COMPANY NAME FLHA - Daily Field Level Hazard Assessment

Site safety documentation and daily hazard assessment

Quick daily check: hazards present, controls in place, crew informed, safe to proceed.

Date:

Assessor:

Location / Job Site:

List the work steps for today, the hazards involved, the risk level, and the controls in place.

Task / Work Step	Hazard / Risk	Risk Level	Control / Mitigation	Responsible

Daily verification required — check all applicable controls before starting work.

Crew Members & Signatures:

Draw Signature:

Additional Notes / Stop Work if Needed?:

Controls verified in place today. Hazards assessed and mitigated. Safe to proceed.

Draw Supervisor Signature: