Landscaping Risk Assessment Form
Use this form to identify and rate landscaping job-site hazards before work begins.
Job and Site Details
Job or site name / location
*
Date of assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor name and role
*
Crew size
*
Type of landscaping work planned
*
Lawn care
Planting
Pruning
Tree/shrub work
Hardscape
Irrigation
Cleanup
Other
Site Conditions and Hazard Review
Surface / Terrain Condition
*
Flat
Uneven
Sloped
Muddy
Wet
Rocky
Unstable
Other
Access and Egress Condition
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Proximity to Overhead / Underground Utilities
*
No
Yes
Utility Details (if yes)
Vehicles / Public / Occupants Nearby
*
No
Yes
Hazard Checklist
Equipment, Materials, and Chemical Use
Equipment / tools to be used
*
Mower
Trimmer
Blower
Chainsaw
Ladder
Hand tools
Auger
Pressure washer
Other
Condition of equipment
*
Good
Fair
Poor
Not inspected
Manual handling / lifting risk level
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Will fertilizers, pesticides, fuels, or other chemicals be used?
*
Yes
No
If yes, provide product type, handling precautions, and any storage / transport hazards
Weather, PPE, and Overall Risk Rating
Weather Conditions at Assessment Time
*
Clear
Cloudy
Overcast
Light Rain
Heavy Rain
Windy
Hot
Cold
Fog/Low Visibility
Other
Forecast Concerns
*
Heat
Rain
Wind
Lightning
Low Visibility
None of the Above
Required PPE
*
Gloves
Eye Protection
Hearing Protection
High-Visibility Vest
Long Pants
Steel-Toe Footwear
Respiratory Protection
Hard Hat (if needed)
Other
PPE Availability and Compliance Status
*
Fully Compliant
Partially Compliant
Missing Required Items
Not Verified
Other
Overall Risk Rating
*
Low
1
2
3
Critical
4
1 is Low, 4 is Critical
Recommended Controls or Corrective Actions
*
Assessor Final Remarks
Assessor Sign-Off Name or Initials
*
Submit Assessment
Should be Empty: