Title Page

  • Hazard number

  • Site

  • Conducted on

  • Prepared by

  • Location/ work area

Hazard identification

  • Description of Hazard

  • Image of Hazard

  • Can work in this area continue?

  • Has personnel in the area been informed?

  • What measures have been taken to reduce the risk from this hazard when identified?'

  • Hazard corrective action owner:

  • Hazard corrective action completion target date:

  • Hazard reported by:

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.