Demolition Site Hazard Assessment
Project Name
Site Location
Assessment Date
Assessed By
Description of Demolition Activities
Hazard Identification
Hazard
Present?
Control Measures
Falling Debris
Yes
No
Hazardous Materials (e.g. asbestos, lead)
Yes
No
Structural Instability
Yes
No
Utilities (electricity, gas, water)
Yes
No
Noise & Vibration
Yes
No
Other Hazards
Yes
No
Additional Notes
Assessor’s Signature