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Hazard Details

Hazard Identification

Hazard

Description

Upload photo (if appropriate)

Significant?

Practicable to eliminate?

Practicable to isolate?

All practicable steps to minimise have been taken?

Controls required (including existing)

Person responsible

Date to be completed
Date completed
Signature

Hazard Identification Form - Worksafe NZ Checklist

Created by: SafetyCulture Staff | Industry: Construction | Downloads: 13,794

Use this form to record hazards.

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Hazard Details

Hazard Identification

Hazard

Description

Upload photo (if appropriate)

Significant?

Practicable to eliminate?

Practicable to isolate?

All practicable steps to minimise have been taken?

Controls required (including existing)

Person responsible

Date to be completed
Date completed
Signature