Hazard perception

• Employee being assessed

• Conducted on

  Date

• Prepared by

• Location
  Address

• Describe the definition of a hazard

• Describe the procedure for reporting a hazard in the workplace.

• Who holds the responsibility of reporting hazards and near misses?

Site walk

• Please identify as many hazards as you can while we walk the site

• Are there any additional control measures that could be put in place to reduce risk?

Review

• Did the operative identify all hazards on site?

  Yes

  No

  N/A

• Were the hazards reflected in the site specific risk assessments

  Yes

  No

  N/A

• Were they able to identify suitable control measures to reduce risk?

  Yes

  No

  N/A

• Do they require additional training

  Yes

  No

  N/A

Sign off

• Additional training required

• Carried out by:

• Date

  Date