Title Page

  • Client / Site

  • Conducted on (Date and Time)

  • Inspected by

  • Location

General

  • Click "Add" button to add hazard

  • Item

HAZARD ANALYSIS

  • Raw Materials or Process Steps

  • Identified Hazards

  • Kindly Specify: Biological Hazard

  • Kindly Specify: Chemical Hazard

  • Kindly Specify: Physical Hazard

RISK ASSESSMENT

Risk rating

  • Consequence

  • Likelihood

  • Risk rating

Controls

  • Select control measures

  • Enter other control measures

  • Is this a significant hazard?

CONTROLLED

  • Prerequisite Programs

  • Process Steps

References

  • Risk Matrix Reference

    risk matrix.png
  • Hierarchy of Controls Reference

    controls.jpg

Completion

  • Full Name and Signature of the Inspector

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.