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Overview
Complete
Field Level Hazard Assessment Template
22 Feb 2019 / Sydney South Project / Jacob Villacrucis
Inspection score
100%
Failed items
0
Created actions
2
Site
Sydney
Job Site
Sydney South Project
Location
56 Ocean Street, Sydney South, New South Wales 2000
Full Name of Construction Worker
Jacob Villacrucis
Work Area
Excavation
Date of Assessment

22nd Feb, 2019

7:36 AM PST

Actions
2
Inspection
2
100%
Field Level Hazard Assessment
100%
Briefly describe your tasks for the shift.
Remove excavated soil from the pit in grid 4A.
Field Level Hazard Assessment / Before Commencing Work
100%
Field Level Hazard Assessment / Before Commencing Work / List the hazards in your work area by tapping ADD HAZARD.
100%
Field Level Hazard Assessment / Before Commencing Work / List the hazards in your work area by tapping ADD HAZARD. / HAZARD 1
1
100%
Type of Hazard
Physical
Specify the hazard.
Exposure to underground services
Take photos of the hazard in your work area.
Photos
How did you control the hazard?
Isolated people from it
Actions
Done
Proper removal/ or redirection of service line
Field Level Hazard Assessment / During Task Execution
100%
Were changes made to your current tasks?
No
Were you given new tasks during your shift?
Yes
Field Level Hazard Assessment / During Task Execution / List all new tasks to be done during your shift by tapping ADD NEW TASK.
100%
Field Level Hazard Assessment / During Task Execution / List all new tasks to be done during your shift by tapping ADD NEW TASK. / NEW TASK 1
100%
Briefly describe the new task.
Stack suitable material from pit in grid 3C for backfilling to avoid double handling
Type of hazard associated with the new task.
Access/ Egress
Specify the hazard.
Tripping over equipment, debris and spoil
Take photos of the hazard in your work area.
Photos
How did you control the hazard?
Physically removed it
Did new workers come on site?
Yes
Field Level Hazard Assessment / During Task Execution / Identify potential hazards by tapping ADD POTENTIAL HAZARD.
100%
Field Level Hazard Assessment / During Task Execution / Identify potential hazards by tapping ADD POTENTIAL HAZARD. / POTENTIAL HAZARD 1
100%
Type of Hazard
Overhead
Specify the potential hazard.
Excavated material or other objects falling on new workers, esp. on the one wearing improper PPE
Take photos of the hazard in your work area.
Photos
How did you control the potential hazard?
Replaced it
Notes
Talked to the new worker and reminded him about wearing a hard hat.
Field Level Hazard Assessment / During Task Execution / Identify potential hazards by tapping ADD POTENTIAL HAZARD. / POTENTIAL HAZARD 2
1
100%
Type of Hazard
Overhead
Specify the potential hazard.
Upon maneuver, backhoe excavator might fall on new workers
Take photos of the hazard in your work area.
Photos
How did you control the potential hazard?
Physically removed it
Actions
Done
Set up barricades around the pit in grid 3D
Did job site conditions change?
No
Field Level Hazard Assessment / Completion
I cleaned up my work area at the end of my shift and my tools and equipment have been inspected.
Full Name and Signature of Construction Worker
Jacob Villacrucis
22nd Feb, 2019 8:59 AM PST
Media summary
4 Media files