Audit

Hazard Identification

Add chemical in use

Chemical

State/Figure

What is this used for?

Location of the process or work where the chemical is used

People at Risk

other people at risk

Hazard
Indicate below which route(s) of exposure the substance takes

List the risks to health below from exposure to the substance

Containment and Disposal

Containment measure and disposal method

Prevention of Hazards

Prevention of Hazards

Photos of identified hazards and annotations.
Risk Rating

Is the exposure adequately controlled?

Risk rating after following control measures

Recommendations

Recommendations

Completion
Full Name and Signature of the Inspector
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.