completed and be posted it in a visible location in the hot work area.
During and after hot work, the following work rules must be implemented:
1.
Fire watch will be provided during and for 60 minutes after work, including any coffee or lunch breaks.
2.
Fire watch person is supplied with a suitable fire extinguisher and properly trained in use of fire extinguisher and
activation of the nearest local fire alarm
3.
The hot work area and all adjacent area (including floors above and below) must be monitored periodically for 4
hours after the work has been completed. When hot work is performed on or near a wall, check the other side of
wall because there is a chance that heat was transferred or radiated through the wall.
4.
If barricades are removed, mark hot materials to warn other workers, employees, and visitors of the potential burn
hazard.
5.
Upon completion of the work, the permit issuer will conduct a final inspection of area and sign off on the permit
only if the area is fire-safe.
6.
The posted permit must be kept for documentation purposes. A copy of permits must be sent or faxed to PTSD
S&H Officer at 204-488-8385
A copy of the PTSD hot work permit can be found in Appendix C, page 41
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
29
LADDER USE
Ladders are meant for work of short duration (20 min. or less) and only for work that can be done safely
from a ladder. Otherwise, the employer must ensure that a worker is provided with scaffolding or an
elevated work platform while engaged in work that cannot be done from the ground or any other safe
elevation.
One ladder is rarely suitable for all jobs. The first step in ladder safety is selecting the correct ladder for the
task at hand by answering the following questions:
• What TYPE of ladder do I need? (i.e. is a step or extension ladder required?)
• What SIZE of ladder is required to perform the task?
• What MATERIAL of construction do I need? (i.e. what material should my ladder be made from?)
• What DUTY RATING do I need? (i.e. how much weight will the ladder need to support?)
When selecting a duty rating adequate for your needs, you MUST allow for the combined weights of: the
user + clothes + tools + material. The maximum load rating of the selected ladder should NEVER be
exceeded.
Max. Load
Capacity
200 lbs.
225 lbs.
250 lbs.
300 lbs.
375 lbs.
Rated Use
Light Duty Household:
Designed for infrequent household
chores, cleaning, painting, etc.
Medium Duty Commercial:
Designed for moderate use by
homeowners, painters, handymen, etc.
Heavy Duty Industrial:
Designed for use by contractor’s in
maintenance construction & industrial
applications
Extra Heavy Duty:
Designed for frequent use in
maintenance, construction & industrial
applications.
Special Heavy Duty:
Designed for the most demanding
industrial & construction applications.
CSA
ANSI
Grade
3
Type III
Grade
2
Type II
Grade
1
Type I
Grade
1
Type 1A
Grade
1
Type 1AA
** CSA does not recognize the ANSI Type 1A or1AA ratings.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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STEP LADDERS:
EXTENSION LADDERS:
Step Ladders are designed to be self-supporting,
range in sizes from 2 to 16 feet in length, and in some
cases, are designed to be used by one person at a
time.
Step Ladder Setup:
1. Inspect ladder before each use. If worn or
damaged remove from use.
2. Perform a hazard assessment: Will the base of the
ladder be set on a solid surface? Where is the top
of the ladder resting? Can you secure (tie off) the
ladder against all movement? Overhead hazards?
3. Use a stepladder that is about 1 m (3 ft) shorter
than the highest point you have to reach. This
gives a wider, more stable base and places shelf
at a convenient working height.
a. Open the stepladder spreaders and shelf fully.
b. Check stability. Ensure that all ladder feet are
on a firm, level and non-slippery surface.
c. Place a stepladder at right angles to the work,
with either the front or back of the steps
facing the work.
4. Face the stepladder when climbing up or down.
Keep your body centered between side rails. You
have climbed too high if your knees are above the
top of the stepladder or if you cannot maintain a
handhold on the ladder.
5. Maintain a firm grip. Use both hands when
climbing.
Extension ladders
are only to be used
for short duration
work (20 minutes).
If you are in poor
health, have a
physical handicap
that would impair
your climbing ability
or if you are under
the influence of any
drug or alcohol, do
not use a ladder.
Ladder Set Up:
1. Select a ladder
that is
appropriate
for your task .
2. Check for over
head electrical
wires before
setting up.
3. Guard or fence
off the area
around a ladder
when persons
have access.
4. Ensure the ladder is placed on a firm surface
5. Extend the ladder so that it has 3 rungs above the
access surface. Note: the picture has the third
rung cut off.
6. Space the bottom of an extension ladder in a 1:3
or 1:4 ratio. Have a partner hold the ladder. Climb
the ladder and secure the top of the ladder by tying
off.
7. Tie off the bottom of the ladder to prevent the
ladder from sliding out at the bottom.
8. Always face the ladder when climbing up or down,
and do not carry tools. Maintain three-point
contact at all times. Grasp the rungs when
climbing a ladder, not the side rails. If your foot
slips on a ladder, holding onto rungs is easier than
holding onto the side rails. Keep your body within
the rails of the ladder while working.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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SCAFFOLDING USE
A scaffold is a temporary structure usually made of metal frames and tubing, which provides temporary support and
access for workers and materials used in construction, demolition, repair and maintenance work. Scaffolding must be
used for any lengthy type of work (20 minutes or greater).
Scaffolding Setup:
1.
Inspect frames, braces and other components for damage, bends and excessive rust or wear.
2.
Assemble frame scaffolds with one other person so that one person is on the scaffold and one is passing materials
from the ground.
3.
Check for squareness and alignment of all scaffold parts as you build.
4.
Use appropriate mud sills 50 x 250 mm (e.g., 2 x 10 ft planks) that are continuous under at least two support feet.
The sill should extend at least 2 ft. beyond the scaffold feet at the end. Sills are required to prevent damage to
interior flooring within the school division. Do not substitute concrete blocks, bricks or scrap lumber for a proper
mud sill base, plates and jackscrews.
5.
Install baseplates or castors depending on whether or not the scaffolding will be moveable.
6.
Secure the screw jacks onto the baseplates or castors. Do not overextend jackscrews.
7.
Insert end frames onto screw jacks and connect the two end frames together using the vertical cross bracing.
8.
Ensure all scaffolding frames have working pins and that all cross bracing is secured with pins to prevent fallout.
Do not use nails or other devices in the place of proper retention parts as recommended by manufacturer.
9.
Install horizontal cross bracing and ensure squareness and alignment of the scaffolding.
10. Install decking on the top of the frames. Note: the working level must be fully decked while working on the upper
level. That means you must have two levels of decking available while working.
11. Once you have erected and fully decked the second level, fall protection is required and mandatory.
12. Install ladders as the erection proceeds. When scaffolds are to be in place for an extended period, install a
stairway. Ladders must extend 1 m (3 ft) above platform and be tied securely.
13. Any scaffolding build over 3 sections must either have tie-ins or outriggers. Tie-ins are not allowed inside
divisional buildings.
14. On the final working level, install guardrails. Top rails – 36-42in high, Mid rails – 18-22in. high.
15. Reminder the worker level must be completely decked!
16. Fasten all braces and guardrails securely.
17. Assemble all equipment according to manufacturer's specifications or engineer's design. Do not mix frames and
parts from different manufacturers.
18.
Do not use ladders or makeshift devices on top of scaffolds to increase the height.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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LOCKOUT / TAG-OUT AND “LIVE ELECTRICAL WORK”
Electrically Safe Condition - The most important principle of electrical safety is to assume all electric circuits are
energized unless each involved worker ensures they are not.
It is PTSD policy to de-energize live parts whenever possible before anyone works on or near them. This is the preferred
method for protecting everyone from electrical hazards. Staff must follow the PTSD Lockout / tag-out program to safely
de-energize live parts prior to working on them. See Appendix E page 45, Lockout / Tag-out Safe Work Procedure
Personnel are permitted to work on or near exposed live parts only if it is demonstrated that de-energization:
 Introduces additional or increased hazards, or
 Is infeasible due to equipment design or operational limitations, or
 Creates other hazards for life-safety on a case-by-case basis.
If it has been demonstrated that a work task cannot be accomplished in a verified de-energize condition, then an
“Energized Electrical Work Permit” (see Appendix D, page 44) must be completed and a safe work procedure must
be created. Energized parts that operate at less than 30 volts need not be de-energized if there is no increased
exposure to electrical burns or to explosion blast due to electric arcs.
Prior to repairing any equipment, etc. lockout procedures must be developed and followed. The equipment / panel must
be locked out with a locking device (electrical tape is not allowed). A tag must be attached identifying the person who is
locking out. Tag out alone is not allowed. If the contractor does not have a lockout / tag out procedure, they will be
required to utilise PTSD‟s procedure.
Ensure that equipment & tools that are placed out of service or in need of repairs have tags attached to inform other
workers not to use.
Any type of work or inspections that are done on equipment requires all sources of energy to be released. That can
include: hydraulics, electrical, raised attachments, control valves, air, gas, etc. Equipment and attachments must be
disabled or blocked to prevent starting & movement.
Energized Electrical Work Permit:
If live parts are not placed in an electrically safe condition (de-energized), work to be performed shall be considered
energized electrical work and shall be performed using a live electrical work permit only.
A copy of the Live Electrical Work Permit can be found in Appendix D, page 44 of this document. The intent of this
permit is to ensure that all appropriate safety precautions are taken prior to starting energized electrical work.
Work related to testing, troubleshooting, and voltage measuring may be completed without a permit provided appropriate
safe work practices and PPE are used.
Live Energized Work Permits shall be submitted to the Utilities Supervisor. The permit must be posted in an appropriate
location where the energized work is taking place for the duration of the task. A copy must be sent to the Divisional S&H
Officer.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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Capital Projects – Live Electrical Work Exception:
It is the responsibility of the PTSD capital Projects” Project Manager to initiate and coordinate with the Divisional S&H
Officer any “Capital Projects Live Work” and cannot delegate this responsibility to the Contractor. For situations where
Contractors are working on large projects that routinely require Energized Work Permits, project contractors may perform
this work under their local (job site) Energized- Work Permits if their work:
1.
Does not affect any Divisional building beyond the immediate area and total control of the project (that is, within
the project boundary), and
2.
Does not require any shut down or isolation of Divisional electrical services, and the
3.
Project‟s “Permitting Plan” is pre-approved by the Project Engineer, PTSD Utilities Supervisor and the Divisional
S&H Officer prior to start of work on the project.
Arc Flash Hazard Study & Panel Labeling:
Any time a contractor installs a new panel on Divisional property the contractor shall engage the service of an
Engineering Services Company to conduct an arc flash hazard study and determine the appropriate arc flash warning
label requirements and label. All Arc Flash studies must follow the PTSD Electrical Safety Program. Once completed,
the arc flash study documentation in its entirety is the sole property of the Pembina Trails School Division. All
documents are required to be handed over to Facilities and Operations staff. Documentation is required in order to
conduct the arc flash review every 5 years.
The PTSD Electrical Safety Program can be obtained from Divisional Utilities Supervisor, Project Manager or S&H
Officer and is also available in electronic format off of the PTSD website:
http://www.pembinatrails.ca/wsh/
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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HOARDING AND PROTECTION AT EXCAVATIONS
All barricades and barriers on construction sites shall conform to all safety practices required by regulations and good
practices. Barriers for work outside the construction site must be visible both day and night.
All walkways in close proximity to job sites, this includes entrances and exits to school building that are within the
construction area but required for access / egress to the building, shall be built with overhead protection where
overhead work is being performed in close proximity. Chain link fencing or hoarding is also required to keep children and
the public out of the work area.
In vehicular areas barriers shall conform to the requirements of Part 8 of the Manitoba Building Code. The placement of
all barriers in vehicular areas must be approved by the Prime Contractor and PTSD Project Coordinator. All excavations
on PTSD property must be covered and protected to prevent children from entering the area. Where the placement of
barriers involve the City of Winnipeg Streets, the approval is also required from the appropriate department.
INDOOR USE OF FUEL FIRED EQUIPMENT
To ensure that air quality is maintained when operating fuel-fired equipment or using gas fired heaters
inside PTSD buildings contractors are required to:
1. Post proper signage in and around the work area.
2. Barricade and isolate the work area. Where welding work is done, obtain a “HOT WORKS PERMIT”
from the Prime Contractor or the PTSD Project Coordinator if the prime contractor does not have
one.
3. Remove all flammable/hazardous materials from the work area.
4. Provide an adequate supply of ABC and water fire extinguishers.
5. Provide advance notice to occupants of the affected building about the proposed work.
6. Establish Emergency Protocol for the work area.
7. Follow all construction/workplace safety protocols with regard to the use of personal protective
equipment.
8. Ensure no exhaust fumes enter the ventilation system of building or surrounding area.
9. Ventilate the work area with fresh air at a rate of least 6 air changes per hour.
10. Use local exhaust ventilation in conjunction with isolation techniques and fresh air ventilation to
reduce contaminant levels. (This may require providing positive air pressure to the area and exhaust
through dedicated outlets.)
11. Monitor air quality in the area for toxic gases frequently. The monitoring equipment must be
equipped with an alarm to indicate levels in excess of the TLV.
12. Cease all operations and turn off all fuel-fired equipment if CARBON MONOXIDE levels reach 25 ppm
or higher or the OXYGEN level falls below 20.5%. Notify the PTSD S&H Officer at 204-232-5338.
13. Please note: all schools are equipped with CO sensors throughout the school. Indoor use of fuel
fired equipment may trigger a Carbon Monoxide alarm. Ventilation must be used at all times.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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OVERHEAD POWER LINES
Work that is conducted in close proximity (i.e. any work that has the potential to come within 10 feet) of an overhead
power lines must be carried out only after Manitoba Hydro has de-energized, guarded or displaced the power line.
Please contact the PTSD Utilities Supervisor if Hydro lines have to be de-energized or displaced.
MOBILE EQUIPMENT - PLAYGROUNDS
At no time will contractors be allowed to transport any type of mobile equipment through Divisional playgrounds while
children are at play on the play grounds. Movement of mobile equipment through the playgrounds can be coordinated
around recess and lunch breaks while school in in cession. During the summer, Christmas break and spring break when
the playgrounds may be in use by the public all mobile equipment must be accompanied by a spotter walking alongside
the equipment while it moves throughout the playgrounds.
FALL PROTECTION
A Fall Protection System (FPS) is defined as a system designed to protect a person from the risk of falling when working
at elevated heights. Examples of FPS include fixed barriers, guardrails, surface opening protection, travel restraint, and
fall arrest equipment.
Fall Arrest Equipment (FAE) means equipment that reduces that risk of injury when a fall takes place and is made up of
a combination of some or all of the following components: anchorage point, full body harness, lanyard, fall arrestor,
shock absorber and lifeline. FAE is to be considered only if engineering controls (i.e. guardrails) are not feasible to
prevent a fall.
Planning plays a key role in protecting workers from fall hazards and therefore contractors must ensure that fall
protection plans are:
 Designed to address site-specific conditions and

Compliant with the Occupational Health and Safety Regulations.
Where there is a potential fall hazard, work must be carried out without undue risk to the worker. The responsibility to
ensure workers are trained and the manner in which training is conducted rests with the employer. As such, PTSD
requires the following:
1.
A written Fall Protection Plan must be completed before work commences at a location:
a.
where workers are not protected by permanent guardrails, and from which a fall of 3.0 m or
more may occur.
b.
a vertical distance of less than 3 meters where there is an unusual possibility of injury or into or
onto a hazardous substance or object, or through an opening on a work surface, etc.
c.
working on a pitched roof
d.
on a scissor lift, zoom boom or forklift with attached work platform.
2.
Fall Protection System(s) must be used as required within the Fall Protection Plan. Control measures may
include the use of:
a.
guardrails or similar barriers,
b.
fall arrest equipment (safety harness, shock absorber, lanyard, lifeline and anchor).
c.
travel restraint equipment (safety harness, lifeline and anchor).
d.
controlled access zone (used to prevent workers from coming within 2m from a leading edge).
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
36
3.
4.
Workers are knowledgeable and trained about the written fall protection plan and systems in place for this
location (including the identified hazards, elimination and control, equipment inspection and maintenance,
use of fall control systems, and relevant emergency response procedures).
Within PTSD, 2 people must be present at all times when the use of a travel restraint or fall arrest system is
required (emergency rescue).
Supervisors must ensure that workers review and sign the fall protection work plan prior to starting work in an area
where a hazard of falling exists. This plan must be available at the worksite prior to the start of work and for the duration
of the work activities.
A fall protection plan template, in Appendix F page 51, is provided to assist contractors in the fall protection planning
process.
The Division has adopted the Manitoba Labour Workplace Safety and Health Guideline on Fall Protection
for reference and design purposes. (http://safemanitoba.com/guideline-falls). Contractors shall provide
Fall Protection Systems where workers are assigned work 3 metres (~10 feet) above a lower level and may
be in danger of falling. The design of FPS and FPE’s shall be in accordance with applicable Building Code and
related CSA standards.
Examples of activities where FPS may be required include:
 Roof maintenance, renovation and repairs (e.g., Roof patching, repairing roof deck, pointing up
chimneys, cleaning gutters, painting metal roofs)
 Building maintenance (e.g., Window cleaning, painting)
 Building heating, ventilation and air conditioning systems (e.g. Access for installation, repairs,
preventative maintenance and changing filters)
 Lighting (e.g., Auditoriums, stairwells, pools, stadium lights, theatre lighting)
 Scoreboards and signs
 Construction and renovations Material storage
 Tree climbing
 Working from aerial lifts, telescoping work platform and scaffolding.
