OSHA

Job Preparedness Template

Company Information

Company Name:

Address:

Phone Number:

Contacts:(name) (phone number)

Emergency Preparedness Information

First Aid

Nearest Nurse/Clinic:

Address:

Phone Number:

(provide directions from site to nurse/clinic)

Medical Treatment

Nearest Medical Facility:

Address:

Phone Number:

(provide directions from site to medical facility)

Severe Injury Evacuation

Nearest Airport:

Address:

Phone Number:

(provide directions from site to airport)

Canadian Embassy

Contact:

Address:

Phone Number:

Legal and Other Requirements

Currently ___________ is ISO14001 (Environmental) and OHSAS18001 (Health and Safety) Certified. ___________ strives to ensure that its operations run safely and efficiently, with no impacts to the environment. To ensure an efficient operation, ___________ will operate to North American Environmental, Health, & Safety standards when operating in foreign countries. ___________ understands that Health, Safety, and Environmental laws may change from country to country; as a result, please help identify any country specific requirements or known requirements that are more stringent than North American standards. ___________ also strives to fully understand any specific requirements that 'you', the Client may have.

List any country specific Health and Safety requirements that are more stringent than North American Standards (if any):________________________________________________________________________________________________________________

List any country specific Environmental requirements that are more stringent than North American Standards in regards to the following (if any):

Equipment Noise-

Equipment Emissions-

Land Disturbance-

Recyclable Materials-

Spills and Leaks-

Drilling Fluid Return (from hole)-

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