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{"sheet":"Premob Checklist","index":0,"n_rows":101,"n_cols":17,"rows_kept":101,"cut":false,"hidden":false,"merged":[[48,2,49,2],[9,2,9,3],[96,2,97,2],[82,2,82,3],[89,2,89,3],[70,3,74,3],[54,3,57,3],[59,3,60,3],[99,3,100,3],[4,2,4,3],[2,2,2,3],[75,2,76,2],[3,2,3,3],[29,2,29,3],[31,2,31,3],[52,2,53,2],[35,2,36,2],[38,2,39,2],[40,2,41,2],[42,2,43,2],[50,2,51,2],[44,2,45,2],[46,2,47,2],[93,2,94,2]]}
[null,null,"Last Revision: February 19, 2025",null,null,null,null,null,null,null,null,null,null,null,null,null,"Corporate Services"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Commercial Services"]
[null,null,"Instructions: Contractor to complete the below checklist and submit to EPCOR representative with supporting documentation as defined at each step. ",null,null,null,null,null,null,null,null,null,null,null,null,null,"Electricity Services"]
[null,null,"Contractor Pre-mobilization Checklist",null,null,null,null,null,null,null,null,null,null,null,null,null,"Water Services"]
[null,null,"1.1 General Information",null,null,null,null,null,null,null,null,null,null,null,null,null,"Water & Gas USA"]
[null,null,"Date Completed: ","Project Name or Number:",null,null,null,null,null,null,null,null,null,null,null,null,"Choose an item."]
[null,null,"Contractor: ","Completed By:  ",null,null,null,null,null,null,null,null,null,null,null,null,"Compliant (\"A\")"]
[null,null,"EPCOR Representative:","Business Unit:",null,null,null,null,null,null,null,null,null,null,null,null,"Conditional (\"B\")"]
[null,null,"ISN Status:","Date Status Verified by Contractor:",null,null,null,null,null,null,null,null,null,null,null,null,"Conditional (\"C\")"]
[null,null,"Prime Contractor Applicablility:                                                     If Assigned, also complete:",null,null,null,null,null,null,null,null,null,null,null,null,null,"Non-Compliant (\"F)"]
[null,false,"1.2 Select ALL tasks required to complete the work scope:","If known, supply subcontractor company name:",null,null,null,null,null,null,null,null,null,null,null,null,"Not Registered in Contractor Registry"]
[null,false,"Use of mobile equipment (i.e., non-licensed vehicles)",null,null,null,null,null,null,null,null,null,null,null,null,null,"Choose an item. (ISN Status)"]
[null,false,"Hazards where occupational exposure control is required",null,null,null,null,null,null,null,null,null,null,null,null,null,"Meets Requirements"]
[null,false,"Confined space entry ",null,null,null,null,null,null,null,null,null,null,null,null,null,"Does Not Meet Requirements"]
[null,false,"When personal fall protection equipment is required",null,null,null,null,null,null,null,null,null,null,null,null,null,"Not Registered "]
[null,false,"Demolition ",null,null,null,null,null,null,null,null,null,null,null,null,null,"Choose method to protect worker"]
[null,false,"Hazardous Energy Isolation ",null,null,null,null,null,null,null,null,null,null,null,null,null,"Benching"]
[null,false,"Electrical work",null,null,null,null,null,null,null,null,null,null,null,null,null,"Cutting back"]
[null,false,"Hot work",null,null,null,null,null,null,null,null,null,null,null,null,null,"Shoring"]
[null,false,"Work on, over, or in open water ",null,null,null,null,null,null,null,null,null,null,null,null,null,"N/A (less than legally required)"]
[null,false,"Rigging or hoisting with a lifting device over 2 ton capacity ",null,null,null,null,null,null,null,null,null,null,null,null,null,"Choose an item."]
