Daily Pre-Job Hazard Assessment (PHA)
Assess the Risk!
1. Identify Hazard
2. Assess Risk
3. Work Safely
4. Introduce Controls
Project
*
Please Select
MJ Dixon Head Office - 2600 Edenhurst Dr., Suite 200, Mississauga, ON
20-02 - City of Toronto - Mount Dennis Childcare Centre - 1234 Weston Rd., Toronto, ON
21-06 - UTSC Library Ph 1 - 1265 Military Trail, Scarborough, ON
21-07 - 27 Rutherford Rd. S., Brampton, ON
22-01 - Seaton Paramedic Station & Training Centre
22-02 - 255 Spadina Rd., Toronto, ON
22-02 - 843 Palmerston Ave., Toronto, ON
22-02 - 765 Queen St. E., Toronto, ON
22-02 - 301 Broadview Ave., Toronto, ON
22-02 - 840 Gerrard St. E., Toronto, ON
22-02 - 235 Cibola Ave., Toronto, ON
22-03 - York Region - York Admin Centre 4th Fl. - 17250 Yonge St., Newmarket, ON
23-01 - 1859 Kingston Rd., Toronto, ON
23-01 - 116 Dorset Rd., Toronto, ON
23-01 - 1313 Woodbine Ave., Toronto, ON
23-01 - 1904 Queen St. E., Toronto, ON
23-01 - 23 Bluffers Park (7 Brimley Rd. S.), Toronto, ON
23-01 - 313 Pharmacy Ave., Toronto, ON
23-01 - 351 Birchmount Rd., Toronto, ON
23-01 - 3600 Danforth Ave., Toronto, ON
23-01 - 87 Main St., Toronto, ON
23-02 - York Paramedic 32 - 53 Jacob Keffer Parkway, Vaughan, ON
23-03 - GBC Athletics Varsity Lounge - 160 Kendal Ave., Toronto, ON
24-01 YRAC Reno & Millwork - 17250 Yonge St., Newmarket, ON
24-02 VicU Goldring Student Centre - 150 Charles St. W., Toronto, ON
24-03 COT Youth Shelter - 25 Canterbury Pl., Toronto, ON
24-04 Waypoint Toanche Bldg. 3rd Fl. - 500 Church St. Penetanguishene, ON
24-05 - Vaughan Fire Stn 7-12 - 9511 Weston Rd., Vaughan, ON
25-01 - UofT Robarts Library - 130 St. George St., Toronto, ON
25-02 - YRP Helicopter Hangar - 350 Garfield Wright Blvd, East Gwillimbury, ON
25-03 - UofT Health & Wellness at Koffler - 214 College Street, Toronto, ON
25-04 - SHN General Hospital Satellite Imaging Renovation - 3030 Lawrence Ave. E., Scarborough, ON
25-05 - UofT - Study of Religion Dept. - 170 St. George St., Toronto, ON
Company
*
Date
*
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Year
-
Month
Day
Date
Time
*
Hour Minutes
AM
PM
AM/PM Option
Trade
*
Specific Task Location
*
First Aider
*
Location of First Aid Kit
*
Site Permits
*
Yes
No
Concrete Cutting/Coring
Confined Space Entry
Hot Work
Lockout/Tagout
Fire Suppression/Alarm Shutdown
Other (write below)
Input your other permit(s) above.
Worker/Work Area/Equipment
*
Yes
No
Inspect work area for possible hazards before commencing with tasks? Reassessment may need to occur after inspection.
Am I physically prepared and mentally focused?
Do workers have copies of all SDS for products used or stored?
Do workers have copies of all up to date mandatory and task specific training on their person?
Have all equipment and PPE inspections been completed? Equipment inspection sheets must be kept on the equipment.
PPE Requirements (All PPE Must Be Inspected Prior To Use Each Shift at a Minimum)
*
Yes
No
CSA Approved Hard Hat
Gloves
Hearing Protection
CSA Approved
Minimum 6"
Green Work Boots
Safety Glasses/Full Face Shield
Dust Mask/Respirator
Safety Vest/Jacket/Shirt
Fall Protection
Other
Hazard Assessment and Control (Identify At Least One)
*
Tasks
Hazards
Controls
1.
Hazard Assessment and Control, continued
Tasks
Hazards
Controls
2.
3.
4.
5.
Team PHA and Evacuation Acknowledgement
Subcontractor's Team - Names
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Subcontractor Team Lead
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Subcontractor Team Lead Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: