SCMV - eHazard Assessment
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  • eHazard Assessment

    Site Specific or Field Level
  • Date*
     - -
  • Work Site*
  • Your Company*
  • 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?*
  • Are you working alone?
  • Explain your working alone control procedures*

  • 1. Tasks

  • 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?
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  • Are you working above 3 metres today?*
  • Are you protected by guardrails?*
  • Are you wearing a harness today?*
  • Have you completed a fall protection plan for this specific work?*
  • Are you doing any hot work today?*
  • Are you operating powered mobile equipment?*
  • Are you operating a crane?*
  • 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. Controls

  • 3.1. Engineering Controls*
  • Has the scaffold been inspected in the last 21 days and the inspection been submitted?*

  • WARNING : Scaffold must be inspected every 21 days and inspection submitted to the site superintendant. Please submit your inspection.

  • 3.2. Administrative Controls*
  • 3.3. PPE Controls*
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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.

  • Reassessment

  • Should be Empty: