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Field Level Hazard Assessment Form
1. Assessment Information: Basic details including date, location, assessor name, project/task reference
2. Work Activity Description: Detailed description of the work tasks to be performed
3. Team Members: List of workers involved, their roles, and competencies
4. Environmental Conditions: Current weather, terrain, and environmental factors that may affect safety
5. Identified Hazards: Systematic listing of all potential hazards observed in the work area
6. Risk Assessment Matrix: Evaluation of likelihood and severity for each identified hazard
7. Control Measures: Specific actions and measures to eliminate or minimize each identified risk
8. Required PPE: List of personal protective equipment required for the work
9. Emergency Procedures: Specific emergency response procedures for the location and activity
10. Authorization: Signatures of assessor, supervisor, and acknowledgment from team members
1. Special Equipment Assessment: Used when specific tools or machinery are involved in the work
2. Chemical Hazards: Required when handling or working near hazardous substances
3. Confined Space Assessment: Mandatory when work involves confined space entry
4. Working at Heights: Required for any work conducted above ground level
5. Lone Worker Provisions: Necessary when work is conducted by isolated individuals
6. Subcontractor Requirements: Include when external contractors are involved in the work
7. Previous Incident History: Reference to past incidents relevant to the current work area or task
1. Risk Assessment Matrix Guide: Standard risk evaluation criteria and scoring system
2. PPE Selection Chart: Reference guide for selecting appropriate PPE based on hazard types
3. Emergency Contact List: List of relevant emergency contacts and response services
4. Site Map: Layout of the work area with marked hazards and emergency equipment
5. Equipment Checklist: Pre-use inspection checklist for tools and equipment
6. Hazard Pictograms: Standard safety symbols and their meanings
7. Incident Report Form: Template for reporting any incidents or near-misses during work
Authors
Risk
Control Measure
PPE (Personal Protective Equipment)
Competent Person
Work Area
Critical Task
Emergency Response
Near Miss
Risk Rating
Safe Work Procedure
Stop Work Authority
Workplace Assessment
Field Level Controls
Incident
Job Safety Analysis
Safety Critical Equipment
Environmental Conditions
Point of Work Assessment
Authorized Person
High Risk Activity
Risk Matrix
Control Hierarchy
Dynamic Risk Assessment
Corrective Action
Work Permit
Safety Data Sheet
Emergency Equipment
Confined Space
Work at Height
Work Activity Description
Personnel and Competency
Environmental Assessment
Hazard Identification
Risk Assessment
Control Measures
Personal Protective Equipment
Emergency Response
Compliance Requirements
Authorization and Sign-off
Health and Safety
Equipment Safety
Communication Protocol
Incident Reporting
Stop Work Authority
Review and Monitoring
Documentation Requirements
Training Requirements
Regulatory Compliance
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