Field level risk assessment template checklist
A field level risk assessment (flra) is used by construction workers to control health and safety risks at the onset in a job site. the frontline worker can assess the likelihood and consequences of a hazard and provide a risk rating. this template includes a pre-work checklist to ensure that baseline responsibilities are fulfilled before commencing tasks.
What does this form include?
This form contains 19 sections:
Pre-work Checklist
- Did you review the Project/ Contract Risk Assessment?
- Are all PPE to perform the task available?
- Have tools, equipment and vehicles been inspected prior to use?
- Did you attend the required training for this project?
- Have all required permits been completed? (e.g. municipal, ground disturbance, confined space, hot work, environmental, etc.)
- Are lock-out requirements in place?
- Is a job-specific Emergency Response Plan in place?
- Is there a rescue plan in place? (e.g. confined place, working at heights, etc.)
Briefly describe your tasks for the shift.
List the hazards in your work area by tapping ADD HAZARD.
Type of Hazard
Specify the hazard.
Take photos of the hazard in your work area.
Risk Assessment
- How likely is a person to be injured if exposed to the hazard? (Likelihood)
Risk rating (multiply the likelihood and consequence):
During Task Execution
- Were changes made to your current tasks?
Briefly discuss the task update.
Specify the hazard associated with the task update.
Briefly discuss the new task.
Specify the hazard associated with the new task.
Specify the potential hazard associated with new workers on site.
Briefly discuss the change in job site condition.
Specify the hazard associated with the change in job site condition.
The job site has been secured. All safety controls/ overnight work signage are in place.
Full Name and Signature of Construction Worker
Use this template