Job Application Test (Signing Flow QA)

Onboarding Package

First Name

Last Name

Address

City

Province

Postal Code

Phone

Email

Date Available

Social Insurance Number

Date of Birth

Shift

Salary Expectation

Position Applied For

Are you authorized to work in Canada?

Yes No

Do you have a vehicle?

Yes No

Have you ever been convicted of a criminal offence for which a pardon has not been granted?

Yes No

If yes, please explain

Do you have a resume?

Yes No

Upload Your Resume

PDF, JPG, or PNG only (max 10 MB) so it can be included in your emailed application summary.

SKILLS & EXPERIENCE

DISCLAIMER AND SIGNATURE

Disclaimer: I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I agree to the above disclaimer

Yes, I agree and certify that all information is accurate.

Signature

Draw Signature * (optional — draw OR type above)

Sign with mouse or finger

Date

WHMIS Quiz — Part 1

This is an open book quiz. There is only one answer for each question.

Name

Date

1. WHMIS was created to:

Satisfy the Right-to-know requirements for Canadian Workers Communicate hazards that exist while working with hazardous chemicals Ensure workers received sufficient training about hazardous materials in their workplace Establish a standard of communication between suppliers, workplaces and employees regarding the use of potentially dangerous chemicals All of the Above

2. Chemicals have the ability to be:

Solids Liquids Gases All of the above

3. Acute Health effects typically occur slowly over time after repeated exposure.

True False

4. Which is UNLIKELY to occur due to improper handling of hazardous material:

Cancer Increased cognitive function Sterility Liver damage

5. WHMIS 2015 is an information system for suppliers of chemicals only.

True False

6. WHMIS is made up of three primary elements commonly referred to as "The Three Parts". Select the element which is not included.

Label Safety Data Sheets Annual Physicals Education

7. Suppliers are responsible for ensuring that workers receive training in the safe use and handling of hazardous materials.

True False

8. Under WHMIS legislation, Workers have the right to:

Refuse dangerous work Get salary increases for working with chemicals Work with chemicals without having to use the correct Personal Protective Equipment All of the above

WHMIS Quiz — Part 2

9. Eating while handling hazardous chemicals would not typically cause any problems as ingestion is not a common Route of Entry.

True False

10. Compressed gases have the ability to:

Explode Become dangerous projectiles Leak dangerous gases which could be harmful if inhaled All of the above

11. The only dangers associated with flammable materials are severe burns.

True False

12. If an MSDS indicates that chemical resistant gloves are required during handling of the hazardous material, it is OK to substitute with regular leather palmed gloves for a short time until the correct gloves can be obtained.

True False

13. Where would you find the most amount of information about a product:

Label Pictogram WHMIS 1988 Symbol Safety Data Sheet (SDS)

14. The best thing to do before using a chemical is:

Put on chemical resistant gloves Put on a face shield Review the product's SDS

15. If pouring into a smaller container that remains in your possession, a workplace label is not required.

True False

16. What does the flame pictogram indicate?

The product is flammable. The product is a health hazard. The product is an oxidizer. The product is an environmental hazard.

WHMIS Quiz — Part 3

17. If you're working with a product and you happen to get some on your skin, what section of an SDS will tell you what to do?

Section 4 Section 9 Section 12 Section 16

18. What section of an SDS will tell you what type of PPE that you're required to use while working with the product?

Section 2 Section 4 Section 8 Section 7

19. This pictogram means:

The product can explode. The product is a compressed gas. The product is toxic.

20. If you accidentally spill a chemical, which section of an SDS will tell you how to clean it up?

Section 1 Section 2 Section 4 Section 6

21. After reviewing an SDS, if you still don't know how to handle a product properly, you should:

Do your best with the information you have Ask your supervisor Google it Ask someone on social media

22. Canada aligned WHMIS with GHS in February 2015. There's a possiblity that you could see elements from the old system and the new system in your workplace?

True False

23. It's your responsibility to use your knowledge of WHMIS to learn about hazards associated with products that your're using or working around and take steps to work as safe as possible.

True False

24. It's very likely that more training will be required after this that is specific to your workplace such as how to handle specific products, what to do in case of an emergency and what PPE your're required to use when working with certain products.

True False

25. You have the right to refuse work if you legitimately believe you are in danger.

True False

Name

Date

Health and Safety Quiz — Part 1

1. The number of people in Ontario who suffer a work-related illness or injury each year would fill the seats of a dozen big hockey arenas.

Yes No

2. New workers are less likely to get hurt on the job than people who have been on the job longer.

Yes No

3. The Occupational Health and Safety Act and Regulations tell everyone from the employer to the newest worker how to make the workplace safer.

Yes No

4. The OHSA puts the greatest responsibility on the employer to make sure no one gets hurt or sick on the job.

Yes No

5. It is against the law for my employer to fire or punish me for doing what the OHSA says.

Yes No

Health and Safety Quiz — Part 2

1. The OHSA says that you have the right to know about hazards in your workplace.

Yes No

2. If a hazard can make you sick, you will always start to feel sick right away.

Yes No

3. To keep from getting hurt on the job, you need to find out about the hazards while your're working.

Yes No

4. If you have any doubts about the safety of the work, you should keep those doubts to yourself.

Yes No

5. If you see a hazard, you should report it to your supervisor or employer right away.

Yes No

Health and Safety Quiz — Part 3

1. It's important that you know the safe way to do your job. You should share what you know. If you see a hazard, you must report it to your supervisor or employer.

Yes No

2. You should get involved in health and safety by asking questions, and you should put what you learn from training into practice on the job.

Yes No

3. If you can't find any health and safety information posted in your workplace, you should just go back to work and not worry about it.

Yes No

4. Your health and safety representative or joint health and safety committee can help you with any concerns that you might have about working safely.

Yes No

5. It is OK to take safety shortcuts to get the work done faster and on time.

Yes No

Health and Safety Quiz — Part 4

1. If you report a dangerous situation to your supervisor and your health and safety representative and they can't find a way to fix it, you can call the Ministry of Labor's toll-free number for help.

Yes No

2. If you have reason to believe the equipment you are using might hurt you or someone you work with, you have the legal right to refuse the work.

Yes No

3. Some workers, such as nurses, firefighters and police officers, have a limited right to refuse work.

Yes No

4. It's against the law for your employer or your supervisor to fire or punish you for doing what the OHSA experts you to do, or for asking them to do what the OHSA expects them to do.

Yes No

COVID-19 SCREENING

Have you been in contact with someone who tested positive for COVID-19 or has symptoms?

Yes No

Do you have symptoms of COVID-19?

Yes No

Have you travelled abroad in the past 30 days?

Yes No

If yes, what was the result?

Positive Negative