Field Level Hazard Assessment
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Email *
Name (First Name Last Name) *
Location *
Date *
MM
/
DD
/
YYYY
Shift (eg 8am to 8pm) *
Post (eg East Entrance Area) *
Muster Point (Rallying Point in case of Emergency) *
Weather *
Ground Conditions *
Is there a First Aid Kit onsite? *
Are all Officers fit for duty? *
If all Officers are not fit for duty, write the reason? *
Are there new officers to be mentored? *
Are you working alone? *
If YES, who is monitoring you? *
Is there are First Aider onsite? *
If End Of Shift, were there any incidents/accidents/near miss to report?
If Yes, explain:
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