 Permanent ladder access
 Confined Space work
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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APPENDIX
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
38
APPENDIX A – Divisional Phone Numbers
SCHOOL NAME
Acadia Junior High
Arthur A. Leach School
Bairdmore School
Beaumont School
Beaverlodge School
Bonnycastle School
Chancellor School
Chapman School
Charleswood School
Crane School
Dalhousie School
Dieppe School
Fort Richmond Collegiate
General Byng School
Henry G. Izatt
Laidlaw School
Linden Meadows School
Oak Park High School
Oakenwald School
Pacific Junction School
Ralph Maybank School
River West Park School
Royal School
Ryerson School
St. Avila School
Shaftesbury high School
Tuxedo Park School
Van Walleghem School
Vincent Massey Collegiate
Viscount Alexander
Westdale School
Westgrove School
Whyte Ridge School
Pembina Trails School Division
Facilities & Operations Building
Loudoun Carpentry Shop
ADDRESS
PHONE #
175 Killarney Ave
1820 Chancellor Drive
700 Bairdmore Blvd.
5880 Betsworth Avenue
6691 Rannock Avenue
1100 Chancellor Drive
1520 Chancellor Drive
3707 Roblin Blvd.
505 Oakdale Drive
888 Crane Avenue
262 Dalhousie Drive
530 Dieppe Road
99 Killarney Avenue
1250 Beaumont Street
960 Scurfield Blvd.
515 Laidlaw Blvd.
335 Lindenwood Drive East
820 Charleswood Road
666 Oakenwald Avenue
715 Cathcart Street
20 Donnelly Street
30 Stack Street
450 Laxdal Road
10 Ryerson Avenue
633 Patricia Avenue
2240 Grant Avenue
2300 Corydon Avenue
1 Princemere Road
975 Dowker Avenue
810 Waterford Avenue
6720 Betsworth Avenue
6720 Westgrove Way
400 Scurfield Blvd.
181 Henlow Bay
165 Henlow
3350 Wilkes Avenue
204-269-6210
204-269-1674
204-261-3350
204-895-2820
204-895-8213
204-261-9400
204-261-9535
204-888-3192
204-889-9332
204-453-0539
204-269-4101
204-889-1034
204-275-7520
204-452-3040
204-489-1239
204-888-1678
204-489-0799
204-895-7221
204-474-0269
204-831-7099
204-453-4631
204-895-7225
204-889-6650
204-269-1400
204-269-5677
204-888-5898
204-889-3602
204-489-0995
204-453-8023
204-452-8945
204-895-8205
204-895-8208
204-488-4245
204-488-1767
204-488-1767, Ext. 1227
204-895-0301
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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APPENDIX B
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
40
APPENDIX C
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
41
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
42
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
43
APPENDIX D
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
44
APPENDIX E
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
45
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
46
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
47
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
48
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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APPENDIX F
Fall Protection Plan Template
Name of the Company:
School Site:
Plan is Valid For:
Plan created by:
Date:
Fall Hazard(s) at the Site:
An employer must develop procedures to remove or control fall hazards in a fall protection plan. The plan must
outline the specific situation where fall protection is required and consider what objects are below the worker and
how far they are below. (e.g. "4:12 sloped roof, snow on roof, eaves at 3.5 metres above ground" or "work on steel,
heights between 4 and 8 m above, steel below").
1.
2.
3.
4.
5.
Fall Protection System to be used at the Work Site:
Details about the type of equipment (travel restraint, fall arrest, fixed anchor, lifeline and grab, SRL, shockabsorber, etc.), brands and models of components, length of lanyard, etc.
1.
2.
3.
4.
Anchors to be used:
Be specific. Describe the precise anchor point, including anchor strength and location relative to worker. Note: In
most cases when using a lifeline there will be swing which adds distance to the fall.
1.
2.
3.
4.
Clearance Requirement:
This must be calculated. The distance the worker would fall must be less than the distance to the nearest
object/surface below the worker. Note: If using a lifeline and rope grab, the calculation will have to be from the grab
location.
1.
2.
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
50
3.
4.
5.
Procedures to assemble, maintain, inspect, use and disassemble the Fall Protection System:
Be detailed. It would be acceptable to attach the manufacturer's specifications for the specific equipment being
used, and ensure that workers are trained in these procedures.
1.
2.
3.
4.
5.
6.
7.
8.
Rescue Procedure:
Using 911 alone is not enough! Your plan must specify how the worker will be rescued if he/she falls and is
suspended. Examples include ladders, aerial devices, self-rescue fall protection equipment (suspension steps that
deploy when the shock-absorber deploys, self-rescue SRLs, etc.)
1.
2.
3.
4.
5.
Worker sign-off:
The employer must ensure that all workers affected by this plan have read and understood the above
Worker:
Date:
Worker:
Date:
Worker:
Date:
Pembina Trails School Division, 165 Henlow Bay, Winnipeg, Mb, R3Y 1G4, PH (204) 488-1767
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