Working Alone Hazard Assessment

Inspection template for assessing hazards, controls, and emergency readiness for field workers operating where assistance is not readily available. Supports working alone programs and site-specific hazard identification.

Inspection Details

• Work location and task are clearly identified
  Document the site, route, or service area and the specific task to be performed.
• Date and time of assessment recorded
• Assessment completed by competent person or supervisor
• Worker assigned to the task is identified

Site Access and General Conditions

• Access route is known and passable
• Work area has reliable cellular or radio coverage
• Weather and environmental conditions are suitable for safe field work
• Hazards from traffic, water, terrain, animals, or remote access are identified
• Lighting is adequate for safe access and egress

Hazard Identification and Task Controls

• Task-specific hazards have been identified
• Energy isolation or lockout-tagout requirements reviewed where applicable
• PPE requirements are defined and available
• Controls for slips, trips, falls, and struck-by hazards are in place
• Heat, cold, or other environmental exposure is controlled

Communication and Check-In Plan

• Primary communication method is available and tested
• Backup communication method is available
• Check-in frequency is defined
• Emergency contact and escalation procedure are documented
• Worker can summon help without delay

Emergency Readiness and Rescue

• First aid supplies appropriate to the task are available
• Emergency response plan is understood by the worker
• Nearest medical facility or rendezvous point is identified
• Rescue or retrieval limitations have been considered

Controls, Signoff, and Follow-Up

• All identified deficiencies have corrective actions assigned
• Work may proceed under current controls
• Inspector signature