Title Page
-
Site conducted
-
Location:
-
Date:
-
Conducted by:
-
Status of Report (Systems Manager use only):
-
What issues / actions are pending?
IDENTIFYING THE HAZARD
-
Provide specific location details of the hazard e.g. Behind the main building adjacent to the bins:
-
What type of hazard is it?
- Housekeeping
- Slips, Trips or Falls
- Electrical
- Vehicle
- Spill
- Damage
- Unsafe Act
- Noise
- Other
-
Please provide more details:
- The Rocks
- Coal Train
- Undamine
- The Keppel Barge
- Hooked Fishing Charters
- CQ Waste
- The Real Group
-
Please take a photo of the hazard
-
What have you done to make the area safe?
-
Does this hazard require further actions to make it safe?
