PetroDash

Hazard Assessment


Workers Present











Location of Work

Muster Point

Work To Be Done

Current Tasks

Enviromental Hazards








Ergonomic Hazards








Access / Egress Hazards




Overhead Hazards





Rigging / Hoisting Hazards




Personal Hazards





Electrical Hazards





Transportation Hazards








Additional Hazard 1
Additional Mitigation 1
Additional Hazard 2
Additional Mitigation 2
Additional Hazard 3
Additional Mitigation 3
Warning Ribbon Required?


If Ribbon Required, Explain Why


Working Alone?


PPE Inspected?


Is there Hazards Remaining?


If Yes, Explain What


Are Workers Fit for Duty?


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