DTZ HAZOB

• Document No.

• Client / Site

• Location
  Address

• Conducted on

  Date

• Entered by:

• Area:

• HAZOB Observer: (Optional)

• When was the HAZOB issue observed?

HAZOB Type

• HAZOB TYPE

  Improvement Suggestion

  Hazard Observation

  Design Sleeper

EXACT LOCATION OF HAZARD / SLEEPER / IMPROVEMENTS

• Add media

  Media

Hazard Type:

• Hazard Type (multiple selections enabled)

  Select Workplace Layout / Housekeeping Fire Plant & Equipment Environment Fall Protection Health & Hygiene Unsecured Objects Traffic Work Practices Chemical Other (Describe)

  • Workplace Layout / Housekeeping
  • Fire
  • Plant & Equipment
  • Environment
  • Fall Protection
  • Health & Hygiene
  • Unsecured Objects
  • Traffic
  • Work Practices
  • Chemical
  • Other (Describe)

• Hazard Details - List details or take a picture(s) of the hazards you identified - Description of Hazard / Sleeper / Improvements:

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  Media

Agreed Actions (Supervisor to complete)

• Hazard Control Details - List Action Items or take a picture of how the hazard(s) will be controlled

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  Media

• By Who:

• By When: