Shop Worksite Hazard Assessment

• Site conducted
  Address

• Conducted on

  Date

• Prepared by

• Location

  Plastic Shop

  Welding Shop

Status Priority

• #1 Very Hazardous, previous incident or high potential of incident

• #2 Hazardous, with moderate risk

• #3 Low Risk

• #4 O.K.

• #5 Not Applicable

PEOPLE

• Emergency Phone #'s Posted

• H & S Manual Readily Available

• OHS Book Readily Available

• Visitor Orientation Completed

• New Hire Orientation Completed

• Any comments on controls needed, corrective action to be taken, hazard description

ENVIRONMENT

• Work Area/House Keeping

• Outside Conditions

• Lighting (Inside and Outside)

• Ventilation/Atmospheric Conditions

• Exits Clear / Emergency Route Posted

• First Aid Kit & Ear plugs Stocked

• Fire Extinguisher(s) Visually Checked (Checked first business day of the month)

• Electrical Hazard/Cords/Wiring

• Muster Point Sign Visible

• Any comments on controls needed, corrective action to be taken, hazard description

MATERIAL

• Material Storage

• Waste Disposal/Recycle

• Hazardous Material Storage

• Products Labelled

• SDS available and up to date

• Any comments on controls needed, corrective action to be taken, hazard description

EQUIPMENT - Visual Check in good working condition

• P.P.E. (glasses, face shields, steel toed boots are in use)

• Crane

• Hand Power Tools

• Forklift

• Any comments on controls needed, corrective action to be taken, hazard description

undefined

• NEW HAZARD

  Yes

  No

  N/A

• What is new hazard

CORRECTIVE ACTION

• Corrective Action To Be Taken

• By Whom

• By What Date

• Verified Corrective Action has been completed

  Sign

• Select date

  Date