Pre-Contract Hazard Assessment Form

Appendix D of Demolition Package

Village Contract Administrator to Complete This Section:

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Hours of Operation From:(Required)
:
Hours of Operation To:(Required)
:
Multiple Contractors on Site(Required)
Prime Contractor Identified(Required)
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Project Location(Required)
Notice of Project Required (WCB Regulation 20.2)(Required)
Work to be completed has a low level of risk and no pre-existing hazards(Required)

Contractor to Complete This Section:

The Contractor Must:

  • Communicate hazards to anyone who may be affected
  • Understand that in any conflict of directions, the Workers Compensation Act and OH&S Regulations shall prevail
  • Ensure that all workers are trained and competent to perform the duties for which they have been assigned
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Sketch(Required)
Accepted file types: jpg, jpeg, png, gif.
Please note to have a completed demolition package and application, you will also have to submit the Contractor Compliance Application as part of the demolition package application. We also suggest you review page 4-23 of our Demolition-Package to ensure you aren’t missing any steps. Review Appendix A on page 4 to go over the contractor health & safety checklist and program guide. Review page 5 for details on how to submit a Notice of Project form – WorkSafeBC. We also recommend reviewing pages 16-20 of the Demolition-Package for Fire Safety Planning for construction and demolition sites, and pages 21-23 for our Decommissioning Septic Tanks Information guide.
Personal information requested on this form is collected under the authority of Section 26 of the Freedom of Information and Protection of Privacy Act, as amended. The information gathered will be used to deliver or evaluate the program or activity of the Village of Anmore that is associated with this form. Questions about the collection, use, and disclosure of this information should be directed to village.hall@anmore.com