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Field level hazard assessment (FLHA) form
A short FLHA card for the start of a shift or task, filled in at the work location on a phone. Tick the hazards present today, write the control for each, check the PPE, and have the crew sign on. When the job or the conditions change, stop and add a re-assessment, then close the card out at the end of the shift. Try the form below, see every question or open a completed example.
For crews, foremen and supervisors on Canadian construction, energy, utility and industrial sites.
Working somewhere else? In the US this is usually a JHA or JSA, in Australia a SWMS, and in the UK and Ireland a RAMS.
- Hazards present today, ticked from a list, each with its control
- Order of controls: eliminate, engineering, administrative, then PPE
- Crew sign-on on the device
- Re-assessment log for changes during the shift
- End-of-shift close-out: hazards left, incidents, permits closed
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What is a field level hazard assessment?
A field level hazard assessment (FLHA) is a short hazard assessment done at the work location before work starts, by the supervisor and the workers doing the job. It records the task, the hazards present that day, the controls and PPE for each, and the crew's sign-on, and it is repeated when the work or the conditions change. It sits under the employer's formal hazard assessment and covers what that cannot foresee.
Last updated . Facts checked by the SiteSurvey team on 25 October 2026 against Alberta OHS Code (AR 191/2021), Part 2: hazard assessment, elimination and control, Government of Alberta, site-specific hazard assessment template, Energy Safety Canada, COR audit protocol (site-specific and field level hazard assessment), WorkSafeBC, Assessing risks, BC OHS Regulation, Part 3 (inspections) and Canada Occupational Health and Safety Regulations, Part XIX (federal workplaces).
How to make this record useful
Hazard, risk and the control used today
Riverbend Commons, Building B, precast panel lift: the suspended load is rated high and controlled by an exclusion zone, one signaller and tag lines; soft ground at the north outriggers gets doubled mats. At 10:20 the wind rises, so a re-assessment pauses lifting for 40 minutes and adds a second tag line. At the end of the shift the braced, ungrouted panels are taped off and the supervisor signs.
Fictional example. Record the actual evidence and approved arrangements for your job.
A common recording mistake
Ticking the same hazards every morning without looking at the site. An FLHA is about today’s conditions: weather, ground, other crews and changes to the task. A card filled in at the start and never updated misses the change that matters.
What happens next
Review the card with the crew before work starts and have everyone sign on. Stop and add a re-assessment whenever the task, crew, weather or equipment changes, and close the card out at the end of the shift with the hazards left and any incidents.
Try the FLHA form live
Answer a few questions and watch it adapt. Your answers are not saved, and any photos you add are deleted within the hour.
This is the real form as your team would use it: questions appear as you answer, scores work themselves out and you can add photos and signatures. No sign-up needed. Or open a completed example to see every answer, photo and score filled in.
Want to see one filled in? See a completed FLHA report (PDF), made by SiteSurvey from a fictional site visit.
Every question in the FLHA template
A field level hazard assessment card for the start of a shift or task: the task, the hazards present today, controls, PPE, crew sign-on, re-assessment when conditions change and end-of-shift close-out. Written for Canadian work sites, following the Alberta OHS Code hazard assessment rules. 2 sections and 37 questions. Follow-up questions and guidance appear only when an answer calls for them, so the person on site never sees the ones that do not apply.
Make it your own: every question is editable
This is a starting point, not a fixed form. Once it is in your SiteSurvey account you can reword any question, add or remove questions, sections and answer options, and add your own logo, so it fits the way your team works and the jobs you do.
Details you only enter once
Add this form to a project in SiteSurvey and it fills in what the project already knows, so nobody on site retypes it and every form on the job uses the same names. Anything filled in can still be changed.
- Work site or location: the site, when the form is opened for a space or a product
Task and hazards
- Date*Date
- TimeTime
- Company*Short answer
- Work site or location*Short answerFills in from the site, when the form is opened for a space or a product
- Location (GPS)Short answer
- Task*Short answer
- Permit or work order numberShort answer
- Supervisor*Short answer
- GuidanceWhat an FLHA is. A field level hazard assessment is done at the work location before work starts, by the supervisor and the workers doing the job. It looks for hazards the site-wide hazard assessment does not cover, such as today's weather, ground or other crews. In Alberta, an employer must assess a work site and identify existing and potential hazards before work begins, involve affected workers, and repeat the assessment when a new work process is introduced or a work process or operation changes (OHS Code, sections 7 and 8).
- Hazards present todayTick all that apply
- Working at heights
- Slips, trips and footing (ice, mud, uneven ground)
- Overhead hazards or falling objects
- Mobile equipment and traffic
- Pinch points and moving parts
- Energized equipment (lockout needed)
- Overhead or buried power lines
- Ground disturbance or excavation
- Confined space
- Hot work or fire
- Hazardous products (WHMIS)
- Dust, fumes or gases
- Noise
- Lifting, pushing or awkward positions
- Hand and power tools
- Cold or heat stress
- Weather (wind, lightning, visibility)
- Wildlife
- Working alone
- Poor lighting
- Other crews or the public nearby
- Hazards and controlsRepeat for each hazard. Each one asks:
- Hazard*Short answer
- RiskChoose one
- Low
- Medium
- High
- Kind of controlTick all that apply
- Eliminate
- Engineering control
- Administrative control (procedure, training, spotter)
- PPE
- How it is controlled*Notes
- PPE onlyWorked out by the form
- CheckOnly PPE is ticked. PPE is the last option: look for a way to eliminate the hazard or control it with an engineering or administrative control first.Shown only when the answers above make it relevant
- WarningHigh risk: do not start until the supervisor has reviewed the controls.Shown when “Risk” is “High”
- PhotoPhotos
- PPE requiredTick all that apply
- Hard hat
- Safety glasses
- Face shield
- Hearing protection
- High-visibility vest
- Gloves
- CSA-approved safety boots
- Fall protection harness
- Respirator
- Flame-resistant clothing
- Gas monitor
- Is everyone wearing the PPE, and has it been checked?Yes or No
- Have you read the site hazard assessment and any previous FLHA for this task?Yes or No
- Does the crew know the muster point and the emergency plan?Yes or No
- Muster pointShort answerShown when “Does the crew know the muster point and the emergency plan?” is Yes
- CheckGo over the emergency plan and the muster point before starting.Shown when “Does the crew know the muster point and the emergency plan?” is No
Crew sign-on, re-assessment and close-out
- Crew: I took part in this hazard assessment and understand the controlsRepeat for each worker. Each one asks:
- Name*Short answer
- Company or tradeShort answer
- SignatureSignature
- Crew signed onWorked out by the form
- Stop and re-assess ifTick all that apply
- The task or scope changes
- A new worker joins the crew
- Weather or site conditions change
- Equipment or tools change
- After a break or a stop in the work
- There is an incident or near miss
- Did anything change during the shift that needed a re-assessment?Yes or No
- Re-assessmentsRepeat for each re-assessment. Each one asks:Shown when “Did anything change during the shift that needed a re-assessment?” is Yes
- TimeTime
- What changed?*Short answer
- New hazards and controls*Notes
- InitialsShort answer
- End of shift: is the job complete?Yes or No
- Hazards left at the work site, and how they are marked or controlledNotesShown when “End of shift: is the job complete?” is No
- Were there any incidents or near misses?Yes or No
- What happened, and has it been reported?NotesShown when “Were there any incidents or near misses?” is Yes
- WarningReport it to the supervisor before the end of the shift.Shown when “Were there any incidents or near misses?” is Yes
- Are the permits closed and the area cleaned up?Yes or No
- Supervisor review*Short answer
- Supervisor signatureSignature
- GuidanceKeep the completed FLHA with the site records. A new FLHA is done for each shift or task.
See it filled in
A completed FLHA report, made by SiteSurvey from a fictional site visit: every answer, the photos, the guidance that applied and the sign-off, ready to send as a PDF.
FLHA FAQs
Is an FLHA required by law in Canada?
No province names the FLHA in its regulations as far as we have found, but the duty behind it is in law. In Alberta, section 7 of the OHS Code says an employer must assess a work site and identify existing and potential hazards before work begins, prepare a report of the results and the controls, record the date on it, and repeat the assessment when a new work process is introduced or a work process or operation changes. Section 8 says affected workers must be involved. A daily FLHA is a practical way to meet those duties at a site that changes. The FLHA term itself comes from industry: Energy Safety Canada's audit protocol describes a site-specific or field level assessment done before work starts at a site, and again when conditions change.
Sources: Alberta OHS Code (AR 191/2021), Part 2: hazard assessment, elimination and control and Energy Safety Canada, COR audit protocol (site-specific and field level hazard assessment).
What is the difference between an FLHA and a formal hazard assessment?
The formal hazard assessment is written for the job or position in advance and covers the hazards you can predict. The FLHA is done on site, on the day, for the hazards that depend on where and when the work happens, such as overhead lines, wet ground, weather or other crews nearby. The Government of Alberta's own site-specific template says to use it for new or situational hazards not addressed in your formal hazard assessment, and to review it with all workers before work starts.
Sources: Government of Alberta, site-specific hazard assessment template and Energy Safety Canada, COR audit protocol (site-specific and field level hazard assessment).
In what order should hazards be controlled?
Section 9 of the Alberta OHS Code sets the order: eliminate the hazard; if that is not reasonably practicable, control it with engineering controls; if that is not enough, administrative controls; and if the hazard still is not controlled, personal protective equipment. A combination can be used where it gives a greater level of safety. The form asks which kind each control is and warns when a hazard relies on PPE alone. Federally regulated workplaces follow Part XIX of the Canada Occupational Health and Safety Regulations, which lists PPE before administrative procedures.
Sources: Alberta OHS Code (AR 191/2021), Part 2: hazard assessment, elimination and control and Canada Occupational Health and Safety Regulations, Part XIX (federal workplaces).
When should the FLHA be redone during the shift?
Whenever the job or the conditions change: the task or scope changes, a new worker joins the crew, the weather or ground changes, equipment changes, after a break or stop, or after an incident or near miss. The form lists those triggers at the top of the second page, and each re-assessment records the time, what changed, the new hazards and controls, and initials, so the card shows how the job actually went.
Source: Alberta OHS Code (AR 191/2021), Part 2: hazard assessment, elimination and control.
Does this work in British Columbia?
Yes, as a site record. The BC OHS Regulation does not use the term FLHA; it requires regular inspections of workplaces, equipment and work methods at intervals that prevent unsafe conditions (section 3.5), and WorkSafeBC asks employers to do a risk assessment for each workplace and review it when new equipment, materials or processes come in. An FLHA done at the start of each job is one way to record that on site.
Sources: BC OHS Regulation, Part 3 (inspections) and WorkSafeBC, Assessing risks.
Who signs the FLHA?
Everyone on the crew signs on to say they took part and understand the controls, and the supervisor reviews and signs it at the end of the shift. In the SiteSurvey app the card works offline, with photos against each hazard, and the completed FLHA is kept with the job as a PDF or a link.
Related
Related templates
Templates that go with the FLHA form
Construction site safety walk: perimeter, work at height, welfare, housekeeping, plant, hazards and actions.
Hazards, who might be harmed, controls and risk scores, with a briefing record and review date.
Risk assessment for a task at height: can it be avoided, how falls are prevented, access equipment, fragile surfaces, falling objects, rescue and scored hazards.
Risk assessment for someone working alone: the work and place, violence, health, high risk tasks, check-in arrangements, what happens if contact is lost and scored hazards.
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