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Click ‘Get Form’ to open the hazard assessment form in the editor.
Begin by entering the date at the top of the form. This is crucial for tracking and documentation purposes.
In the 'Standard Protection Code Permit?' section, select 'Yes' or 'No' based on your assessment requirements.
Fill in the type of work being performed: Work, Work and Test, or Limited Access. This helps clarify the context of your assessment.
Identify potential hazards by checking relevant boxes under each category such as Charged Energy, Chemical, Crushing/Pinch Points, etc. Provide specific control measures or barriers for each identified hazard.
Complete sections regarding other crews working nearby, working alone issues, changes in conditions, and confined space considerations. These details are vital for safety planning.
Finally, ensure that all personnel involved in the assessment sign off at the bottom of the form to confirm their review and agreement.
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