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Field Level Hazard Assessment

Complete before starting any work task

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Job Information

Task Breakdown

Think through each task, assess hazards, know the risks, and eliminate/control them.

Select Hazards

Select all hazards that apply. Selected hazards auto-populate the Assess field above.

PPE Required

Check all PPE required for this job:

Pre-Work Requirements

Confirm the following before starting work:

Emergency Contacts *

Select your emergency contact for this job (required):

911 Emergency Find Nearest ER Poison Control

Job Site Photo *

Take a photo of the work area before starting. Required for emergency identification.

No photo taken

Photo includes GPS coordinates and timestamp for verification.

Declaration & Signature

I have reviewed the hazards associated with this task, implemented appropriate controls, and confirm that I am fit for duty. I understand that I must stop work immediately if conditions change or new hazards are identified.

KEEP SAFETY FIRST IN ALL TASKS

TAKE 5 to STOP and THINK through the TASK

WHMIS Hazard Symbols - Quick Reference

Know your workplace hazardous materials symbols:

Compressed Gas
Compressed Gas Cylinders under pressure
Flammable
Flammable Can catch fire easily
Oxidizer
Oxidizer May cause fire/explosion
Corrosive
Corrosive Burns skin/eyes, corrodes metals
Acute Toxicity
Acute Toxicity Poisonous if inhaled/ingested
Health Hazard
Health Hazard Carcinogen, respiratory sensitizer
Irritant
Irritant / Sensitizer Skin/eye irritation, allergies
Environmental Hazard
Environmental Hazard Toxic to aquatic life
Explosive
Explosive May explode if heated/shocked
Biohazardous
Biohazardous Infectious materials

Always read the SDS (Safety Data Sheet) before handling hazardous materials.

If unsure about a chemical, contact your supervisor or safety officer.

Hierarchy of Controls

Apply controls in order of effectiveness:

1
ELIMINATION Remove the hazard completely
2
SUBSTITUTION Use a safer alternative
3
ENGINEERING Isolate people from the hazard
4
ADMINISTRATIVE Change the way work is done
5
PPE Protect the worker with equipment

TAKE 5 to STOP and THINK through the TASK

  1. Is there something different today?
  2. Are there any hazards creating a risk from above / below / in front / behind / inside?
  3. Do I need additional information (SOPs / SWPs)?
  4. Do I need additional information or training to perform the job safely?
  5. Is a specific work permit required?
  6. Am I working with a new or unfamiliar colleague?
  7. Do I need to be able to communicate further?
  8. Do I need to monitor potential sources of hazardous energy (electrical, mechanical, pressure)?
  9. Do I need to lock out / tag out / try (LOTO)?
  10. Are any of my tools / equipment in need of repair or replacement?
  11. Am I missing any required PPE for this task?