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PHASE CONDITION ASSESSMENT
Phase Condition Risk Assessment
SLP Alaska Safety Management System
Assessment Information
Name of Assessor(s)
*
Date
*
Location
*
-- Select Location --
Kenai
CIO
Beaver Creek
Swanson River
Ninilchik
Nikiski
Other Kenai Asset
Deadhorse
Prudhoe Bay
Kuparuk
Alpine
Willow
ENI
PIKKA
Point Thompson
North Star Island
Endicott
Badami
West Harrison Bay
Other North Slope
Company
*
-- Select Company --
A-C Electric
AKE-Line
Apache Corp.
Armstrong Oil & Gas
ASRC Energy Services
CCI-Industrial
Chosen Construction
CINGSA
Coho Enterprises
Conam Construction
ConocoPhillips
Five Star Oilfield Services
Fox Energy Services
G.A. West
GBR Equipment
GLM Energy Services
Graham Industrial Coatings
Harvest Midstream
Hilcorp Alaska
MagTec Alaska
Merkes Builders
Narwhal Exploration
Nordic-Calista
Parker TRS
Peninsula Paving
Pollard Wireline
Ridgeline Oilfield Services
Santos
Summit Excavation
Tesoro Refinery
Yellowjacket
Other
Personnel Information
Number of People at Location
*
Number of People on Ice Road
Supervisor in Charge
*
Names of Crew Members Involved
*
Work Scope
Task/Work Scope
*
Weather Conditions
Weather (Temp, Wind Speed, Visibility, Wind Chill)
*
Hazards & Risk Controls
Hazards & Risks (select all that apply)
*
Extreme Cold
High Winds
Low Visibility
Whiteout Conditions
Ice Road Conditions
Blowing Snow
Frostbite Risk
Hypothermia Risk
Equipment Malfunction
Communication Limitations
Limited Evacuation Options
Wildlife
Risk Controls & Mitigation Measures (select all that apply)
*
Warm-up Shelter Available
Buddy System in Place
Cold Weather PPE
Regular Warm-up Breaks
Emergency Communication
Vehicle Staged for Evacuation
Medic On-Site
Weather Monitoring
Work/Rest Rotation
Hot Beverages Available
Reduced Work Scope
Additional Supervision
Emergency Preparedness
Evacuation Vehicle(s) ID & Driver Name(s)
*
On-Site Medic Contact
*
Verify Medic Has Care Capabilities
*
Yes - Verified
No - Not Verified
N/A
Muster Locations
*
Re-Evaluation
Re-Evaluation Frequency
*
Every 30 Minutes
Every Hour
Every 2 Hours
Every 4 Hours
As Conditions Change
Phase Work Plans
Phase 2 Available Work (Describe)
Phase 3 Workplan (Describe)
Status & Approval
Work Suspended?
*
No - Work Continuing
Yes - Work Suspended
Modified Work Only
Phase Management Team Approves Plan?
*
Yes - Approved
No - Not Approved
Pending Review
Photo Documentation
Upload Photo (optional)
📷
Click or tap to upload a photo
Submit Assessment
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