Hazard Assessment and Pre-Job Safety Meeting Form

*Has the work site been inspected?

*Have the work procedures been communicated?

*Are there any hazards present that could cause physical injury?

*Does the weather indicate the possibility of extreme temperature?

*Have wind conditions been considered?

*Emergency Response Plan established and reviewed?

*Are there any potential fire or explosion hazards?

*Have provincial first-aid requirements been satisfied?

*Have general safety precautions been identified?

*Will there be any lifting and handling of loads?

*Will Lock Out or Isolation be required?

*Will workers be exposed to noise above 85dba?

*Are there any issues with poor lighting?

*Will there be confined space entry?

*Are there chemical hazards present?

*If ATV is needed does operator have training?

*Will powered mobile equipment (ATV/Snowmobile) be used?

*Are there any additional safeguards required?

*Are the appropriate drinking fluids, toilet & washing facilities available for workers?

*Are power tools, equipment and machinery required?

*Will anyone be working alone?

*Have all WHMIS & TGD requirements been met?

*Will there be any forestry activity such as bucking or felling?

*Have precautions been taken to ensure no other work will be done that could create a hazard?

*Has a designated smoking area been established?

*Is there potentially harmful wildlife in the area?

*Will workers be required to use respiratory protection?

*Are you aware of any workers with allergies to foods and/or insects or taking any prescribed medication?

*Do all personnel have appropriate PPE?

*Are there any overhead hazards?

*Signature