Facilities Management Field Level Hazard Assessment Procedure (FLHA) Field Level Hazard Assessment/Tool Box – Overview During the course of a project, complacency can often present itself on the jobsite. To prevent complacency, encourage project involvement, identify potential hazards and maintain an atmosphere focused on safety, individuals are required to complete a Field Level Hazard Assessment prior to the work being completed, for all tasks that contain the following characteristics: All non-routine work This involves tasks that are not done on a regular basis or do not have procedures available for the task being completed. High Risk / High Hazard This will be determined by the Supervisor issuing the work order to his immediate crew. Construction Projects FLHAs must be completed for all construction projects involving more than one trade in an effort to ensure all hazards are communicated as required. Employee Decision If the task does not fall into any of the above categories, the employee conducting the work may choose to complete an FLHA. Purpose The purpose of the FLHA/Toolbox Form is to provide a daily tool to minimize or eliminate potential losses (to people, property materials or the environment) the day of the job, as well as to start the day having safety as a focal point. Responsibilities 1. President/CEO 1.1 Ensure adequate resources are available to implement the appropriate mitigations. 1.2 Ensure competent workers are involved in the FLHA process. 1.3 Ensure the Program is communicated to all levels of employment. 1.4 Requires compliance with the procedure. 2. Managers 2.1 Ensure adequate resources are available to implement the appropriate mitigations. 2.2 Ensure the program is communicated to all levels of employment. 2.3 Requires compliance with the procedure. 2.4 Drives process

3. Supervisors 3.1 Ensure employees are aware of any and all processes that may lead to hazards and or risks during workplace activities. 3.2 Facilitate & document the FLHA/Toolbox form for the areas under their supervision and control. 3.3 Participate in the development of Field Level Hazard Assessments, and take action to correct all known unsafe conditions. 4. Employees 4.1 Will comply with the associated procedures. 4.2 Participate in FLHAs as required. 4.3 Report any and all unsafe conditions that may lead to unsafe conditions for others. 5. Health, Safety and Environment 5.1 Assist as required to provide recommendations to all levels of management, and employees on matters pertaining to hazard identification and control. 5.2 Ensure the procedure is kept current. Procedure A Field Level Hazard Assessment must be completed on-site and before the work has started for all tasks classified as the following: All non-routine work This involves tasks that are not done on a regular basis or do not have procedures available for the task being completed. High Risk / High Hazard This will be determined by the Supervisor issuing the work order to his immediate crew. Construction Projects FLHAs must be completed for all construction projects involving more than one trade in an effort to ensure all hazards are communicated as required. Employee Decision If the task does not fall into any of the above categories, the employee conducting the work may choose to complete an FLHA. Employees will be given work orders that contain the scope of work required for that particular task. When their direct Manager/Supervisor sends out the work order, they are required to determine whether or not the work will fall within one of the categories listed above. If in fact the task is considered non-routine work, high risk/high hazard or a construction project, the employee will be required to complete a FLHA. If the Manager/Supervisor does not classify the task, the employee is also expected to determine if in fact the task falls within one of the categories listed above.

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To complete the FLHA form, please follow the following steps: STEP 1:

Complete all fields within section A of the field level hazard assessment. This section contains information that pertains to the job itself, such as a short description of work, muster areas, fire extinguisher locations and required signatures from both the project supervisor and manager.

STEP 2:

Section B contains a numbered list (1-31) that speaks to potential hazards that may be present during the course of the job. Answer each item with a yes or no answer.

STEP 3:

Section C provides a few empty boxes to identify hazards that may have not been prompted within section B.

STEP 4:

Simply enter the identified hazard number from sections B & C into section D. Once you have entered the hazard number, you will then need to enter the actual hazard itself, the control used to mitigate the hazard, as well as whom it is assigned to.

STEP 5:

The first part within section E requires the employee to check the PPE that is needed to complete the particular task safely. Section E also contains a tool box topic; this part requires the working crew to pick a topic (regarding workplace safety) and have a short discussion regarding the matter.

Section E also contains a permit section. All employees are required to check the permits that will be utilized during the course of the job. Lastly, all employees must print and sign their name. Once the task has been completed, a copy must be removed and submitted to your immediate supervisor. Speak with your Manager/Supervisor to obtain a Field Level Hazard Assessment Book.

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UNIVERSITY OF REGINA FACILITIES MANAGMENT FIELD LEVEL HAZARD ASSESSMENT Section A Work order #:

Project Start Date:

Completion Date

Description of Work: Work Site Location:

Muster Area:

Location of Fire Extinguishers & First Aid Kits: First Aid Attendant: Project Supervisor: _________________________________________________ Signature Project Manager: _________________________________________________ Signature

Section B: Identification Of Hazards (All hazards must have a control/corrective measure) #

Potential Hazards

Yes/No

#

Potential Hazards

Yes/No

1

Are Procedures available for tasks?





17

Potential for slip and fall hazards?





2

Have clear instructions been provided?



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18

Poor condition of rigging equipment?



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3

Do workers have proper training for tasks?



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19

Are there overhead lines?





4

Is this the first time performing task?





20

Are tools in good working order?



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5

Is there inadequate PPE?





21

Are the proper tools for the job being used?



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6

Are there WHMIS hazards? (Chemical and storage of chemicals, MSDS, etc.)



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22

Are all protective devices in place?





7

Are there electrical hazards?



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23

Is housekeeping in good order?



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8

Are there fire and explosion hazards?



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24

Is there are risk of falling objects?





9

Are there environmental hazards? (Contamination spills, etc.)



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25

Is excavation work being done?



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10

Mobile equipment operating in work area?



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26

Are elevated work surfaces in good order?



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11

Are pinch points present?



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27

Are ladders or scaffold being used?



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12

Are there ergonomic hazards (lifting, pulling, pushing, overexertion, awkward body position, noise, etc)



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28

Hand/Power tools in good working order?





13

Other workers posing hazards in work area





29

Do hazardous atmospheric conditions exist?









30

Has Asbestos been tested for in the immediate area?









31

Is there a possibility of an asbestos exposure?









32

Accessibility Issues?





14

15 16

Will all applicable federal, provincial municipal safety related legislation and University applicable policies and procedures be followed? Has signage been posted, clearly identifying the construction zone? Barricades/Hoarding/Excavation needed?

Section C: *Other Hazards Not Specified On The List Must Be Written Below

Section D: Controls/Corrective Actions #

Hazard Present (Identify hazard category by corresponding #)

Controls (Elimination, Substitution, Engineered, Administrative, PPE.)

Assigned to:

Section E: Required PPE Steel Toe Boots 

Eye Protection 

Hard Hat 

Hearing Protection 

Gloves 

Respiratory Protection 

High Vis Vest  Specialized PPE: __________________________________________________________________________________________ TOOL BOX TOPIC: Permits Required: A) Confined space B) Fall protection C) LOTO D) Hot work

Employees Names: (Print/Sign)

Date