Get Appendix B Safety Related Work Refusal Report & Tracking Form ...

Filling out the APPENDIX B Safety Related Work Refusal Report & Tracking Form is a crucial step in ensuring workplace safety. This guide provides clear and detailed instructions on how to complete the form online, empowering users to effectively report safety concerns.

Follow the steps to accurately complete the form online.

1. Click ‘Get Form’ button to access the report and open it in your selected editor.
2. Begin by entering the name of the employee refusing work, their position, and the date and time of the refusal. This information is vital for identifying the individual and the context of the report.
3. In the section asking for the name of the supervisor receiving the report, include their name, followed by the names of any worker and management representatives that were contacted. This ensures proper communication of the refusal.
4. In the DESCRIPTION section, detail the reasons for the work refusal. Be thorough in providing the full details of the circumstances and reasons, as this information is essential for the investigation process.
5. Move to the A.M. and P.M. sections to provide the necessary contact number for the supervisor. This facilitates immediate communication regarding the refusal.
6. In the DETAILS section regarding the supervisor's investigation, include full observations, concerns, and any recommendations for remedying the unsafe conditions.
7. Complete the ALTERNATE WORK section, noting any alternative work provided to the refusing employee, along with results of the situation.
8. In the SAFETY COMMITTEE DECISION section, note the involvement of the Site Safety Committee and detail any findings or recommendations made during their investigation.
9. When detailing any interaction with a Workplace Safety & Health Officer, include their name as well as the investigation results and any remedial action taken. This ensures proper records are kept for follow-up actions.
10. Finally, provide spaces for signatures and dates for both the manager and the employee. This finalizes the document and confirms that all necessary parties are aware of and agree to the information presented.
11. Once all sections are completed, save changes, download the report for records, print it for physical submission, or share it via email if necessary.

Take the next step towards workplace safety by completing your APPENDIX B report online today.