Safety Program Reality Check — Self-Assessment — free, no sign-up Download PDF

Safety Program Reality Check — Self-Assessment

Most safety programs fail an audit not because the documents are missing but because the documents stopped describing the work years ago. This self-assessment measures that gap directly: twenty questions about what is written, answered against what actually happens.

How to use it. Answer honestly and answer alone first — then have a supervisor and a front-line worker answer the same questions separately. Where the three of you disagree is the finding, and it is usually more useful than the score.
To print: Click "Print" below → select Portrait orientation → enable Background graphics in print settings → Print.
To fill in: Print and complete by hand, or use your browser's "Save as PDF" and fill the fields in any PDF editor.
Want an outside read on your program?
HSE Advisor Canada is CRSP Certified, COR & ISO 45001 Lead Auditors. We will review what you have written, confirm it lines up with the requirements in your province, and help you close the gaps. The first conversation is free.

Want our most-requested checklists by email?

This resource is free to read, print and use right here — no sign-up. We can also email you our most-requested free checklists and templates. The full library is always at Free HSE Resources.

We send occasional Canadian OHS updates. Unsubscribe any time.

Safety Program Reality Check

Twenty questions · Answer honestly
HSE ADVISOR CANADA
hseadvisor.ca
Employer / company:
Answered by:
Position:
Date:
Scoring

Score each question: 0 no · 1 partly, or only sometimes · 2 yes, and I could prove it today. Maximum 40.

The questions
#QuestionScoreNote
1Could you produce your written safety program right now, in under five minutes, in its current version?
2Has anyone other than the person who wrote it read it in the past twelve months?
3Do the procedures describe how the work is actually done, rather than how it was done when they were written?
4Can a front-line worker find the procedure for their task without asking a manager?
5If you asked three workers how a high-risk task is done, would you get the same answer?
6Are there known workarounds that everyone uses and no procedure mentions?
7Are your hazard assessments specific to your site, rather than a template with your name inserted?
8Has a hazard assessment been updated because the work changed, in the past year?
9Do your inspection findings get assigned to a named person with a date?
10Do those findings actually close, and does someone verify they closed?
11Are near misses reported by workers without a manager having to chase them?
12When something is reported, does the person who reported it hear what happened next?
13Do investigations reach a system cause, rather than stopping at “worker did not follow procedure”?
14Could you produce any individual worker’s training record within five minutes?
15Do you know which certifications expire in the next ninety days without going to look?
16Has a worker stopped a job on safety grounds in the past year, and was that person supported afterwards?
17Do supervisors have time in their day to do the safety duties their job description lists?
18Does your joint committee change anything, or does it record that nothing changed?
19Do contractors on your site work under your safety expectations in practice, not just in the contract?
20Did last year’s management review change a single thing about how work is done?
Total (out of 40)
Reading it
TotalWhat you haveWhat it means
0 – 13A binderThe program exists as a document and not much else. An inspector will find the gap in the first hour.
14 – 25A program with driftReal in places. The written and the actual have diverged and nobody has reconciled them.
26 – 34A working programIt runs. The remaining gaps are usually verification and closing the loop with workers.
35 – 40A managed programDocumented, practised and improving. Ready for external audit.
Questions 6, 12 and 16 carry more signal than the total. Undocumented workarounds, reports that vanish, and an untested stop-work authority predict serious incidents better than any score. A high total with a zero on any of those three is not a good result.
Where the three answer sheets disagree

Have a supervisor and a front-line worker complete the same twenty questions independently. Record the questions where your answers differ most.

Q#Manager scoreSupervisor scoreWorker scoreWhat the gap tells us
Safety Program Reality Check · HSE Advisor Canada · Free to use and adapt.
hseadvisor.ca · (647) 620-5278

This resource is general guidance, not legal advice. Confirm every requirement against the current regulation in your jurisdiction before relying on it.