{"id":73,"date":"2022-02-03T11:28:26","date_gmt":"2022-02-03T16:28:26","guid":{"rendered":"https:\/\/groupesutera.com\/questionnaires\/?page_id=73"},"modified":"2022-02-03T11:30:03","modified_gmt":"2022-02-03T16:30:03","slug":"pause-securite","status":"publish","type":"page","link":"https:\/\/groupesutera.com\/questionnaires\/pause-securite\/","title":{"rendered":"Pause-S\u00e9curit\u00e9"},"content":{"rendered":"<h2 style=\"text-transform: none; text-align: center;\"><span style=\"color: #1a74ce;\">Pause-S\u00e9curit\u00e9<\/span><\/h2>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_5' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/questionnaires\/wp-json\/wp\/v2\/pages\/73' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_5_71\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_71\" ><label class='gfield_label gform-field-label' >Nom du chantier<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_71'>\n\t\t\t<li class='gchoice gchoice_5_71_0'>\n\t\t\t\t<input name='input_71' type='radio' value='2104 SHDM 330 Christin'  id='choice_5_71_0'    \/>\n\t\t\t\t<label for='choice_5_71_0' id='label_5_71_0' class='gform-field-label gform-field-label--type-inline'>2104 SHDM 330 Christin<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_71_1'>\n\t\t\t\t<input name='input_71' type='radio' value='2105 H\u00f4pital Charles Lemoyne (cardiologie)'  id='choice_5_71_1'    \/>\n\t\t\t\t<label for='choice_5_71_1' id='label_5_71_1' class='gform-field-label gform-field-label--type-inline'>2105 H\u00f4pital Charles Lemoyne (cardiologie)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_71_2'>\n\t\t\t\t<input name='input_71' type='radio' value='2106 Caserne 26'  id='choice_5_71_2'    \/>\n\t\t\t\t<label for='choice_5_71_2' id='label_5_71_2' class='gform-field-label gform-field-label--type-inline'>2106 Caserne 26<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_71_3'>\n\t\t\t\t<input name='input_71' type='radio' value='2201 Serres Raymond'  id='choice_5_71_3'    \/>\n\t\t\t\t<label for='choice_5_71_3' id='label_5_71_3' class='gform-field-label gform-field-label--type-inline'>2201 Serres Raymond<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_71_4'>\n\t\t\t\t<input name='input_71' type='radio' value='2205 Cosmod\u00f4me'  id='choice_5_71_4'    \/>\n\t\t\t\t<label for='choice_5_71_4' id='label_5_71_4' class='gform-field-label gform-field-label--type-inline'>2204 Cosmod\u00f4me<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_71_5'>\n\t\t\t\t<input name='input_71' type='radio' value='2208habitationsstsandre@formulairessutera.com'  id='choice_5_71_5'    \/>\n\t\t\t\t<label for='choice_5_71_5' id='label_5_71_5' class='gform-field-label gform-field-label--type-inline'>2208 Habitations Saint-Andr\u00e9 (OMHM)<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_155\" class=\"gfield gfield--type-text gfield--width-full gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_155\" ><label class='gfield_label gform-field-label' for='input_5_155'>Nom de l&#039;entreprise<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_155' id='input_5_155' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_11\" class=\"gfield gfield--type-text gfield--width-full gf_right_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_11\" ><label class='gfield_label gform-field-label' for='input_5_11'>Nom du responsable d&#039;\u00e9quipe<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_11' id='input_5_11' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_152\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_152\" ><br><div style=\"background-color:#1a74ce;color:#ffffff;padding:10px;font-size:16px;\"><strong>S'assurer de discuter des 4 sujets suivants:<\/strong> <br>(Cocher au moins un sujet)\n<\/div><\/li><li id=\"field_5_227\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_227\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Sujets discussion<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_227'><li class='gchoice gchoice_5_227_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_227.1' type='checkbox'  value='D\u00e9claration COVID obligatoire \u00e0 remplir tous les jours (Voir Code QR Chantier)'  id='choice_5_227_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_227_1' id='label_5_227_1' class='gform-field-label gform-field-label--type-inline'>D\u00e9claration COVID obligatoire \u00e0 remplir tous les jours (Voir Code QR Chantier)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_227_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_227.2' type='checkbox'  value='SIMDUT 2015 avoir les fiches de donn\u00e9es de s\u00e9curit\u00e9'  id='choice_5_227_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_227_2' id='label_5_227_2' class='gform-field-label gform-field-label--type-inline'>SIMDUT 2015 avoir les fiches de donn\u00e9es de s\u00e9curit\u00e9<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_227_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_227.3' type='checkbox'  value='Secouriste\/Premier soins - RNMPS art. 7 et 8'  id='choice_5_227_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_227_3' id='label_5_227_3' class='gform-field-label gform-field-label--type-inline'>Secouriste\/Premier soins - RNMPS art. 7 et 8<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_227_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_227.4' type='checkbox'  value='Votre \u00e9quipe soit au courant des proc\u00e9dures d&#039;urgence et de secourisme sur le chantier'  id='choice_5_227_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_227_4' id='label_5_227_4' class='gform-field-label gform-field-label--type-inline'>Votre \u00e9quipe soit au courant des proc\u00e9dures d'urgence et de secourisme sur le chantier<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_171\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_171\" ><br><div style=\"background-color:#1a74ce;color:#ffffff;padding:10px;font-size:16px;\"><strong>S'assurer que tous les dangers reli\u00e9s \u00e0 la t\u00e2che effectu\u00e9e soient identifi\u00e9s et en discut\u00e9 avec les travailleurs de votre \u00e9quipe<\/strong><br> (Cocher au moins un sujet)\n<\/div><\/li><li id=\"field_5_228\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_228\" ><span style=\"color:#ff0000;font-size:16px;line-height:16px;\"><strong>La tol\u00e9rance z\u00e9ro consiste en l'\u00e9tablissement d'une cons\u00e9quence (ou d'une gamme de cons\u00e9quences) pr\u00e9cise pour une infraction. Une politique de tol\u00e9rance z\u00e9ro pour le non-respect des exigences et proc\u00e9dures SSE sera applicable \u00e0 toutes parties prenantes au projet et vise les \u00e9l\u00e9ments suivants :<\/strong><\/span><\/li><li id=\"field_5_229\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_229\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Sujet Tolerence Zero<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_229'><li class='gchoice gchoice_5_229_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_229.1' type='checkbox'  value='Protection contre les chutes; Travaux en hauteur harnais obligatoire CSTC art. 2.9.1.4'  id='choice_5_229_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_229_1' id='label_5_229_1' class='gform-field-label gform-field-label--type-inline'>Protection contre les chutes; Travaux en hauteur harnais obligatoire CSTC art. 2.9.1.4<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_229_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_229.2' type='checkbox'  value='Excavation;  CSTC art. 3.15'  id='choice_5_229_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_229_2' id='label_5_229_2' class='gform-field-label gform-field-label--type-inline'>Excavation;  CSTC art. 3.15<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_229_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_229.3' type='checkbox'  value='Op\u00e9ration d\u2019\u00e9quipement sans d\u00e9tenir la certification ou la formation appropri\u00e9e;  LSST art. 62.5'  id='choice_5_229_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_229_3' id='label_5_229_3' class='gform-field-label gform-field-label--type-inline'>Op\u00e9ration d\u2019\u00e9quipement sans d\u00e9tenir la certification ou la formation appropri\u00e9e;  LSST art. 62.5<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_229_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_229.4' type='checkbox'  value='Entr\u00e9e en espace clos; CSTC art. 3.21'  id='choice_5_229_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_229_4' id='label_5_229_4' class='gform-field-label gform-field-label--type-inline'>Entr\u00e9e en espace clos; CSTC art. 3.21<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_229_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_229.5' type='checkbox'  value='Cadenassage et \u00e9tiquetage (\u00e9nergie 0); CSTC art. 2.20.1'  id='choice_5_229_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_229_5' id='label_5_229_5' class='gform-field-label gform-field-label--type-inline'>Cadenassage et \u00e9tiquetage (\u00e9nergie 0); CSTC art. 2.20.1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_229_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_229.6' type='checkbox'  value='Syst\u00e8me de permis de travail s\u00e9curitaire;'  id='choice_5_229_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_229_6' id='label_5_229_6' class='gform-field-label gform-field-label--type-inline'>Syst\u00e8me de permis de travail s\u00e9curitaire;<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_229_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_229.7' type='checkbox'  value='Destruction, dommage, d\u00e9sactivation des dispositifs de s\u00e9curit\u00e9, signalisation ou avertisseurs;'  id='choice_5_229_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_229_7' id='label_5_229_7' class='gform-field-label gform-field-label--type-inline'>Destruction, dommage, d\u00e9sactivation des dispositifs de s\u00e9curit\u00e9, signalisation ou avertisseurs;<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_229_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_229.8' type='checkbox'  value='Utilisation non autoris\u00e9e ou modification d\u2019un \u00e9chafaudage ou plateforme de travail; CSTC art. 2.13.3art. 3.9'  id='choice_5_229_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_229_8' id='label_5_229_8' class='gform-field-label gform-field-label--type-inline'>Utilisation non autoris\u00e9e ou modification d\u2019un \u00e9chafaudage ou plateforme de travail; CSTC art. 2.13.3art. 3.9<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_229_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_229.9' type='checkbox'  value='N\u00e9gligence flagrante de danger imminent ou non-respect d\u2019une zone d\u00e9limit\u00e9e par un ruban rouge CSTC art. 3.15.5'  id='choice_5_229_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_229_9' id='label_5_229_9' class='gform-field-label gform-field-label--type-inline'>N\u00e9gligence flagrante de danger imminent ou non-respect d\u2019une zone d\u00e9limit\u00e9e par un ruban rouge CSTC art. 3.15.5<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_229_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_229.11' type='checkbox'  value='Non-respect de la politique sur le tabagisme du projet;'  id='choice_5_229_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_229_11' id='label_5_229_11' class='gform-field-label gform-field-label--type-inline'>Non-respect de la politique sur le tabagisme du projet;<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_229_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_229.12' type='checkbox'  value='Autre comportement \u00e0 risque jug\u00e9 comme une exposition \u00e0 un danger imm\u00e9diat pour l\u2019individu ou toute autre personne pouvant \u00eatre impact\u00e9 par le geste.'  id='choice_5_229_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_229_12' id='label_5_229_12' class='gform-field-label gform-field-label--type-inline'>Autre comportement \u00e0 risque jug\u00e9 comme une exposition \u00e0 un danger imm\u00e9diat pour l\u2019individu ou toute autre personne pouvant \u00eatre impact\u00e9 par le geste.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_232\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_232\" ><br><div style=\"background-color:#1a74ce;color:#ffffff;padding:10px;font-size:16px;\"><strong>EXPULSION AUTOMATIQUE<\/strong>\n<\/div>\n<\/li><li id=\"field_5_235\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_235\" ><span style=\"color:#ff0000;font-size:16px;\"><strong>Les incidents suivants entra\u00eeneront automatiquement une expulsion d\u00e9finitive du chantier et le dossier pourra \u00eatre transmis aux autorit\u00e9s polici\u00e8res par le Ma\u00eetre d\u2019\u0153uvre si l\u2019infraction est en relation avec les dispositions du Code criminel canadien :<\/strong><\/span>\n<\/li><li id=\"field_5_231\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_231\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Sujet expulsion automatique<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_231'><li class='gchoice gchoice_5_231_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_231.1' type='checkbox'  value='voler, vandaliser ou endommager le mat\u00e9riel (tol\u00e9rancez\u00e9ro)'  id='choice_5_231_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_231_1' id='label_5_231_1' class='gform-field-label gform-field-label--type-inline'>voler, vandaliser ou endommager le mat\u00e9riel (tol\u00e9rancez\u00e9ro)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_231_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_231.2' type='checkbox'  value='utiliser un v\u00e9hicule sans permis de conduire valide'  id='choice_5_231_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_231_2' id='label_5_231_2' class='gform-field-label gform-field-label--type-inline'>utiliser un v\u00e9hicule sans permis de conduire valide<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_231_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_231.3' type='checkbox'  value='poss\u00e9der une arme \u00e0 feu ou une arme blanche interdite;'  id='choice_5_231_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_231_3' id='label_5_231_3' class='gform-field-label gform-field-label--type-inline'>poss\u00e9der une arme \u00e0 feu ou une arme blanche interdite;<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_231_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_231.4' type='checkbox'  value='Politique de harc\u00e8lement: Il est interdit de se bousculer, de se battre, commettre des actes ind\u00e9cents, voies de fait, harc\u00e8lement, intimidation, agression physique, verbale ou sexuelle (tol\u00e9rance z\u00e9ro) ;'  id='choice_5_231_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_231_4' id='label_5_231_4' class='gform-field-label gform-field-label--type-inline'>Politique de harc\u00e8lement: Il est interdit de se bousculer, de se battre, commettre des actes ind\u00e9cents, voies de fait, harc\u00e8lement, intimidation, agression physique, verbale ou sexuelle (tol\u00e9rance z\u00e9ro) ;<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_231_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_231.5' type='checkbox'  value='consommer de l\u2019alcool ou des stup\u00e9fiants sur le chantier ainsi que son stationnement;'  id='choice_5_231_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_231_5' id='label_5_231_5' class='gform-field-label gform-field-label--type-inline'>consommer de l\u2019alcool ou des stup\u00e9fiants sur le chantier ainsi que son stationnement;<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_231_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_231.6' type='checkbox'  value='\u00eatre en possession ou sous l\u2019influence d\u2019alcool ou de drogues;'  id='choice_5_231_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_231_6' id='label_5_231_6' class='gform-field-label gform-field-label--type-inline'>\u00eatre en possession ou sous l\u2019influence d\u2019alcool ou de drogues;<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_180\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_180\" ><br><\/li><li id=\"field_5_233\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_233\" ><div style=\"background-color:#1a74ce;color:#ffffff;padding:10px;font-size:16px;\"><strong> PROGRAMME CADRE DE PREVENTION DU MAITRE D\u2019\u0152UVRE, SUJETS SUGG\u00c9R\u00c9S<\/strong><br>(Cocher au moins un sujet)\n<\/div><\/li><li id=\"field_5_234\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_234\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Sujets autres<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_234'><li class='gchoice gchoice_5_234_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.1' type='checkbox'  value='Port des EPI (\u00c9quipement de protection individuelle) - CSTC art. 2.10.et art. 2.10.2 -RSST art.2.11.5'  id='choice_5_234_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_1' id='label_5_234_1' class='gform-field-label gform-field-label--type-inline'>Port des EPI (\u00c9quipement de protection individuelle) - CSTC art. 2.10.et art. 2.10.2 -RSST art.2.11.5<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.2' type='checkbox'  value='\u00c9tat des \u00e9quipements'  id='choice_5_234_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_2' id='label_5_234_2' class='gform-field-label gform-field-label--type-inline'>\u00c9tat des \u00e9quipements<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.3' type='checkbox'  value='Protecteur auditifs. CSTC art. 2.10.7.6'  id='choice_5_234_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_3' id='label_5_234_3' class='gform-field-label gform-field-label--type-inline'>Protecteur auditifs. CSTC art. 2.10.7.6<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.4' type='checkbox'  value='Travaux pr\u00e8s d&#039;une ligne \u00e9lectrique - CSTC ART. 5.1'  id='choice_5_234_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_4' id='label_5_234_4' class='gform-field-label gform-field-label--type-inline'>Travaux pr\u00e8s d'une ligne \u00e9lectrique - CSTC ART. 5.1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.5' type='checkbox'  value='\u00c9clairage - Am\u00e9nagement des lieux - CSTC art. 3.2.4 f)'  id='choice_5_234_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_5' id='label_5_234_5' class='gform-field-label gform-field-label--type-inline'>\u00c9clairage - Am\u00e9nagement des lieux - CSTC art. 3.2.4 f)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.6' type='checkbox'  value='\u00c9chelles\/ escabeaux grade 1-  3 points d&#039;appuis - CSTC art. 3.5.'  id='choice_5_234_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_6' id='label_5_234_6' class='gform-field-label gform-field-label--type-inline'>\u00c9chelles\/ escabeaux grade 1-  3 points d'appuis - CSTC art. 3.5.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.7' type='checkbox'  value='Rallonge \u00e9lectrique doit \u00eatre suspendue libre de passage - CCSTC art. 2.11.3-art. 2.11.4-art.2.11.5 art.2.11.6'  id='choice_5_234_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_7' id='label_5_234_7' class='gform-field-label gform-field-label--type-inline'>Rallonge \u00e9lectrique doit \u00eatre suspendue libre de passage - CCSTC art. 2.11.3-art. 2.11.4-art.2.11.5 art.2.11.6<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.8' type='checkbox'  value='Tenue des lieux, se ramasser au fur et \u00e0 mesure - CSTC art. 3.2.'  id='choice_5_234_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_8' id='label_5_234_8' class='gform-field-label gform-field-label--type-inline'>Tenue des lieux, se ramasser au fur et \u00e0 mesure - CSTC art. 3.2.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.9' type='checkbox'  value='Rebuts CSTC art, 3.2.2 et clous et autres pi\u00e8ces en saillie - CSTC art. 3.2.3. art.3.24.6'  id='choice_5_234_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_9' id='label_5_234_9' class='gform-field-label gform-field-label--type-inline'>Rebuts CSTC art, 3.2.2 et clous et autres pi\u00e8ces en saillie - CSTC art. 3.2.3. art.3.24.6<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.11' type='checkbox'  value='Bouteille de gaz propane qui n&#039;est pas raccord\u00e9e doit \u00eatre entrepos\u00e9s \u00e0 l&#039;ext\u00e9rieur - CSTC art. 3.13.10'  id='choice_5_234_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_11' id='label_5_234_11' class='gform-field-label gform-field-label--type-inline'>Bouteille de gaz propane qui n'est pas raccord\u00e9e doit \u00eatre entrepos\u00e9s \u00e0 l'ext\u00e9rieur - CSTC art. 3.13.10<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.12' type='checkbox'  value='Bouteille de gaz sous pression - CSTC art. 3.13.8'  id='choice_5_234_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_12' id='label_5_234_12' class='gform-field-label gform-field-label--type-inline'>Bouteille de gaz sous pression - CSTC art. 3.13.8<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.13' type='checkbox'  value='Bouteilles (Attacher bouteilles azote, oxy,etc.)'  id='choice_5_234_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_13' id='label_5_234_13' class='gform-field-label gform-field-label--type-inline'>Bouteilles (Attacher bouteilles azote, oxy,etc.)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.14' type='checkbox'  value='Soudure permis \u00e0 chaud et extincteur de la cie et non pas ceux du chantier. EPI soudure.'  id='choice_5_234_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_14' id='label_5_234_14' class='gform-field-label gform-field-label--type-inline'>Soudure permis \u00e0 chaud et extincteur de la cie et non pas ceux du chantier. EPI soudure.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.15' type='checkbox'  value='Levage s\u00e9curitaire - CSTC art. 2.15'  id='choice_5_234_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_15' id='label_5_234_15' class='gform-field-label gform-field-label--type-inline'>Levage s\u00e9curitaire - CSTC art. 2.15<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.16' type='checkbox'  value='Poussi\u00e8re d&#039;amiante - CSTC art. 3.23 EPI et barbe ras\u00e9e'  id='choice_5_234_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_16' id='label_5_234_16' class='gform-field-label gform-field-label--type-inline'>Poussi\u00e8re d'amiante - CSTC art. 3.23 EPI et barbe ras\u00e9e<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.17' type='checkbox'  value='Poussi\u00e8re de silice Masque \u00e0 cartouche P100 CSTC art. 2.10.8-9 art.2.11.3 - RSST art.17 et 42 EPI et barbe ras\u00e9e'  id='choice_5_234_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_17' id='label_5_234_17' class='gform-field-label gform-field-label--type-inline'>Poussi\u00e8re de silice Masque \u00e0 cartouche P100 CSTC art. 2.10.8-9 art.2.11.3 - RSST art.17 et 42 EPI et barbe ras\u00e9e<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.18' type='checkbox'  value='Chaleur extr\u00eame (coup de chaleur) \/ Froid exr\u00eame, glace, neige,etc.'  id='choice_5_234_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_18' id='label_5_234_18' class='gform-field-label gform-field-label--type-inline'>Chaleur extr\u00eame (coup de chaleur) \/ Froid exr\u00eame, glace, neige,etc.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.19' type='checkbox'  value='Garde Corps \/ ne rien mettre dessus et doit \u00eatre fait selon le r\u00e8glement - CSTC art. 2.9.1.2'  id='choice_5_234_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_19' id='label_5_234_19' class='gform-field-label gform-field-label--type-inline'>Garde Corps \/ ne rien mettre dessus et doit \u00eatre fait selon le r\u00e8glement - CSTC art. 2.9.1.2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.21' type='checkbox'  value='Inspection journali\u00e8re, Nacelle, plateforme, Skyjack (formulaire \u00e0 remplir \u00e0 chaque utilisation)'  id='choice_5_234_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_21' id='label_5_234_21' class='gform-field-label gform-field-label--type-inline'>Inspection journali\u00e8re, Nacelle, plateforme, Skyjack (formulaire \u00e0 remplir \u00e0 chaque utilisation)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_234_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_234.22' type='checkbox'  value='Remarques particuli\u00e8res et autres sujets discut\u00e9s'  id='choice_5_234_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_234_22' id='label_5_234_22' class='gform-field-label gform-field-label--type-inline'>Remarques particuli\u00e8res et autres sujets discut\u00e9s<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_184\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_184\" ><br><div style=\"background-color:#1a74ce;color:#ffffff;padding:10px;font-size:16px;\"><strong>Sp\u00e9cifier remarques particuli\u00e8res et autres sujets discut\u00e9s<\/strong>\n<\/div><\/li><li id=\"field_5_185\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_185\" ><label class='gfield_label gform-field-label' for='input_5_185'>Remarques particuli\u00e8res<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_185' id='input_5_185' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_186\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_186\" ><br><div style=\"background-color:#1a74ce;color:#ffffff;padding:10px;font-size:16px;\"><strong>Noms des participants<\/strong>\n<\/div><\/li><li id=\"field_5_187\" class=\"gfield gfield--type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_187\" ><label class='gfield_label gform-field-label' for='input_5_187'>Noms des participants<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_187' id='input_5_187' class='textarea large'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_70\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_70\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Lu et accept\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_consent'><input name='input_70.1' id='input_5_70_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_5_70_1' >Je d\u00e9clare avoir discut\u00e9 des sujets coch\u00e9s avec les travailleurs dont le noms figurent ci-haut.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_70.2' value='Je d\u00e9clare avoir discut\u00e9 des sujets coch\u00e9s avec les travailleurs dont le noms figurent ci-haut.' class='gform_hidden' \/><input type='hidden' name='input_70.3' value='14' class='gform_hidden' \/><\/div><\/li><li id=\"field_5_188\" class=\"gfield gfield--type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_188\" ><label class='gfield_label gform-field-label' for='input_5_188'>Nom du responsable de la pause:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_188' id='input_5_188' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_2\" class=\"gfield gfield--type-signature gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_2\" ><label class='gfield_label gform-field-label' for='input_5_2'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_5_2_Container' class='gfield_signature_container ginput_container' style='height:180px; width:600px; ' ><input type='hidden' class='gform_hidden' name='input_5_2_valid' id='input_5_2_valid' \/><canvas id='input_5_2' width='600' height='180'><\/canvas><\/div><\/div><\/li><li id=\"field_5_192\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full gf_list_inline gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_192\" ><label class='gfield_label gform-field-label' >SVP me transmettre une copie du formulaire<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_192'>\n\t\t\t<li class='gchoice gchoice_5_192_0'>\n\t\t\t\t<input name='input_192' type='radio' value='Oui'  id='choice_5_192_0'    \/>\n\t\t\t\t<label for='choice_5_192_0' id='label_5_192_0' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_192_1'>\n\t\t\t\t<input name='input_192' type='radio' value='Non'  id='choice_5_192_1'    \/>\n\t\t\t\t<label for='choice_5_192_1' id='label_5_192_1' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_191\" class=\"gfield gfield--type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_191\" ><label class='gfield_label gform-field-label' for='input_5_191'>Adresse courriel responsable de la pause s\u00e9curit\u00e9<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_191' id='input_5_191' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_148\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_5_148\" ><script type=\"text\/javascript\">\n        jQuery(document).ready(function(){\n            \/* apply only to a input with a class of gf_readonly *\/\n            jQuery(\".gf_readonly input\").attr(\"readonly\",\"readonly\");\n        });\n    <\/script><\/li><li id=\"field_5_33\" class=\"gfield gfield--type-text gfield--width-full gf_readonly field_sublabel_below 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