Template

JR FLHA Template

by Jocelyn Ruston, from the Community

10+

Conduct a thorough Field Level Hazard Assessment before starting work. This FLHA template guides crews to describe tasks, identify hazards, rate risk and probability, and plan controls such as PPE, barricades, permits, LOTO, and safe work procedures. Cover working at heights, scaffolding, confined spaces, electrical, ergonomics, weather, housekeeping, and more. Includes PPE verification and an after-shift sign-off for accountability.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

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
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
Field Level Job Hazard Assessment (FLHA)
Perform a quick field level job hazard assessment before starting small tasks. This checklist guides teams to identify site hazards such as working at heights, excavations, electricity, traffic, weather, and more. Define controls and PPE, confirm permits and procedures including lockout tagout, hot work, and confined space, and capture inspector and worker sign off. Ideal for construction crews and contractors to standardize pre task safety reviews and improve compliance.
by Eugene Vega, from the Community
Downloads: 10+
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Template
Field Level Hazard Assessment Form (FLHA)
Use this Field Level Hazard Assessment (FLHA) form to identify job steps, list hazards, and define controls before starting work. The template includes a PPE checklist, chemical and MSDS references, environmental conditions, life-saving rules, and fit-for-duty checks. Capture signatures, record incidents, verify lockout/tagout, and document supervisor reviews and field checks. Ideal for field operations, driving and journey management, confined spaces, and work at height.
by Kathleen Blagden, from the Community
Downloads: 80+
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Template
Field Level Hazard Assessment (FLHA) Checklist
This Field Level Hazard Assessment (FLHA) template helps teams identify job steps, recognize hazards, evaluate risk levels, and define controls before work begins on site. Capture location, date, and preparer details; list tasks and associated hazards; assign likelihood and severity; select control measures and required PPE; and record corrective actions and approvals. Use it to standardize pre-task risk assessments, improve communication, and reduce incidents across construction and field operations.
by Gillian Gagnon, from the Community
Downloads: 20+
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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

10+

Get

Template

Field Level Job Hazard Assessment (FLHA)

Perform a quick field level job hazard assessment before starting small tasks. This checklist guides teams to identify site hazards such as working at heights, excavations, electricity, traffic, weather, and more. Define controls and PPE, confirm permits and procedures including lockout tagout, hot work, and confined space, and capture inspector and worker sign off. Ideal for construction crews and contractors to standardize pre task safety reviews and improve compliance.

by Eugene Vega, from the Community

10+

Get

Template

Field Level Hazard Assessment Form (FLHA)

Use this Field Level Hazard Assessment (FLHA) form to identify job steps, list hazards, and define controls before starting work. The template includes a PPE checklist, chemical and MSDS references, environmental conditions, life-saving rules, and fit-for-duty checks. Capture signatures, record incidents, verify lockout/tagout, and document supervisor reviews and field checks. Ideal for field operations, driving and journey management, confined spaces, and work at height.

by Kathleen Blagden, from the Community

80+

Get

Template

Field Level Hazard Assessment (FLHA) Checklist

This Field Level Hazard Assessment (FLHA) template helps teams identify job steps, recognize hazards, evaluate risk levels, and define controls before work begins on site. Capture location, date, and preparer details; list tasks and associated hazards; assign likelihood and severity; select control measures and required PPE; and record corrective actions and approvals. Use it to standardize pre-task risk assessments, improve communication, and reduce incidents across construction and field operations.

by Gillian Gagnon, from the Community

20+

Get

JR FLHA Template

About author

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