Fillable Pdf Flha - Fill and Sign Printable Template 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the 'WORK CREW' and 'WORK LOCATION' fields to identify who is involved and where the job will take place.
  3. In the 'DESCRIPTION OF JOB OR TASK' section, provide a brief overview of the work being performed. This helps contextualize the hazards.
  4. Enter the 'SUPERVISOR IN CHARGE' and 'ASSESSMENT DATE' to ensure accountability and record keeping.
  5. Check all applicable 'POTENTIAL HAZARDS' from the list provided. You can add any additional hazards that may not be listed.
  6. In the 'HAZARD CONTROLS' section, check all controls that will be implemented to mitigate identified hazards. Feel free to add more as necessary.
  7. Complete any additional information or comments relevant to the assessment before finalizing your form.
  8. Finally, ensure that the form is signed by both the supervisor and any reviewing personnel for validation.

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A field-level hazard assessment or flha form is used by workers to identify and control hazards in designated work areas. It empowers workers to minimize health and safety risks at the start through the stop and think process.
How to Fill Out an FLHA Form? Step 1: Gather Information. Before filling out the form, gather all the necessary information about the task at hand. Step 2: Identify and Document Hazards. Step 3: Assess and Rank Risks. Step 4: Develop Controls. Step 5: Document Your Findings. Step 6: Obtain Signatures.
Field Level Risk Assessment FLRA ensures that all hazards involved in any task are addressed that may not have been addressed in a Safe Work Procedure/Standard Operating Procedure or a general hazard assessment.
A field level risk assessment is a systematic process of measuring the potential risk within a hazard before it causes injury to a worker or damage to property.
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