Alberta Paving Ltd

Work Site Level Hazard Assessment

Alberta Paving Ltd

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Information

Audit Title
Client / Site
Conducted on
Prepared by
Location
Personnel

Equipment / Truck : Backing Up
- Imminent Danger
- Serious
- Minor
- OK
- Not Applicale
Equipment / Truck : Pinch Point
Housekeeping
Overhead Hazards
Underground Hazards
Traffic Control : Flag Persons
Traffic Control : Barricades / Signs / Cones
Tight Work Area
Tools
Other Trades
Excavation / Trenching
Weather
Slippery Surfaces (Water, Ice, Mud)
Sawcutting
Driving : Wildlife
Driving : Night Time / Fatigue
Falling Objects
Loading and Off Loading Equipment
Steep Slope
Working Alone
Large Hill
Remote Location
Others; Please Insert in Comments
Comments
Others; Please Insert in Comments
Comments
Others; Please Insert in Comments
Comments
Please add picture(s) of Work Site.
Foreman / Supervisor
Reviewed by:
Title of the reviewer

Alberta Paving Ltd

Work Site Level Hazard Assessment

Alberta Paving Ltd

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.