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Field Level Hazard Assessment

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"*" indicates required fields

MM slash DD slash YYYY
Time:*
:

Team Members

**Print Name & Sign

Supervisor Checklist

Workers performing task safely?*
Workers wearing all required PPE?*
Has crew Assessed hazards correctly?*
Do all workers understand the task?*
Are workers fit for duty/task?*

Have the Following Been Reviewed

Job Locations*
Special Job Procedures*
Emergency Response Plan*
Safety Data Sheet(s) – SDS*

Hazard Identification Checklist

1. Safety Orientation Completed?*
2. Job scope understood?*
3. Proper safety equipment on site?*
4. Permit Issued? What type?*
5. Oxygen/flammability check?*
6. Confined space procedure/rescue plan reviewed? Permit Signed?*
7. Electrical & Mechanical lock out procedure required?*
8. Is your lock & tag in place?*
9. Communicated work with others in area?*
10. Proper tools for job?*
11. Reviewed SDSs for any hazardous substance that might be present?*
12. Returned card to site safety/management?*

Identify Potential Hazard

**Tick All That Apply
Identify Any Potential Hazards*

Spill Prevention Measures

Review potential for a spill?
Is spill containment needed?
Is spill kit available?

Controls

At Risk Employees

New Worker?*
Job?*
Site?*

Supervisor Completion Checklist

Work area cleaned up?*
All tags and locks removed and signed off by individuals?*
Permit turned in?*
Job status communicated to management?*
Were there any incidents?*

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Based in Vancouver, Hall Electrical has been a locally owned and operated electrical company since 2012, serving residential and commercial clients. We prioritize safety and reliability while delivering exceptional customer service on projects of all sizes. Our certified electricians in Vancouver understand the importance of convenience, working around your schedule to complete projects on time and within budget.

info@hallelectrical.ca
(604) 836-0181

120-2055 Commercial Drive
Vancouver, BC
V5N 0C7, Canada

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