Wind Energy – Risk Assessment and Mitigation Form
Making the right choice – Work Safely
Work Task:
Tailboard Participants: (names, use back if needed)
Date:
Conduct a new Safety Tailboard meting if the personnel or work scope changes.
(A) Emergency Procedure: (Safety, Medical, Environmental or Security)
Emergency – radio call to leader, see emergency response procedure, have emergency numbers
(B) Work Procedures:
Procedure Name
Discuss the procedure and/or the work scope as well as the safety risk. What equipment, systems and
hazards are involved in this job? What other work in this area could affect the safety on this job?
(C) Work Procedures:
* * check and discuss all that apply * *
Behavior discussion: (Hazard Recognition and Response includes ROUTINE Task)
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Climbing
Stretch before working
Pushing/Pulling
Lifting//Lowering material (____lbs)*
Repeitive motion
Correct body position
Twisting
Assistance when needed
Overextended/Cramped
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Walking/Working Surfaces
Eyes on Path
Eyes on Task
Pinch Points
Line of fire
Ascending/Descending (3 pt contact)
Housekeeping (dirt, trash,etc.)
Stay to right
Have the Skills/Knowledge needed
*Note: Back sprains and strains are a leading cause of injuries. If lifting more than 50 lbs. Request assistance.
Other Risks/Hazards associated with the job::
Weather Normal
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Hot
Cold
Falls
Ladders
Tools, Hoses, Cords
Energized Parts
Driving Vehicle (wear seat belt)
Chemicals, Oils, Flammables, etc.
Industrical Hygiene (air quality)
Pest (wasp, spiders, bees, etc)
Fiberglass materials
Sharp objects
Rain
Snow Ice
Lightening
 Confined spaces
 Excavations
 Scaffolds
 Material Handling
 Grounding
 Environmental Spills
 Rotating Equipment
 Other work in area
 Powered Vehicles (fork-lift, crane)
 Additional Lighting Required
(D) Energy Source Controls:
Identify and discuss the energy sources that need to be isolated and verified.
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Electrical
Verification Method:
Mechanical
Verification Method:
Pressure/hydraulic
Verification Method:
Chemical
Verification Method:
Potential Energy
Verification Method:
Other
Verification Method:
Clearances and Boundaries: Clearance needed to do this job?
Verify:
Correct Unit?
Correct Equipment?
Yes
Correct System?
No
Correct Boundary?
(E) Special Precautions: Identify and discuss the following items:
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Fire Extinguisher
Eye Wash Station/Shower
Bloodborne pathogens kit
Muster Point
Spill Containment Kit
Other Precautions
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First Aid Kit
AED
Drinking Water
MSDS
Storm Drains, Wetlands
(F) Risk/Hazard Mitigation:
Personal Protective Equipment: (Hazard Recognition and Response includes ROUTINE Task)
Head
Eyes
Hands
Feet
Ears
Body
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Hard Hat
Safety Glasses
Administrative
 Hot Work Permit
Googles
Face Shield
Work Gloves
Chemical Resistant Gloves
Steel Toe Shoes
Ear Muffs
Caution/Danger Tags/Cones
Warning Signs
Rescue Plan (fall protection)
Communication (radio channel____)
Tool Inspection Before USE
Rigging Inspection
Fall Protection Harness
Dual Y Lanyards
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Waste Material Management
Engineering
Coveralls
Cold Weather Gear
Rescue Equipment Available
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Ground Fault Interrupter
Hole covers
Tie Off for Fall Protection
Waste Containment
List other mitigation methods required:
Participants:
Print Name
Signature
Use back of page for additional names and signatures if needed.