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westcorthermal > Safety > FLHA CARD

WESTCOR THERMAL REPORT

FLHA Card

Surrey Office

Eye Wash Location

Emergency Contact

Fire Extinguisher Location

Temperature

Wind Direction

Wind Speed

First Aid Room Location

Muster Point Location

MSDS's Required

Task Hazard Assessment Card

Westcor Job No

P JHA No

Date

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

Work Conditions:

Dry

Wind

Snow / Frost

Wet

Rain / Hail

Fog

Lightning

Other

Extreme Temp:

Hot

Cold

Rescue Plan Discussed ERP Discussed

Group 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

Environment:

Fumes

Liquid

Chemical / Acid

H2S / SO / Gases

Noxious Odours

Dust

Asbestos

MSDS Reviewed

Other

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

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