[null,false,"Ground disturbance ",null,null,null,null,null,null,null,null,null,null,null,null,null,"Assigned to Contractor"]
[null,false,"Working in an excavation",null,null,null,null,null,null,null,null,null,null,null,null,null,"Retained by EPCOR"]
[null,false,"Working on or directly adjacent to a public roadway where traffic control is required",null,null,null,null,null,null,null,null,null,null,null,null,null,"N/A "]
[null,false,"Working in a substation or switch yard"]
[null,false,"Rescue services"]
[null,false,"Supervising and/or directing high consequence work"]
[null,null,"Any other work deemed to be high consequence by the Owner Representative and Health and Safety"]
[]
[null,null,"High Consequence Work Checklist:"]
[null,null,"REQUIREMENT","If cell is RED, it must me completed"]
[null,null,"AT LEAST TWO WEEKS IN ADVANCE OF MOBILIZATION, contractors to submit the following documents to the EPCOR representative:"]
[null,null,"2.1  Pre-Job Hazard Assessment:",null,null,null,false]
[null,null,"Based on the scope of work and the tasks to be performed, the contractor must provide a hazard assessment that identifies the known, anticipated or possible hazards at the worksite. The hazards must be assessed for risk (consequence and likelihood) and the appropriate controls, using the hierarchy of controls (i.e., elimination, engineering, administrative, and PPE), must be identified.","          Provided and includes control methods for all high consequence tasks",null,null,false]
[null,null,"2.2 Subcontractor Management","            N/A subcontractors will not be used ",null,null,false]
[null,null,"The contractor shall ensure each of their subcontractors completing high consequence work are in ISNworld SubTracker. The contractor is responsbile for reviewing the subcontractors compliance status in EPCOR's SubTracker, and developing an mitigation plan if required (B, C or F grade).  The contractor is required to review the mitigation plan and support the subcontractor to ensure ongoing compliance is maintained. Refer to SubTracker FAQ's \nhttps://www.epcor.com/content/dam/epcor/documents/supporting-documents/hse-contractor-health.pdf","          Subcontractor connected to Contractor is SubTracker \n                    and compliance status verified by the Contractor   \n          ",null,null,true,false]
[null,null,null,"          Mitigation plan completed and uploaded in ISN by the \n                    subcontractor (as applicable)"]
[null,null,"2.3 Required Plans and Codes of Practices:\nRequired plans do not contain a strike through",null,null,null,{"$f":"IF(C39=\"\",\"TRUE\",\"FALSE\")","v":"FALSE"},false,false]
[null,null,"Shoring Plan","        Provided             Required but N/A (provide reasoning):"]
[null,null,null,null,null,null,{"$f":"IF(C41=\"\",\"TRUE\",\"FALSE\")","v":"FALSE"},false,false]
[null,null,"Fall Protection Plan ","        Provided             Required but N/A (provide reasoning):"]
[null,null,null,null,null,null,{"$f":"IF(C43=\"\",\"TRUE\",\"FALSE\")","v":"FALSE"},false,false]
[null,null,"Exposure Control Plan ","         Provided            Required but N/A (provide reasoning):"]
[null,null,null,null,null,null,"FALSE",false,false]
[null,null,"Critical Lift Plan ","         Provided            Required but N/A (provide reasoning):"]
[null,null,null,null,null,null,"FALSE",false,false]
[null,null,"Traffic/Pedestrian Accommodation Plan","         Provided            Required but N/A (provide reasoning):"]
[null,null,null,null,null,null,"FALSE",false,false]
[null,null,"Confined Space Code of Practice","        Provided             Required but N/A (provide reasoning):"]
[]
[null,null,"Respiratory Protection Code of Practice","         Provided            Required but N/A (provide reasoning):",null,null,{"$f":"IF(C51=\"\",\"TRUE\",\"FALSE\")","v":"FALSE"},false,false]
[null,null,null,null,null,null,false]
[null,null,"2.4 Site Specific Safety Plan (SSSP): ","        Required page numbers have been provided "]
[null,null,null,"        Identify page numbers below:"]
[null,null,"Project Overview:",null,null,null,{"$f":"IF(D55=\"\",\"TRUE\",\"FALSE\")","v":"TRUE"}]
[null,null,"·         Scope of work"]
[null,null,"·         Location detail: fixed project site(s)"]
[null,null,"·         List of tasks"]
[null,null,"·         Scope change planning process",null,null,null,{"$f":"IF(D59=\"\",\"TRUE\",\"FALSE\")","v":"TRUE"}]
[null,null,"Incident Notification Process (must align with checklist below): ",null,null,null,{"$f":"IF(D60=\"\",\"TRUE\",\"FALSE\")","v":"TRUE"}]
[null,null,"https://www.epcor.com/content/dam/epcor/documents/supporting-documents/contractor-post-incident-notification-checklist.pdf",null,null,null,{"$f":"IF(D62=\"\",\"TRUE\",\"FALSE\")","v":"TRUE"}]
[null,null,"Reference to:\n·         Orientation Requirements",null,null,null,{"$f":"IF(D63=\"\",\"TRUE\",\"FALSE\")","v":"TRUE"}]
[null,null,"·         EPCOR's Health and Safety Requirements for Contractors",null,null,null,{"$f":"IF(D64=\"\",\"TRUE\",\"FALSE\")","v":"TRUE"}]
[null,null,"·     Fit for Duty / A&D Requirements",null,null,null,"TRUE"]
[null,null,"Worker training and competency requirements. List the job tasks that have a formal competency assessment.",null,null,null,{"$f":"IF(D66=\"\",\"TRUE\",\"FALSE\")","v":"TRUE"}]
[null,null,"HSE Roles and Responsibilities (i.e. Safe Work Planning, Worksite Coordination, etc.)",null,null,null,"TRUE"]
[null,null,"PPE requirements at the worksite",null,null,null,"TRUE"]
[null,null,"       WHMIS/SDS requirements and location",null,null,null,"TRUE"]
[null,null,"Site signage, delineation, coordination and control",null,null,null,"TRUE"]
[null,null,"Reference to Safe Work Procedures, including but not limited to high consequence tasks"]
[null,null,"Schedule for worksite safety meetings and inspections:"]
[null,null,"·         Frequency",null,null,null,{"$f":"IF(D71=\"\",\"TRUE\",\"FALSE\")","v":"TRUE"}]
[null,null,"·         Roles assigned to complete inspections and observations"]
[null,null,"·         Corrective action tracking "]
[null,null,"·         Communication of findings/learnings with work site parties",null,null,null,false]
[null,null,"2.5 Emergency Response Plan (may include in the SSSP): ","        Required page numbers have been provided "]
[null,null,null,"        Identify page numbers below:",null,null,{"$f":"IF(D78=\"\",\"TRUE\",\"FALSE\")","v":"TRUE"}]
[null,null,"Site map with muster point and emergency equipment location(s) - only required for fixed project site(s)",null,null,null,"TRUE"]
[null,null,"Emergency contact list including First Aiders",null,null,null,"TRUE"]
[null,null,"Location of nearest medical treatment facilities, including map and driving route ",null,null,null,"TRUE"]
[null,null,"Injured worker transportation plan ",null,null,null,"TRUE"]
[null,null,"Emergency scenarios and response procedures (e.g. injury, fire, environmental release/impact, biohazards and infectious material, inclement weather, suspicious activities, threats, etc.)",null,null,null,"TRUE"]
[null,null,{"$f":"IF(OR(B13,B14,B22,B25)=TRUE,\"Required Rescue plans\",\"2.6 Rescue plans not required based on selected work scope\")","v":"2.6 Rescue plans not required based on selected work scope"}]
[null,null,"*Required plans do not contain a strikethrough",null,null,null,false,false]
[null,null,"Confined Space Rescue Plan","             Provided                     N/A",null,null,false,false]
[null,null,"Fall Rescue Plan","             Provided                     N/A",null,null,false,false]
[null,null,"Trench Rescue Plan","             Provided                     N/A"]
[null,null,"2.7 Pre-mobilization Meeting: ",null,null,null,false]
[null,null,"Contractors must attend a pre-mobilization (also called pre-construction meeting or project kick-off meeting) prior to the work commencing. The meeting is led by the EPCOR Representative and supported by HSE. The contractor is expected to have in attendance their project lead, HSE representative and the person in-charge at the Work site and representation from all known sub-contractors."," \n            Pre-mobilization meeting:\n\n             Date: \n\n\n"]
[null,null,"2.8 Pre-access A&D Testing and Clearance Letter:",null,null,null,false]
[null,null,"Any safety-sensitive workers (i.e., those performing high consequence work) who will be working on an EPCOR site must have pre-access testing completed. EPCOR may request a clearance letter to verify compliance. EPCOR's A&D Standard for Contractors can be found here: ","             Captured in matrix ",null,null,false]
[null,null,"https://www.epcor.com/ca/en/business/contractor-supplier/contractor-policies.html ","             Provide clearance letters for each worker (when requested)."]
