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ENVIRONMENTAL HEALTH & SAFETY OFFICE
4400 University Drive, MS 5E2 | Fairfax, Virginia 22030 | Phone: 703.993.8448 | [email protected] | ehs.gmu.edu
Field Safety Risk Assessment
The Field Safety Risk Assessment is a supplement to the Field Safety Guide designed to assist
Principal Investigator/Laboratory Supervisor (PI/LS) in evaluating the risks associated with field
work to clarify risk mitigation strategies in place. Personnel participating in field work should
receive training on their duties and on the contents of the risk assessment. It is recommended that
PI/LS maintain a copy of the Field Safety Risk Assessment with the department. If multiple trips
are planned to the same location, they may be covered by the same Field Safety Risk Assessment.
The Field Safety Risk Assessment should be revised whenever a significant change to the location
or scope of fieldwork occurs.
Section 1: Trip Information
PI/LS name: Department:
Phone number: Email address:
Location of field research:
Indicate the number of visits that will take place (estimate):
Dates of travel (list multiple dates if more than one trip is planned):
Please note: if traveling outside the United States, Export Control laws may apply. For more
information, contact the Office of Research Integrity and Assurance
(http://oria.gmu.edu/export-control/).
Country: Nearest city:
Nearest hospital name and address:
Research description:
Section 2: Fieldwork Team (attach additional if necessary)
Name Employee Student Volunteer
Section 3: Hazard Identification
Identification of hazards is the first step in conducting the risk assessment. The following
checklist will provide a guide to identifying common hazards. The PI/LS should review all
aspects of the field work to ensure comprehensive hazard identification has been completed.
Physical Hazards
Mark the type of work that may be encountered during the field work.
Hazard Description of the
Risk
Risk Mitigation
Measures 1. Rock climbing
2. High altitude 3. Hiking
ENVIRONMENTAL HEALTH & SAFETY OFFICE
4400 University Drive, MS 5E2 | Fairfax, Virginia 22030 | Phone: 703.993.8448 | [email protected] | ehs.gmu.edu 2
4. Extreme heat 5. Sun exposure 6. Extreme cold
7. Manual lifting, carrying, or
handling heavy loads (more than 40
pounds)
8. Working on, near, over, or in water 9. Insects (e.g. ticks, mosquitoes,
spiders, bees, scorpions)
10. Plants (e.g. poison ivy, poison oak) 11. SCUBA diving 12. Operating a motor boat
13. Tree climbing or scaling 14. Ladder use 15. Driving a vehicle 16. Endemic disease (e.g. malaria,
dengue, hantavirus):
17. Extreme heat 18. Dehydration 19. Extreme weather
20. Dark, confied spaces (e.g., mines,
caves)
21. Foodborne illness 22. Uneven or rocky terrain 23. Unstable terrain (e.g., prone to
mudslides, avalanches, flooding)
24. Steep slopes/cliffs 25. Noise exposure (above 85 dB)
26. Travel on isolated roads/unpaved
roads or off-roading
27. Work in remote areas 28. Close proximity to exposed
energized conductors (e.g., power
lines)
29. Hazardous materials use (e.g.,
chemical, radiation)
30. Other, specify: 31. Yes No Are there any immunization or prophylaxis required for work in the
field? If yes, list all required immunizations or prophylaxis measures:
Section 4: Local Environment 1. Has any participant reported any condition that may require special accommodations?
Yes No
ENVIRONMENTAL HEALTH & SAFETY OFFICE
4400 University Drive, MS 5E2 | Fairfax, Virginia 22030 | Phone: 703.993.8448 | [email protected] | ehs.gmu.edu 3
2. Have arrangements been made
to provide the following:
Potable water
Yes No
Personal
washing/ hygiene
Yes No
Toilet facilities
or alternatives
Yes No
Explain: 3. Will any participant be working alone? Yes No
If working alone, consider the following: Limitations on certain activities while alone,
provision of emergency supplies, and establishment of minimum training or experience
or other standards of competency before working alone. Describe any restrictions below:
4. Is the local area subject to violence or unrest? Yes No
Section 5: Equipment Indicate Any Specialized Equipment to be Utilized or
Activities to be Conducted Description
1. Chain saws
2. Compressed gasses
3. Confined space
4. Diving (free, scuba, line, NITROX, Tri Gas)
5. Excavation/trenching/ tunneling
6. Powered saws, grinders, & planers
7. Firearms (including tranquilizer guns)
8. Fire extinguisher
9. Powered mobile equipment (fork lift, tractor, heavy
equipment, golf cart, ATV)
10. Vehicles (including 18-passenger van)
11. Boats or other watercraft
12. Explosives
13. Hazardous materials (e.g., chemical, radiation,
biological)
14. Fall protection
15. Ladders
16. Lifting devices and hoists
17. Scaffolds
18. Climbing, rappelling, rope work
19. Other, specify:
Section 7: Wildlife 1. Handling, capture, and restraint of wildlife
List species: 2. Drugs or anesthetics administration
List administration method: 3. Sample collection
List collection method: 4. Potential zoonotic diseases or possibility for contraction of disease
If so, list animal species and disease:
ENVIRONMENTAL HEALTH & SAFETY OFFICE
4400 University Drive, MS 5E2 | Fairfax, Virginia 22030 | Phone: 703.993.8448 | [email protected] | ehs.gmu.edu 4
Section 8: Sample Collection 1.a Water Soil 1.b Insects (specify type): Animals (specify type):
1.c Plants (specify type): Animal samples (specify type): 2. Describe sampling method (traps for animals, foraging for plants, etc.):
3. How many samples will be collected (estimate)? 4. Will you manipulate the organisms or samples in the field (e.g., necropsy, implanting
tracking devices, adding chemicals)? Yes No
If yes, list all the manipulations that will be performed in the field.
5. Will samples be brought back to the laboratory for processing? Yes No
If yes, how will the samples be transported back to the laboratory?
6. Describe how the samples will be manipulated in the laboratory (e.g., mass spectrometry,
PCR, grinding of insects, observation).
7. Are any of these materials thought to contain or are suspected to contain a Risk Group
(RG) 2, RG3, or RG4 organism or other infectious substance? Yes No
If yes, please list the infectious agents that the samples are reasonably expected to
contain.
If yes, will an attempt be made to culture or isolate an infectious agent from the sample?
Yes No
8. Are any permits or approvals needed to perform this work? Yes No
If yes, list all permits/approvals that are required.
9. Are permits required for sample collection (e.g. import from international country,
transfer across state lines, endangered species, or taken from National Park Service
land)?
Yes No
Section 9: Personal Protective Equipment
Animal handling gloves
(leather or Kevlar)
Disposable gloves
(nitrile, latex, or vinyl)
Winter gloves (mittens or
gloves to keep warm)
Work gloves (leather) Face mask Personal flotation device (PFD)
High-visibility vest Other:
Section 10: Training
List training for this field project. Add additional courses as needed.
Required? Activity/Task Training Description Attendees
Yes No
General knowledge Environmental Field
Safety training class
offered through EHS
Recommended for anyone
participating in field research
at Mason
ENVIRONMENTAL HEALTH & SAFETY OFFICE
4400 University Drive, MS 5E2 | Fairfax, Virginia 22030 | Phone: 703.993.8448 | [email protected] | ehs.gmu.edu 5
>3-4 minutes away
from Emergency
Medical Services
First Aid CPR At least one researcher,
dependent upon risk
assessment
Underwater diving Open water diver
certification
Any person utilizing self-
contained underwater
breathing apparatus (SCUBA)
Section 6: Communication and Emergency Plan 1. Describe communications systems to be employed (some examples are listed below):
Cell phones Leaving itinerary at base
camp
Whistles/air horns
Radio or walkie-
talkies
Scheduled contacts Satellite phone
Other:
2. How will participants remain oriented to their location?
GPS Maps Compass
Local guides Identification of safest routes Area familiarization trips
Aerial photo Other: 3. What procedures have been established in case the participant(s) becomes lost?
Participant to remain at location Use of emergency signals
Provision of survival gear (such
as fire starter, blanket, and canteen)
Procedure for organized search
Precautions against fire Precautions in the event of extreme weather
conditions
Creation of emergency plan First aid kit
Other measures:
Section 11: Field Work Acknowledgement
This section provides a mechanism for tracking that personnel participating in field work are
familiar with the hazards associated with this work and have received training on the Field
Safety Risk Assessment and their specific work duties.
By signing below, I acknowledge that I have read this Field Safety Risk Assessment and
understand its contents. I acknowledge that I have received appropriate training on the
hazards associated with the field work and my job duties.
Name Signature Date
ENVIRONMENTAL HEALTH & SAFETY OFFICE
4400 University Drive, MS 5E2 | Fairfax, Virginia 22030 | Phone: 703.993.8448 | [email protected] | ehs.gmu.edu 6