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Vancouver Island West School District 84REFUSAL OF UNSAFE WORK: INVESTIGATION REPORT To be filled out by Supervisor or Superintendent/SecretaryTreasurer (or designate) and Employee or Worker Representative.NOTE:
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How to fill out refusal of unsafe work

How to fill out refusal of unsafe work
01
Identify and assess the unsafe working condition.
02
Notify your supervisor or employer about the unsafe condition.
03
Obtain a refusal of unsafe work form from your employer or workplace health and safety representative.
04
Fill out the form by providing details of the unsafe condition, including the location and nature of the hazard.
05
Sign the form to confirm your refusal to work under unsafe conditions.
06
Submit the completed form to your employer or designated representative.
07
Wait for a response from your employer regarding the investigation and resolution of the unsafe condition.
Who needs refusal of unsafe work?
01
Employees who encounter unsafe work conditions that pose a threat to their health or safety.
02
Workers in industries where dangerous situations or hazards are present.
03
Labor unions representing workers in hazardous occupations.
04
Employers who need to maintain safe work environments and comply with health and safety regulations.
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What is refusal of unsafe work?
Refusal of unsafe work is a process that allows employees to decline to perform work that they believe poses an imminent danger to their health and safety.
Who is required to file refusal of unsafe work?
Any employee who feels that their work conditions are unsafe or pose a risk to their health and safety is required to file a refusal of unsafe work.
How to fill out refusal of unsafe work?
To fill out a refusal of unsafe work, an employee typically needs to complete a form that details the unsafe conditions, describe the nature of the work being refused, and submit it to a supervisor or health and safety representative.
What is the purpose of refusal of unsafe work?
The purpose of refusal of unsafe work is to protect employees from hazardous situations and to ensure that employers address safety concerns in the workplace.
What information must be reported on refusal of unsafe work?
Information that must be reported includes the nature of the unsafe work, the specific risks involved, any previous reports made concerning the issue, and the employee's details.
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