Use this basic hazard identification template to perform general hazard assessments. Safety officers can also use this template during walkthroughs to easily document potential hazards in the facility. Maximize the use of this template by following these points: 1) Identify potential hazards, provide a description, and determine the risk rating depending on the hazard’s severity; 2) Take or attach a photo of the hazard (if possible); 3) Add notes or comments where necessary; 4) Assign corrective actions to appropriate personnel, set priority level, and indicate the due date; and 5) Provide additional comments and sign off with a digital signature
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Title Page
Department / Area of work
Date of Inspection
Conducted by
Specify hazard
Hazard type
Please specify
Describe hazard
Risk rating
Take or attach photo of hazard
Comments / Recommendations
Name & Signature of Safety Inspector
Basic Hazard Identification Template
Use this basic hazard identification template to perform general hazard assessments. Safety officers can also use this template during walkthroughs to easily document potential hazards in the facility. Maximize the use of this template by following these points: 1) Identify potential hazards, provide a description, and determine the risk rating depending on the hazard’s severity; 2) Take or attach a photo of the hazard (if possible); 3) Add notes or comments where necessary; 4) Assign corrective actions to appropriate personnel, set priority level, and indicate the due date; and 5) Provide additional comments and sign off with a digital signature
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