• Select date

  • Add media

  • Add drawing

  • Work Type:

Jobsite Hazard Analysis

  • Locking/Tagging Equipment

  • Working 6' or more above grade

  • Hot Work

  • Confined Space Work

  • Excavating & Trenching

  • Electrical Work >50 volts <600 volts

  • Electrical Work >600 volts

  • Operating Crane, stinger, manlift, forklift, etc.

  • Mechanical Work involving rotating equipment

  • Other

Physical Hazards

  • Walkways

  • Cramped Work

  • Heat Stress

  • Heavy Liftingg

  • High Noise

  • Pressure

  • Hot Liquids

  • Hot Surfaces

  • Ladder Work

  • Lifting with Slings

  • Pinch Points

  • Road Hazards, Driving

  • Sharp Edges

  • Tripping/Objects

  • Overhead Lifting/Work

  • Electrical Work

  • Material Transfer; pipe; equipment; etc.

  • Ergonomics/Body Positioning

  • Chemicals/Gases/Asbestos/etc.

  • Other

  • PPE: hard hat, safety glasses, boots, etc.

Physical Hazard Controls

Emergency Action Planning

  • Evacuation Routes

  • Staging Area

  • Emergency Equipment Needed

  • First Aid/CPR Trained

  • Rescue Procedures Discussion

  • Emergency Contact Information

Hot Work

  • Combustion Engine

  • Grinding/Equipment Guards

  • Electrical Tools: Threader/Bender/etc.

  • Hand Tools

  • Gas Monitor

  • Fire Watch

  • Remove Combustibles

  • Worksite Classification

  • Fire Extinguisher

Confined Space

  • LO/TO

  • PPE

  • Emergency Rescue

  • Lines Blocked/Isolated

  • Area Secure

  • Respirators

  • Ventilation

  • Fire ext.

  • Signs in Place

  • Rescue Equipment

  • Non-Entry: Tripod, rescue winch, etc.

  • Entry: Harness, Wristlets, etc.

  • Job Safety Rating

  • Pass

  • Add signature

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