Job hazard assessment checklist
Coughlan drilling
What does this form include?
This form contains 14 sections:
Job Description
Photo of work area
Head
- Falling or Flying Objects
- Work Being Performed Overhead
- Drill rods
- Striking Against a Fixed Object
- Forklift Hazards
- Exposed Electrical Conductors
- Other
Eye and Face
- Flying Particles
- Struck by drill equipment
- Liquid Chemicals
- Acids
- Caustic Liquids
- Chemical Vapors or Gases
- Light Radiation
- Other
Foot
- Falling and Rolling Objects
- Objects Piercing the Sole
- Electrical Hazards
- Wet or Slippery Surfaces
- Chemical Exposure
- Environmental
- Other
Hands
- Skin Absorption
- Cuts or Lacerations
- Abrasions
- Punctures
- Chemical Burns
- Thermal Burns
- Harmful Temperature Extremes
- Other
Respiratory
- Harmful Dusts
- Fogs
- Fumes
- Mists
- Smokes
- Sprays
- Vapors
- Others
Torso
- Hot Metals
- Cuts
- Acids
- Radiotion
Miscellaneous
- Lifting
- Blood-borne Pathogens
Recommended Personal Protective Equipment
- Goggles
- Safety Glasses
- Face Shield
- Hard Hat
- Rubber Boots
- Steel Toed Boots
- Leather Gloves
- Chemical Gloves
- Long Sleeve Rubber Gloves
- Dust Mask
- Half Mask Respirator
- Full Face Respirator
- SCBA
- Harness
- Full Body Suit (Tyvek)
- Continuos Airflow Hood
- Ear Plugs
Non-Routine Tasks
Select date Date
Department Representative
Health & Safety Manager
Use this template