Crew Hazard Assessment FormBy Jennifer Filgate / June 27, 2025 Project *Date *Crew Leader *CREW1. Name 1. Fit for Duty Yes1. PPE Inspected Yes1. Signature 2. Name 2. Fit for Duty Yes2. PPE Inspected Yes2. Signature 3. Name 3. Fit for Duty Yes3. PPE Inspected Yes3. Signature 4. Name 4. Fit for Duty Yes4. PPE Inspected Yes4. Signature 5. Name 5. Fit for Duty Yes5. PPE Inspected Yes5. Signature 6. Name 6. Fit for Duty Yes6. PPE Inspected Yes6. Signature 7. Name 7. Fit for Duty Yes7. PPE Inspected Yes7. Signature Instructions List the general work tasks / hazard for the day. Record the overall Risk Hazard each task. Describe how each hazard will be minimized / eliminated. 1. Work Task / Hazard 1. Risk LowMediumHigh1. Description of Control 2. Work Task / Hazard 2. Risk LowMediumHigh2. Description of Control 3. Work Task / Hazard 3. Risk LowMediumHigh3. Description of Control 4. Work Task / Hazard 4. Risk LowMediumHigh4. Description of Control 5. Work Task / Hazard 5. Risk LowMediumHigh5. Description of Control 6. Work Task / Hazard 6. Risk LowMediumHigh6. Description of Control 7. Work Task / Hazard 7. Risk LowMediumHigh7. Description of Control 8. Work Task / Hazard 8. Risk LowMediumHigh8. Description of Control Reviewed by (management rep) Date WebsiteSubmit Save and Continue
