Field Level Hazard Assessment — Information
Please select a job before saving.
PPE / Safety Requirements — check all that apply
Potential Hazards — check all that apply
Risk Assessment
Severity
Probability
Minor Injury
or Damage
or Damage
Personnel Sent to Hospital /
Moderate Damage
Moderate Damage
Death or Permanent Disability /
Serious Damage
Serious Damage
1
2
3
Unlikely to Occur1
2
3
4
Could Occur at Some Time2
3
4
5
Likely to Occur Soon3
4
5
6
| Scope of Work / Controls | Hazard | Severity | Probability | Risk Rank |
|---|
Pre-Use Inspections — check when completed (if applicable)
Signatures