[null,null,"2.9 Contractor HSE Orientation Certificates:",null,null,null,false]
[null,null,"For more information refer to the Contractor Orientation How To guideline: https://www.epcor.com/about/working-with-epcor/contractors-suppliers/Documents/epcor-contractor-orientation-how-to.pdf ","            Captured in matrix ",null,null,false]
[null,null,null,"            Provide certificates for each worker (when requested). "]
[null,null,"2.10 Safety Training:",null,null,null,false]
[null,null,"Contractors must provide confirmation of training certificates for in-scope workers (refer to matrix below):","            Captured in matrix ",null,null,false]
[null,null,null,"            Provide records for each worker (when requested). "]
[null,null,"2.11 Monthly HSE Performance Report: ",null,null,null,false]
[null,null,"Monthly HSE Performance Report requirement applies to companies that provide contracted services to EPCOR. Reports must include hours (including overtime) worked by all workers, including subcontractors. Inputs include incident and near miss counts, number of toolbox talks, safety meetings and any regulatory interactions. The report must be submitted by the 5th business day of the following month. The online reporting portal can be found here. ","Acknowledged compliance to this monthly requirement"]
[null,null,"https://www.epcor.com/content/dam/epcor/documents/supporting-documents/hse-contractor-health.pdf"]

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[]
[null,null,"*Below is a list of additional training required to be added to the training matrix based on scope of work selected"]
[null,null,"* If highlighted green, the training (if applicable) must be added to the training matrix"]
[null,null,"Aerial Work Platform Certification",null,"Hearing Conservation Training and Fit Test",null,"Respiratory Protection Training and Fit Test",null,"Operator Certification"]
[null,null,"Confined Space Entry and Monitoring",null,"Ground Disturbance Level 1 and Level 2 (Supervisor)",null,"Silica Awareness",null,"Hazardous Energy Isolation Training"]
[null,null,"Confined Space Rescue",null,"H2S Awareness",null,"Asbestos Awareness",null,"Shoring Installation Competency"]
[null,null,"Fall Protection Certification",null,"Flagging/Traffic Control",null,"Rigging Competency",null,"Supervisor Training"]
[]
[]
[null,null,"All cells must capture Yes / No / N/A. Where applicable capture date of expiry"]
[null,null,"Worker Name","Employer","A&D Clearance Letter","CSTS","EPCOR orientation","First Aid","WHMIS"]
[null,null,"First & Last","Company Name","(Y/N)","(Y/N)","YYYY-MM-DD","YYYY-MM-DD","(Y/N)"]

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[]
[null,"2.4 Site Specific Safety Plan (SSSP) - Prime Contractor Responsibilities: ","        Required page numbers have been provided "]
[null,null,"        Identify page numbers below:"]
[null,"Provide the system or process that will be used to ensure compliance with applicable OHS legislation as it pertains to Prime Contractor obligations:\n• Site delineation, securement, security and control plan;\n• Shared facilities (i.e., washrooms, lunch areas, meeting areas, trailers, parking, laydown areas, etc.); \n• The process used to track controlled products at the worksite;\n• Name of the Prime Contractor to be posted in a conspicuous place at the work site ",null,null,null,null,null,null,{"$f":"IF(C4=\"\",\"TRUE\",\"FALSE\")","v":"TRUE"}]
[null,"The process used to manage subcontractors during in-progress work. Include the following:\n• Plan to establish/track work site orientations, training records, safety meetings, inspections, incident management, and corrective/preventive actions\n• Site Coordination and supervision",null,null,null,null,null,null,{"$f":"IF(C5=\"\",\"TRUE\",\"FALSE\")","v":"TRUE"}]
[null,"Is there a Joint Health and Safety Committee? If no, provide the designated person to be responsible to ensure cooperation between employer and workers pertaining to health and safety system."]
[null,"Provide the system or process used to ensure information flows across the work site including ensuring all work site parties know about existing or potential site hazards."]
[null,"Provide the system or process used to ensure the owner and any employer, supplier or service provider on the work site is informed of any existing or potential work site hazards."]
[null,"Provide the system or process used to ensure corrective action of the hazards."]
[null,"Provide the system or process used to ensure the ERP is communicated to all workers on the Work Site."]
[null,"Provide the system or process used to ensure competency and training requirements are met as per OHS legislation."]
[null,"Provide the system or process used for work site incident reporting."]
[null,"Provide the system or process used to ensure suitable access for the safe delivery of equipment and material to the areas on the Work Site where they will be used?"]
[null,"Prime Contractor Assignment Form Completed and Signed",null,null,null,null,null,null,{"$f":"IF(C14=\"\",\"TRUE\",\"FALSE\")","v":"TRUE"}]
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