Angela Warren

HAZARD REPORT

A hazard is something that has the potential to cause harm, injury, loss or damage.

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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?

Angela Warren

HAZARD REPORT

A hazard is something that has the potential to cause harm, injury, loss or damage.

Use this Template

Print as PDF

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