Glacial Survey Fieldwork Risk Assessment Form
Project and Personnel Details
Project Title
Location
Date(s) of Fieldwork
Team Members
Assessment Completed By
Date of Assessment
Fieldwork Activity Description
Risk Assessment Table
Hazard
Potential Harm
Persons at Risk
Existing Controls
Risk Level (Low/Med/High)
Additional Controls Needed
Emergency Plan
Emergency Contacts
Nearest Medical Facility
Communication Plans
Approvals
Supervisor/PI Name
Signature
Date