Origin Flame Daily Field Level Hazard Assessment (FLHA)

Quick daily check: Hazards present? Controls in place? Verify & go.

Date:

Assessor:

Location / Job Site:

Hazard Identification Checklist (Check if present today)

⚡ Electrical

Energized Parts/Shock Arc Flash Potential Overhead Lines Grounding Issues LOTO Failure

🏗️ Construction / Physical

Heights (Ladder/Lift/Scaffold) Slips/Trips/Falls Heavy/Awkward Lifting Confined Spaces Trenches/Excavation Falling Objects Mobile Equipment

🌱 Health / Environmental / Other

Heat/Cold Stress High Noise Dust/Fumes/Silica Chemicals/Solvents Inadequate Lighting Working Alone Fatigue Wildlife/Insects

🔧 Rigging / Hoisting / Tools

Rigging/Hoisting Defective Tools/Equipment

Mitigation & Controls Verification Checklist (Check what's in place today)

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

🛡️ PPE & Personal Protection

Hard hat (all crew) Safety glasses / face shield High-vis clothing / vest Steel-toe / safety boots Hearing protection (where noise present) Respiratory protection (dust/fumes/chemicals) Cut/chemical-resistant gloves Arc-rated / FR clothing (electrical hazards)

🪜 Fall Protection & Ladders

Ladders inspected, tied off / secured at top/bottom 3-point contact maintained on ladders Full-body harness & lanyard inspected & worn (>3m or required) Fall arrest / lifeline anchored to approved point Guardrails / toeboards on scaffolds / edges No work over unprotected edges without fall protection

⚡ Electrical & Energy Controls

LOTO applied & verified where required Zero-energy / test before touch confirmed Safe clearance from power lines / locates done GFCI / assured grounding on temp power

🏗️ General Site & Equipment Controls

Housekeeping – no trip hazards, cords/trip lines managed Tools / equipment pre-use inspected Barricades / signage / flagging in place Emergency gear (first aid, fire ext., eyewash) accessible Hydration / breaks planned (heat/cold) Spotter / signal person for mobile equipment Communication device / check-in for working alone

Crew Members On-Site:

Additional Notes / Stop Work if Needed?:

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

Stay safe out there, guys. Daily checks keep everyone going home whole.