BOS Hazard ID

• Hazard ID's are used to identify Hazards or Risks in the work area. Also used for identifying Near Hits (HSE Events that were NEARLY a Loss) or Stop the Job activity where employees stopped the job because of a high risk or concern.

• FIRST NAME/LAST NAME

• District

  Select Midland Leduc Appalachia Rio Vista North Dakota Grand Prairie Environmental Solutions

  • Midland
  • Leduc
  • Appalachia
  • Rio Vista
  • North Dakota
  • Grand Prairie
  • Environmental Solutions

• Client / Site

• Location
  Address

Information

• Date and Time

  Date

• Select the HSE Report Type

  Haz ID

  Near Hit

  Stop The Job

Description and Action Taken

• Potential Loss (Select all that apply)

  Select Injury / Illness Environmental Vehicle Asset

  • Injury / Illness
  • Environmental
  • Vehicle
  • Asset

• Type of HSE hazard (Select all that apply

  Select Biohazard Exposure Chemical Handling Driving Drugs / Alcohol Fire / Explosives Handling (Using Hands) Manual Lifiting Mechanical Lifting Natural Phenomenon Noise Other Pressure Stepping (Walking) Temperature Extremes Working at Height Electrical Shock Inhalation Spill or Leak

  • Biohazard Exposure
  • Chemical Handling
  • Driving
  • Drugs / Alcohol
  • Fire / Explosives
  • Handling (Using Hands)
  • Manual Lifiting
  • Mechanical Lifting
  • Natural Phenomenon
  • Noise
  • Other
  • Pressure
  • Stepping (Walking)
  • Temperature Extremes
  • Working at Height
  • Electrical Shock
  • Inhalation
  • Spill or Leak

• Please describe the type of hazard.

• Give a description of the Hazard, Near Hit, or Stop the Job.

• What were the actions taken to address the Hazard, Near Hit, or Stop the Job?

Follow Up

• is follow-up needed? - If any deficiencies above have not been addressed select "Yes"

  Yes

  No

• By selecting "No" to the previous question I am agreeing that I have fixed all deficiencies noted in this document.

• Since the deficiencies could not be corrected, please create an action item that will be assigned to your supervisor.

• By selecting "Yes" to the previous question I am agreeing that I have assigned an action item to my supervisor of the deficiencies that I have not been able to fix.