Vehicle Inspection
Field Level Hazard Assessment
Hot Work Permit
Wedge Set Procedures
Field Level Hazard Assessment (FLHA)
Name:
Attendees:
Client Name:
Job Number:
Rig Number:
Location:
See It
What could go wrong?
Evaluate It
How bad could it be?
Control It
What can I do to fix it?
Hazards to Consider - check off all that apply
Physical
Housekeeping
Material storage & handling
Slip/Trip/Fall potential
Blocked exits & walkways
Confined/restricted space
Improper ventilation
Powerlines overhead/underground
Ground/surface condition
Open Excavation
Lighting
Weather
Hot work
Vehicle/pedestrian traffic
Working at heights
Scaffolding
Falling objects
Loads moving or being hoisted
Ladder use
Critical Lift
Others working below/overhead
Incorrect tools/equipment
Working on/near energized equipment
Defective tools/equipment
Unguarded equipment
Noise
Vibration
Ergonomic
Awkward body positioning
Overexertion
Repetitive Motion
Twisting/reaching/bending
Cramped/tight work area
Forceful pushing/pulling
Awkward grip/load carried
Working at over head height
Chemical
Freeze burn
Chemical handling/storage
Spill potential
Dust/fumes/vapours/gases
Fire/explosion/reactive properties
Acid/corrosive material
Aerosols
Biological
Waste disposal
Blood/bodily fluid
Virus/bacteria
Insect bite
Lack of hygiene/sanitation
Psychosocial
Personal limitations/illness, age, mental stability
Harassment/violence
Stress/fatigue
Working alone
Worker(s) not competent
List PPE Required:
PPE Inspected?
Yes
No
Location of First Aid supplies:
Emergency Muster Location:
If working alone, explain check-in procedure:
Submit FLHA
Vehicle Inspection
Job Number:
Site:
Vehicle #:
Month
Day
Year
Conducted By:
Signature:
Mark all:
Compliant ✓
Needs Repair ✗
Nonoperational ✗
Inspection Item
Compliant ✓
Needs Repair ✗
Nonoperational ✗
Backup Alarm
Backup Lights
Body
Brakes
Doors
Fire Extinguisher
First Aid Kit
Fuel
Gauges
Glass
Heater/Defroster
Horn
Lights / Beacon
Oil level
Seat belts
Spill Kit
Steering
Tires
Turn Signals
Wheel Chocks
Wipers
Submit Vehicle Inspection
Hot Work Permit
For Cutting or Welding
Job Information
Company Name:
Date:
Work Location:
Type of Work:
Start Time:
Finish Time:
Checklist for Hot Work
Mark all:
Yes ✓
No ✗
Checklist Item
Yes
No
Authorization
Authorized Signature (type full name):
Date:
For specific requirements, refer to General Industry Standards 1910.146, 1910.252, 1910.253, 1910.254, 1910.272, and Construction Standards 1926.803, 1926.350, 1926.352, 1926.343.
Submit Hot Work Permit
Wedge Set Procedures
Job Information
Date:
Job Number:
Procedures
Apply to all:
Fill Crew Int.
Fill Super Int.
Procedure
Crew Int.
Super Int.
Sign-Off
Lead Shift Signature (type full name):
Supervisor Signature (type full name):
Submit Wedge Set Procedures