Working Alone Procedure Template Free PDF, no sign-up Download PDF (304 KB)

Working Alone Procedure Template

This procedure sets out how to check on workers who are on their own where help is not readily available, including what happens when a check-in is missed. Alberta (OHS Code, Part 28, ss. 393–394) requires an effective communication system for a worker working alone, and British Columbia (OHSR, ss. 4.20.1–4.23) requires a written procedure for checking worker well-being. Saskatchewan (OHS Regulations, 2020, s. 3-24) and Manitoba (M.R. 217/2006, Part 9) also regulate working alone. Ontario has no general working-alone regulation.

How to use it. Complete Sections 1–6 once for your organisation, then use Section 7 daily. The escalation ladder in Section 4 is the part that saves someone — fill in real names and real timings, not placeholders.
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Working Alone Procedure

Written procedure · Canadian employers
HSE ADVISOR CANADA
hseadvisor.ca
Employer / company:
Site or operation:
Prepared by:
Position:
Effective date:
Review date:
1. When this procedure applies

A worker is working alone when they are on their own at a work location and assistance is not readily available in the event of injury, ill health or emergency. This procedure applies to:

Common examples: after-hours or single-staff shifts, remote or field work, mobile service and delivery, night retail or reception, driving between sites, and work in areas with no cellular coverage.

Requirements differ by province. Confirm the current wording, including any task-specific rules, and record the provisions that apply to this operation:

JurisdictionProvisionSubject
AlbertaOHS Code, Part 28, ss. 393–394Application; an effective communication system for any worker working alone.
British ColumbiaOHSR, ss. 4.20.1–4.23Written procedure for checking worker well-being (4.21), training (4.22), late-night retail (4.22.1), annual review (4.23).
SaskatchewanOHS Regulations, 2020, s. 3-24Working alone or at an isolated place of employment.
ManitobaM.R. 217/2006, Part 9, ss. 9.1–9.3Application, risk identification and safe work procedures.
OntarioOHSA, s. 25(2)(h)No general working-alone regulation; the employer’s general duty to take every precaution reasonable in the circumstances applies. Construction Projects, O. Reg. 213/91, ss. 225 and 246, require another worker above ground when work is done in a trench or in a shaft, tunnel, caisson or cofferdam.
Other jurisdiction
2. Hazard assessment

Complete one row per working-alone situation. The assessment drives the check-in interval — higher risk means shorter intervals.

Task / situationHazards presentConsequence if injured aloneRisk (L/M/H)ControlsCheck-in interval
  • Violence and public interaction assessed, including cash handling and late hours
  • Environmental exposure assessed — cold, heat, water, wildlife
  • Vehicle and travel risk assessed
  • Medical vulnerability considered where the worker has disclosed a relevant condition
  • Communication coverage confirmed for every location, not assumed
  • Tasks prohibited while alone identified and listed
3. Communication method
RequirementWhat good looks likeY / N / N-AEvidence or gap
Primary method selectedCell phone, satellite messenger, two-way radio, or monitored lone-worker device.
Coverage verified on siteTested at the actual work location, not assumed from a coverage map.
Backup method availableA second method for when the primary fails or has no coverage.
Device charged and carriedOn the person, not in the vehicle.
Panic or man-down functionWhere the risk assessment calls for it, and tested.
Worker trained on the systemIncluding what to do if they cannot reach the contact.

Primary method:   Backup:

Known no-coverage areas and the alternative used there:

4. Check-in system and escalation

Designated contact:   Phone:

Backup contact:   Phone:

Standard check-in interval:   Final check-in at end of shift by:

Escalation when a check-in is missed — complete every row with a real name and a real elapsed time:

StepElapsed timeActionWho does it
1Attempt contact on primary method
2Attempt backup method and any known site number
3Contact supervisor and confirm last known location
4Dispatch a person to the location
5Contact emergency services with location and details
A check-in system with no escalation is not a check-in system. If nobody is required to act at a defined time after a missed call, a missed call means nothing. Name the person and the clock.
5. Before the shift starts
  • Worker knows the procedure and has been trained on the device
  • Itinerary or work location recorded with the designated contact
  • Expected finish time agreed
  • Vehicle checked and fuelled where travel is involved
  • First aid kit accessible and appropriate to the location
  • Weather and road conditions reviewed for remote or field work
  • Prohibited tasks confirmed — the worker knows what not to attempt alone
6. Training and review
RequirementWhat good looks likeY / N / N-AEvidence or gap
Workers trained on this procedureWith dated records.
Designated contacts trainedIncluding the escalation ladder and how to reach emergency services with location detail.
System testedEscalation tested periodically as a drill, not first used in a real event.
Procedure reviewedAt least annually and after any incident, near miss, or change in the work.
Worker consultationJHSC or representative involved in the assessment and review.
7. Sign-off
Working Alone Procedure Template · HSE Advisor Canada · Free to use and adapt.
hseadvisor.ca · (647) 620-5278

Daily Working Alone Check-In Log

One sheet per shift · Keep with the designated contact
HSE ADVISOR CANADA
hseadvisor.ca
Date:
Designated contact:
Backup contact:
Shift:
Workers alone this shift
WorkerLocation / itineraryStartIntervalExpected finishContact method
Check-in record
Time dueWorkerTime receivedBy whomLocation updateEscalated? (Y/N)
Escalation events
TimeWorkerStep reachedAction takenOutcome
Working Alone Check-In Log · HSE Advisor Canada · Free to use and adapt.
hseadvisor.ca · (647) 620-5278
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Working Alone Procedure Template · Version 1.1 · Reviewed October 2026 · HSE Advisor Canada. Free to use and adapt. General guidance, not legal advice.

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