Environmental Survey Fieldwork Risk Assessment Form

Project / Survey Name Fieldwork Location(s) Date(s) of Fieldwork Team Member(s) Supervisor / Contact

Hazard Identification & Risk Assessment

Hazard	Who is at Risk?	Existing Controls	Risk Rating (L/M/H)	Further Actions Required

Personal Protective Equipment (PPE) Required Emergency Procedures / Contacts Other Notes / Comments

Assessor Name Assessment Date