Working alone or in isolation do you have form in place to record not just the check in's but how you are communicating

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Date: June 29, 2015
Working Alone or in Isolation Checklist and Record
"to work alone or in isolation" means to work in circumstances where assistance
would not be readily available to the worker
(a) in case of an emergency, or
(b) in case the worker is injured or in ill health.
The supervisor has:
1. Identified hazards to the worker
2. Eliminated or, if not practical, minimized risks from hazards
3. Identified and trained the person identified as the contact person in responsibilities including emergency
response.
Record:
Contact Person
(name/signature): Frequency of Contacts:
Employee:
(name/signature): Working Location:
Type of Contact: Radio: Maintenance Frequency
Production Frequency
Telephone: Phone number
Date(s): Personal Contact:
Monday Tuesday Wednesday Thursday Friday
Time Check Time Check Time Check Time Check Time Check
08:00 AM 08:00 AM 08:00 AM 08:00 AM 08:00 AM
10:00 AM 10:00 AM 10:00 AM 10:00 AM 10:00 AM
12:00 PM 12:00 PM 12:00 PM 12:00 PM 12:00 PM
2:00 PM 02:00 PM 02:00 PM 02:00 PM 02:00 PM
4:00 PM 04:00 PM 04:00 PM 04:00 PM 04:00 PM
End of shift End of shift End of shift End of shift End of shift