Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Name (s)

Hazard Source

Type/ Class of Hazard

  • Existing hazards

  • Generated Hazard

  • Potential Hazard

  • Physical - Unsafe conditions ( eg mud/ice/blocked exit)

  • Atmospheric/Environmental- Unsafe conditions (eg temperature)

  • Inadequate training- Unsafe Acts

  • Invisible - Indirect causes of accidents(eg noise)

Recommended Control Measure

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.