Audit
Description of hazard
Type of hazard
- Manual Tasks
- Gravity
- Electricity
- Machinery & Equipment
- Hazardous Chemicals
- Extreme Temperature
- Noise
- Radiation
- Biological
- Pshycosocial
Explain the hazard & the context in how the hazard poses a risk
Add photo of hazard
Assess the risk
What would a reasonably foreseeable outcome be if an incident occurred
Consequence
Likelihood
Risk Rating
Control the hazard
Describe what you have done to make the hazard safe!
Take a picture of your completed actions
Long term recommendations
Do you recommend any long term solutions or do you have any additional comments
Person raising hazard sign off
Please sign and send to your HSR, Supervisor, Safety Advisor or Manager
HSR, Supervisor, Safety Advisor or Manager comments
What follow up action is required in your opinion
Do you recommend that a formal risk assessment be conducted
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