Laboratory field workers hazard identification checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Laboratory work vehicle

• High Visibility and the correct PPE worn?

  Yes

  No

• Hazard lights used on-sit to warn on-coming traffic?

  Yes

  No

• Traffic signage used on-site to warn on-coming traffic?

  Yes

  No

• Exposure to radiation source limited?

  Yes

  No

• Are the weekly Plant Pre Start Checklist's completed?

  Yes

  No

Traffic Control

• Traffic Control on site?

  Yes

  No

• Is the traffic control on site required to ensure your safety?

  Yes

  No

• Did traffic control follow your instructions & provide a safe environment?

  Yes

  No

Traffic Flow

• From your observation, how would you best describe the traffic flow?

  1-2 cars/ minute

  3-6 cars/minute

  >6 cars/minute

• What is the speed limit of the road?

Visibility / Hazards / Obstacles (Obstacles which may limit visibility to the motorists)

• Any obstacles or hazards which may compromise your ability to carry out your work safely?

  Trees

  Blind corners / bends

  Hills

  Parked vehicles

  other

• Please Specify

Road Type (Dtn)

• Select road type

  Select Cul-d-sacs/low traffic no-Thur access Residential / low traffic Residential with Bus Route Local Suburb distributor with Moderate Traffic Industrial / Commercial Access Inter-suburb Distributor with high Traffic Inter-suburb / highway Link with very high traffic

  • Cul-d-sacs/low traffic no-Thur access
  • Residential / low traffic
  • Residential with Bus Route
  • Local Suburb distributor with Moderate Traffic
  • Industrial / Commercial Access
  • Inter-suburb Distributor with high Traffic
  • Inter-suburb / highway Link with very high traffic

Risk Level

• How would you describe the level of risk associated with this job?

  Low

  High

Conclusion

• Can the job considered safe and able to be tested today?

  Yes

  No

• Will traffic control be required to conduct testing at a future date?

  Yes

  No

• Other relevant comments