• eHazard Assessment

    Site Specific or Field Level Hazard Assessment
  • Select your name*
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Work Site*
  • Work Site (OLD)

  • Weather

  • Current Weather Conditions
  • Has the PPE been inspected?*
  • Has pre-inspection of Tools/Equipment been completed?*
  • Was a pre-trip inspection of your vehicle been completed before driving?*
  • Did you have a Toolbox Talk this week?*
  • Is the worker working alone?
  • Explain your working alone control procedures*

  • Consider the four contributing factors to hazards – P. E. M. E.

    a. People – are they competent/well trained? Are they tired? What motivates them?

    b. Equipment – Is it appropriate for the task? Is it properly installed and maintained? Are the manufacturer's specs being followed?

    c. Materials – What materials are being used? Are they being handled, stored, and disposed of properly?

    d. Environment – Where is the task being performed? Does the worksite environment introduce hazards?

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  • Hazards

  • Are you working at height today?*
  • Have you completed a fall protection plan for this work?*
  • Complete a Fall Protection Plan before continuing
  • Are you using a harness today?*
  • Complete before continuing
  • Are you using mobile equipment today?*
  • Complete before continuing

  • Tasks

  • 2.1 What Physical Hazards have you identified*
  • 2.2. What Chemical Hazards have you identified*
  • 2.3. What Biological Hazards have you identified*
  • 2.4. What Psychological Hazards have you identified*
  • 2.5. What Energy Hazards have you identified*
  • 3. Engineering Controls*
  • 4. Administrative Controls*
  • 5. PPE Controls*

  • Work Crew

    By selecting these names below you are confirming that they have been involved in completing this site specific hazard assessment, and all are fully aware of the hazards and understand the controls implemented
  • Select names of all workers on site*

  • Reassessment

  • Time
  • Should be Empty: