Gavin Mcilwraith

Hazard Observation Report

Muehlhan hazard reporting form

Use this Template

Print as PDF

Use this Template

Go digital today!

Convert your paper checklists into digital forms

Scan this QR code to use this paper checklist on your smartphone or tablet or visit https://safetyculture.com/

Information

Client
Conducted on
Prepared by Gavin Mcilwraith
Fawley
Personnel

Hazard Observation

When was the hazard detected?
Where was hazard detected
Vestas or Muehlhan responsible
Type of Report : Physical Hazard, Activity based Hazard or Improvement suggestion
Details of report
Take a photo?
Has the hazard been fixed?
How was the hazard fixed? Or what is required to fix the hazard?
ALL HAZARDS MUST BE IMMEDIATELY REPORTED TO YOUR SUPERVISOR IN ADDITION TO SUBMITTING THIS FORM
Within how many days should the hazard be attended to?
Has your supervisor been advised?
Name of Supervisor
ALL HAZARDS THAT REQUIRE ATTENTION IN LESS THAN 1 DAY MUST BE FIXED IMMEDIATELY OR YOUR SUPERVISOR NOTIFIED IMMEDIATELY.
Signature of Person Reporting Hazard

Gavin Mcilwraith

Hazard Observation Report

Muehlhan hazard reporting form

Use this Template

Print as PDF

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.