Inspection

Field Level Risk Assessment
Pre-work Checklist

Did you review the Project/ Contract Risk Assessment?

Are all PPE to perform the task available?

Have tools, equipment and vehicles been inspected prior to use?

Did you attend the required training for this project?

Have all required permits been completed? (e.g. municipal, ground disturbance, confined space, hot work, environmental, etc.)

Are lock-out requirements in place?

Is a job-specific Emergency Response Plan in place?

Is there a rescue plan in place? (e.g. confined place, working at heights, etc.)

Work Description

Briefly describe your tasks for the shift.

List the hazards in your work area by tapping ADD HAZARD.

HAZARD
Type of Hazard

Specify the hazard.

Take photos of the hazard in your work area.
Risk Assessment

How likely is a person to be injured if exposed to the hazard? (Likelihood)

How bad would the most severe injury be if exposed to the hazard? (Consequences)

Risk rating (multiply the likelihood and consequence):

How did you control the hazard?

During Task Execution

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Were changes made to your current tasks?

List all changes made to your current tasks by tapping ADD TASK UPDATE.

TASK UPDATE

Briefly discuss the task update.

Specify the hazard associated with the task update.

Take photos of the hazard in your work area.
Risk Assessment

How likely is a person to be injured if exposed to the hazard? (Likelihood)

How bad would the most severe injury be if exposed to the hazard? (Consequences)

Risk rating (multiply the likelihood and consequence):

How did you control the hazard?

Were you given new tasks throughout the day?

List all new tasks to be done throughout the day by tapping ADD NEW TASK.

NEW TASK

Briefly discuss the new task.

Specify the hazard associated with the new task.

Take photos of the hazard in your work area.
Risk Assessment

How likely is a person to be injured if exposed to the hazard? (Likelihood)

How bad would the most severe injury be if exposed to the hazard? (Consequences)

Risk rating (multiply the likelihood and consequence):

How did you control the hazard?

Did new workers come on site?

Identify potential hazards by tapping ADD POTENTIAL HAZARD.

POTENTIAL HAZARD

Specify the potential hazard associated with new workers on site.

Take photos of the hazard in your work area.
Risk Assessment

How likely is a person to be injured if exposed to the hazard? (Likelihood)

How bad would the most severe injury be if exposed to the hazard? (Consequences)

Risk rating (multiply the likelihood and consequence):

How did you control the hazard?

Did job site conditions change?

List all changes in job site condition by tapping ADD JOB SITE UPDATE.

JOB SITE UPDATE

Briefly discuss the change in job site condition.

Specify the hazard associated with the change in job site condition.

Take photos of the hazard in your work area.
Risk Assessment

How likely is a person to be injured if exposed to the hazard? (Likelihood)

How bad would the most severe injury be if exposed to the hazard? (Consequences)

Risk rating (multiply the likelihood and consequence):

How did you control the hazard?

Completion

The job site has been secured. All safety controls/ overnight work signage are in place.

Full Name and Signature of Construction Worker