SCMV - eHazard Assessment

eHazard Assessment

Site Specific or Field Level
Name*

First NameLast Name
Your Email
example@example.com
Date

MonthDayYear
Date
Hour MinutesAM/PM Option
Alexander HotelBlack Swift LodgeGrey Wolf LodgeMLV 1100/1200Mountain Lynx LodgeMultiple SitesRVSpring Creek Gate Road ExtensionTMV 900/1000Enter work site if not listed above
Muster Point
Adlers Fire StopAlpine Overhead DoorsBig Horn Sheet MetalBow Valley SafetyBow-Cor WeldingCanglassCanmore West EavestroughCascade MechanicalCompetition ConcreteConvergint TechnologiesDiamond FireplacesDowner ContractingDust Be GoneEnlightened OrganizingGallant InsulationGuistiFlipped Canoe Cribbing Inc.Hellbent GeothermalHenry's ElectricHeritage DeckingIceline WaterproofingKCP EnergyLegacy kitchensLomaw ContractingMaster PoolsMcCool Construction YYCMen in KiltsMountain Prism PaintingNorthstar Fire ProtectionOld West FlooringOskarPeter's ExteriorsPrimary EngineeringPrime DrywallProcat Contracting Ltd.RgoS2S ElectricSCMV - ConstructionSCMV - Client CareSCMV - RV/MaintenanceSet in StoneThompson DrillingTristar WoodworksWayco ElectricWoodpecker European Timber FramingEnter your company if not listed above
Foreman
Clear/SunnyCloudyWindRainLightening / ThunderstormFreezing RainSnowFogSmoke/Haze
Expected Temperature for Today
YesNo
YesNo
YesNo
YesNo
YesNo
1. Phone/check in with supervisor every 30 mins2. Communicate/check in with other work crews on site3. Explain Other Method
1. Tasks
1. List all Tasks to complete the job today*
(steps to complete the job)
2. Hazards
Consider the four contributing factors to hazards – P. E. M. E.
- People – are they competent/well trained? Are they tired? What motivates them?
- Equipment – Is it appropriate for the task? Is it properly installed and maintained? Are manufacturers specs being followed?
- Materials – What materials are being used? Are they being handled, stored and disposed of properly?
- Environment – Where is the task being performed? Does the work site environment introduce hazards?
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
N/AAwkward Body PositionAwkward LoadsDrivingDustFlying debrisHeavy LiftingLadder UseOverhead HazardPoor LightingPowered Mobile Equipment - OperatingPowered ToolsRepetitive MotionsRoad VehiclesSharp blades / drill bitsSlips, Trips and FallsTrades/other workersViolenceWeather Extreme Heat/ColdWeather High WindsWildlifeWorking at HeightsWorking around Powered Mobile EquipmentOther
N/AHazardous Fumes/GasesHazardous LiquidsSpillsOther
N/AAnimal/Pet WasteMoulds/FungiPandemic/SicknessSewageOther
N/AFatigueHarassment / BullyingProcess ChangeStressTime PressureOther
N/AElectricalHydraulic (Compressed Fluids)Mechanical (moving machinery parts)Mechanical (parts under tension/raised)Pneumatic (Compressed Air)Temperature (Heat/Cold)Vibration (Equipment or Noise)Other
3. Controls
N/ABarricades to limit accessBlocks/Chocks to Secure EquipmentDe-Pressurize the SystemGuards on EquipmentHoists or equip to lift heavy loadsInsulate to reduce excessive noiseIsolate from Energy SourceLightingScaffoldingSubstitute chemicals for something less toxicVaccinationVentilationOther
YesNo
WARNING : Scaffold must be inspected every 21 days and inspection submitted to the site superintendant. Please submit your inspection.
N/ACommunication with workersEstablish Eye ContactHot Work PermitInspect EquipmentLimit Exposure timesLockout / Tagout ProcedurePhysical DistancingSafe Job Procedure/Work PracticeSafety Data SheetsSecure Material/LoadsSwitch out with team membersTidy work areaTraining for workersWork Breaks RegularlyWork schedulingOther
N/AApproved FootwearCoverallsFall Protection EquipmentGlovesHand SanitiserHard HatsHearing ProtectionMasks / RespiratorsReflective Hi-Vis ClothingSafety Glasses/Face ShieldOther
Add Images

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Work Crew

You are confirming that the work crew entered above have been involved in completing this Site Specific eHazard Assessment, and all are fully aware of the hazards and understand the controls implemented.
Signature*

Clear
Work Crew Signature #1

Clear
Work Crew Signature #2

Clear
Work Crew Signature #3

Clear
Work Crew Signature #4

Clear

eHazard Assessment

1. Tasks

2. Hazards

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

3. Controls

Work Crew

Reassessment