Chainsaw Risk Assessment Checklist Form
Evaluate safety and readiness before operating a chainsaw. Complete all items to ensure a safe working environment.
Operator Full Name
*
First Name
Last Name
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Personal Protective Equipment (PPE) Check
*
Helmet with face shield or goggles
Hearing protection
Cut-resistant gloves
Chainsaw chaps or pants
Steel-toe boots
Chainsaw Condition Check
*
Rows
Pass
Fail
N/A
Chain tension
1
2
3
Chain sharpness
4
5
6
Chain brake
7
8
9
Throttle lock
10
11
12
Handles secure
13
14
15
Guard in place
16
17
18
Site Hazards Present
Slopes or uneven ground
Obstacles or debris
Nearby power lines
Weather conditions (wind, rain, etc.)
Other
Safe Escape Route Planned?
*
Yes
No
Emergency Procedures Reviewed?
*
Yes
No
Overall Site Safety Rating
*
1
2
3
4
5
Additional Comments or Observations
Supervisor Review (if applicable)
Approved
Not Approved
N/A
Submit Assessment
Should be Empty: