Hazard Report

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• INSTRUCTIONS
  ---------------------
  1. Add a safety hazard observation by clicking on "Add Hazard"
  2. Enter description of hazard
  3. Create a Corrective Action by clicking on the paperclip icon and clicking "Action", then enter description, assign to member, set priority and due date
  4. Take relevant photos, enter location and date
  5. Complete audit by providing digital signature
  6. Share your report by exporting as PDF, Word, Excel or Web Link

  

Hazard observations

• Add Hazard Observation

Hazard
• Location
  Address

• Description/ Observation

• Take a photo

  Media

• Incident Type

  Unsafe Act

  Unsafe Condition

  Near Miss

• Incident Priority

  Low

  Medium

  High

• Action Items: Describe additional corrective/preventive actions planned to eliminate potential harm

Completion

• Owner of corrective/preventive action

• Date corrective/preventive action completed

  Date

• Inspected by:

  Sign