ESH Field risk assessment

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Identified hazards / concerns

• Electrical

• Add media

  Media

• Burns

• Add media

  Media

• Chemicals

• Add media

  Media

• Explosion

• Add media

  Media

• Mercury spill

• Add media

  Media

• Moving machine / equipment

• Add media

  Media

• Infected material

• Add media

  Media

• Ladders

• Add media

  Media

• Scaffolding

• Add media

  Media

• Deep water

• Add media

  Media

• Fire

• Add media

  Media

• Fall from height

• Add media

  Media

• Slips /trips

• Add media

  Media

• Pressure vessels

• Add media

  Media

• Noise

• Add media

  Media

• Radiation

• Add media

  Media

• Vermins

• Add media

  Media

• Dust

• Add media

  Media

• Weather

• Add media

  Media

• Temperature

• Add media

  Media

• Manual handling /heavy lifting

• Add media

  Media

• Solitary working

• Add media

  Media

• Isolated working

• Add media

  Media

• Use of machines

• Add media

  Media

• Cranes

• Add media

  Media

• Confined spaces

• Add media

  Media

• Retricted access

• Add media

  Media

• Crushing /trapping

• Add media

  Media

• Power tools

• Add media

  Media

• Sharp objects

• Add media

  Media

• Overhead power

• Add media

  Media

• Underground cables

• Add media

  Media

• Public highway

• Add media

  Media

• Railway lines

• Add media

  Media

• Sub-contractors

• Add media

  Media

• OTHERS

• Add media

  Media

XYLEM REPRESENTATIVE

• Add signature

  Sign

CUSTOMER REPRESENTATIVE

• Add signature

  Sign