Welding Hazard Assessment Form
Assess welding-related hazards, current controls, and overall risk level for a specific job or worksite.
Worksite and Welding Details
Worksite / Location
*
Welding Task / Type
*
MIG
TIG
Stick
Flux-Cored
Oxy-fuel
Other
Material Being Welded
*
Assessment Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Hazard Exposure Assessment
Arc flash / UV exposure
*
Low
1
2
3
Very High
4
1 is Low, 4 is Very High
Fumes and gases exposure
*
Low
1
2
3
Very High
4
1 is Low, 4 is Very High
Fire / spark risk
*
Low
1
2
3
Very High
4
1 is Low, 4 is Very High
Electric shock risk
*
Low
1
2
3
Very High
4
1 is Low, 4 is Very High
Noise exposure
*
Low
1
2
3
Very High
4
1 is Low, 4 is Very High
Confined space / poor ventilation risk
*
Low
1
2
3
Very High
4
1 is Low, 4 is Very High
Controls and Safety Measures
Controls currently in place
*
Local exhaust ventilation
General ventilation
Welding screens/curtains
PPE in use
Fire watch
Grounding/electrical checks
Hot work permit
Confined space controls
Other
Overall risk level / corrective action priority
*
Please Select
Low
Moderate
High
Critical
Immediate corrective actions / recommendations
Submit Assessment
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