About this template
A Field Level Risk Assessment (FLRA) form is an essential tool for project managers, site supervisors, and safety officers working in high-risk environments like construction, engineering, and field operations. Before any shift or major task begins, crews must systematically evaluate potential hazards, establish proper control measures, and verify safety protocols. This template streamlines pre-work hazard identification by capturing essential details such as daily tasks, environmental hazards, required permits, air quality readings, and crew acknowledgments.
Traditionally managed via cumbersome paper logs or static spreadsheets, site risk assessments can now be digitized instantly. With Doc2Form, you can convert safety protocols into a fully interactive Google Form in seconds. Field crews can complete the assessment directly from mobile devices right at the job site, ensuring compliance and real-time visibility for safety leads.
By centralizing your hazard assessments in Google Forms, project teams can easily track submissions, maintain clean audit trails, and ensure every worker has reviewed and signed off on daily safety controls before picking up a tool.
Key features
- Capture daily job tasks, hazards, and mitigation controls before work begins.
- Log safety permits, gas monitoring statuses, and air quality readings.
- Collect crew member names and acknowledgments for complete accountability.
- Mobile-friendly design for fast completion right at the job site.
- Instantly organized in Google Sheets for effortless safety compliance tracking.
Use cases
Daily pre-shift safety briefings on construction and civil engineerin…
Daily pre-shift safety briefings on construction and civil engineering sites.
On-site hazard evaluations for manufacturing plant maintenance crews.
Utility and energy field service team safety sign-offs.
High-risk subcontractor project kickoffs and compliance verification.
What this form collects
- Client / Project Name (Short answer)Enter the name of the client, project, or facility.
- Location / Work Area (Short answer)Specify the exact job site, unit, or floor number.
- Date of Assessment (Date)Select today's date.
- Supervisor / Assessor Name (Short answer)Enter the full name of the supervisor conducting this assessment.
- Daily Task(s) to be Performed (Paragraph)Briefly describe the work activities scheduled for this shift.
- Identified Hazards (Paragraph)List potential physical, chemical, electrical, or environmental hazards associated with today's work.
- Control Measures (Paragraph)Describe the safety controls, PPE, or procedures implemented to mitigate the identified hazards.
- Permit Required Status (Multiple choice)Does this work require a specialized safety permit?
- Permit Type & Number (Short answer)If a permit is required, specify type (e.g., Confined Space, Hot Work) and permit number.
- Muster Points Identified (Multiple choice)Have emergency muster points been reviewed with the crew?
- Gas Monitor Bump Tested (Multiple choice)Was the gas detector bump tested prior to use?
- Initial Air Quality Readings (Short answer)Record baseline air quality measurements if applicable (O2, LEL, H2S, CO).
- Crew Member Names (Paragraph)List the full names of all workers participating in this task and reviewing this assessment.
- Worker Sign-off Acknowledgment (Short answer)Please paste a link to signed physical safety sheets or type 'Acknowledged by Crew' to confirm all workers have reviewed these hazards.
FAQ
What is the purpose of a Field Level Risk Assessment form?
An FLRA form is used to identify potential workplace hazards, establish proper control measures, and verify safety compliance before starting high-risk tasks on-site.
Who should fill out this form?
It is typically completed by site supervisors, safety officers, or lead technicians in collaboration with the work crew prior to commencing daily operations.
Can crew members complete this form on their mobile phones?
Yes. Because it runs on Google Forms, workers can open and submit the assessment directly from smartphones or tablets while in the field.
Where is the safety data stored after submission?
All responses are saved automatically to a connected Google Sheet, giving your safety and management teams an instant, searchable audit trail.
How can I customize this form for my specific project?
You can easily edit questions, add specific equipment checklists, or modify permit requirements directly within Google Forms after generating your template with Doc2Form.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.