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westcorthermal > Safety > TASK HAZARD ASSESSMENT CARD CARD

WESTCOR THERMAL REPORT

TASK HAZARD ASSESSMENT CARD

Surrey Office

P JHA No

Westcor Job No

Date

Eye Wash Location

Emergency Contact

Fire Extinguisher Location

Temperature

Wind Direction

Wind Speed

First Aid Room Location

Muster Point Location

MSDS's Required

Where:

Conf. Space

On Deck/Platform

On roof

On Tanks

In Walkway

VESSEL

Exchanger

Tower

Others

Work Action:

Erection / Assembly

Disassembly

Alteration

Material Handling

Cleanup

Work Type:

Scaffolding

Fireproofing

Painting

Operating

Insulating

Other

General Hazards:

Ice / Snow / Rain

Poor Ventilation

Lighting

Slip / Trip / Fall

Possible Leaks

Flammable

Electrical Lines

Pressurized Pipe

Hot Pipes

Valves

Operating Equipment

Gauges

Hot Work

Excavating

Sharp Objects

Open Holes

Pinch Points

Other

Access / Egress Hazards

Aerial Lift / Man Basket

Scaffold

Slips /Trips

Environment Hazards:

Fumes

Liquid

Chemical / Acid

H2S / SO / Gases

Noxious Odours

Dust

Asbestos

MSDS Reviewed

other

Congested Area:

Yes

No

Rescue Plan Discussed / ERP Discussed

Ground Conditions:

Hard

Medium

Soft

Ice / Snow

Mud

Dry

Wet

Working at Heights:

Workers Above

Workers Below

Workers Below

Falls from Height

Lifelines Installed

Lifting by Ginwheel

Lifting by Crane

Objects Falling

Barriers in Place

Equipment Hazards:

Oper. Power Tools

Oper. Equipment

Hand Tools

Grinder

Utility Knives

Welding / Cutting

Environmental Hazards:

Fumes

Liquid

Chemical / Acid

H2S / SO / Gases

Noxious Odours

Dust

Asbestos

MSDS Reviewed

Other

Work Conditions:

Dry

Wind

Snow / Frost

Wet

Rain / Hail

Fog

Lightning

Other

Extreme Temp:

Hot

Cold

All Employees of the Crew must print name below and sign card prior to commencing work at the task location

Signature 1

Signature 2

Signature 3

Signature 4

Westcor Thermal Inc

19272 96 Ave Unit 16 Surrey, BC V4N 4C1

Hours

Monday – Friday: 7:30 AM – 4:30 PM

Monday – Friday: 7:30 AM – 4:30 PM

© 2026 Westcor Thermal Inc. All Rights Reserved.