Hot Weather Risk Assessment Checklist Form
Complete this form to assess hot-weather exposure conditions, identify risk factors, and record any needed follow-up. Use the exact form title consistently across the form.
Site and Assessment Details
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Site / Location
*
Department / Team
Assessor Name
*
Exposure and Risk Conditions
Current work activity or task
*
Exposure status
*
Outdoor
Indoor
Mixed indoor/outdoor
Other
Estimated exposure duration
*
Please Select
Less than 30 minutes
30–60 minutes
1–2 hours
2–4 hours
More than 4 hours
Shade or cooling availability
*
Not available
1
2
3
4
5
6
7
8
9
Readily available
10
1 is Not available, 10 is Readily available
Observed heat stress risk level
*
1
2
3
4
5
Checklist Result and Follow-up
Overall Risk Rating
*
Low
Moderate
High
Critical
Required Corrective Action / Follow-up Notes
Submit
Should be Empty: