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Field Level Hazard Assessment

This field level hazard assessment can be used as a tool to prevent injuries and accidents in the worklplace. Proper risk assessments are crucial to preventing accidents in the workplace, cutting down on injuries and even saving lives. By highlighting specific hazards and potential threats, a risk assessment helps to generate appropriate awareness of them amongst both employees and managers.
z - NB
03/10/2023

Field Level Hazard Assessment

This field level hazard assessment can be used as a tool to prevent injuries and accidents in the worklplace. Proper risk assessments are crucial to preventing accidents in the workplace, cutting down on injuries and even saving lives. By highlighting specific hazards and potential threats, a risk assessment helps to generate appropriate awareness of them amongst both employees and managers.

    Work to be done ?

    Brief description of work to be done.

    Task location ?

    Datacenter, office, other ?

    Muster point ?

    Parking Lot / Across Highway

    Emergency #

    PPE Inspected ?

    • Pass
    • Flag
    • Fail

    Environmental Hazards

    Check off all hazards that apply to this job in the list below.

    Ergonomic Hazards

    Check off all hazards that apply to this job in the list below.

    Access and Egress Hazards

    Check off all hazards that apply to this job in the list below.

    Overhead Hazards

    Check off all hazards that apply to this job in the list below.

    Rigging and Hoisting Hazards

    Check off all hazards that apply to this job in the list below.

    Electrical Hazards

    Check off all hazards that apply to this job in the list below.

    Personal Limitations or Hazards

    Check off all hazards that apply to this job in the list below.

    Pre‐use inspection of tools/equipment ?

    • Pass
    • Flag
    • Fail

    Task #1 (Required)

    Record the risk ranking and record your plan to eliminate or control each hazard.

    Task description ?

    Hazards ?

    Risk Severity

    Probability

    Plan to eliminate/control hazards ?

    Warning ribbon needed ?

    • Yes
    • No
    • N / A

    Task #2 (Optional)

    Record the risk ranking and record your plan to eliminate or control each hazard.

    Task description ?

    Hazards ?

    Risk Severity

    Probability

    Plan to eliminate/control hazards ?

    Task #3 (Optional)

    Record the risk ranking and record your plan to eliminate or control each hazard.

    Task description ?

    Hazards ?

    Risk Severity

    Probability

    Plan to eliminate/control hazards ?

    Task #4 (Optional)

    Record the risk ranking and record your plan to eliminate or control each hazard.

    Task description ?

    Hazards ?

    Risk Severity

    Probability

    Plan to eliminate/control hazards ?

    Task #5 (Optional)

    Record the risk ranking and record your plan to eliminate or control each hazard.

    Task description ?

    Hazards ?

    Risk Severity

    Probability

    Plan to eliminate/control hazards ?

    Signoff

    Signature

    Click here to sign
Source: z - NB (Community Member)

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