Template

HSE WI01 Field Level Risk Assessment

by Michael Hill, from the Community

50+

This HSE WI01 Field Level Risk Assessment template helps teams identify hazards, assess risks, and define controls before starting work. It covers high and medium risk activities, hazardous materials, hot work, line breaking, confined spaces, hand tools, traffic interfaces, emergency response, scaffolds, excavation, cranes, elevated work platforms and mobile equipment, electrical work, hazardous energy and lockout tagout, work at heights, ergonomics, environmental and miscellaneous conditions, occupational health, and human factors. It includes control measures, required PPE, protection against weather, verification steps, and a final authorization sign off.

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Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Contract HSE Field Verification Tool (Short)
This short HSE field verification checklist helps contract managers and site supervisors review contractor compliance and critical safety controls during on-site work. It covers contractor management, inductions and training, permits and work authorizations, fall protection and work at heights, scaffolds and elevated work platforms, cranes and rigging, hot work, confined spaces, hazardous materials, electrical work and lockout/tagout, mobile equipment, PPE, emergency response, and environmental requirements. Use it to document findings, set corrective actions, and maintain audit-ready records.
by K Decler, from the Community
Downloads: 40+
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Template
Field Level Hazard Assessment FLHA Template
This Field Level Hazard Assessment template helps crews identify job tasks, recognize hazards, assess risk, and define controls before work starts. It covers physical work area issues such as housekeeping, ground conditions, blocked exits, open excavation, confined spaces, hot work, vehicle and pedestrian traffic, and working at heights with fall arrest planning. Sections address electrical hazards, tool and equipment defects, ladders and scaffolds, lifting and critical lifts, ergonomic strain, chemical and biological exposure, noise, weather, lighting, fatigue, and remote work. It prompts permits, lockout tagout, safe work procedures, communication, and emergency preparedness. PPE requirements include glasses, hard hat, hearing protection, gloves, footwear, and specialty PPE. Includes inspection checks and worker sign off.
by Jocelyn Ruston, from the Community
Downloads: 0
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Template
Field Level Hazard Assessment (FLHA) Template
Use this Field Level Hazard Assessment (FLHA) template to plan work safely before starting a job. Capture company and site details, date and time, location, and the tasks being performed. Identify PPE requirements and confirm inspections. Assess hazards in the physical work area, environment, electrical systems, hazardous substances, biological exposure, equipment and tools, ergonomics, and people factors. Record risk ratings, select controls such as elimination, barricades, procedures, permits, lockout tagout, and awareness, and document how each hazard will be controlled. Cover high-risk activities including confined spaces, hot work, ground conditions, vehicle traffic, and working at heights with fall protection checks. Complete end-of-shift checks and sign off with notes on incidents and cleanup.
by Jocelyn Ruston, from the Community
Downloads: 10+
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Template
Initial Site Take 5 Safety Checklist
This Initial Site Take 5 safety checklist helps workers complete a quick pre task risk assessment on the first day at a site. Confirm fitness for work and approvals, check tools, equipment and PPE, and verify energy isolation and machine guarding. Inspect the work area for hazards, communicate risks to nearby teams, and manage risks from falling objects, heights, elevated work platforms and moving plant. Review SDS and environmental factors, identify required permits including confined space, hot work, working at heights, hazardous works and traffic management, then rate risk before and after controls using the matrix and sign off.
by Albert Mudaliar, from the Community
Downloads: 0
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HSE WI01 Field Level Risk Assessment

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You might also like

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