Matthew Newbrook

Hazard Spot

A way to document any near miss, hazard spots or dangerous conditions seen at Prees Mill

Use this Template

Print as PDF

Use this Template

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Title Page

Location of hazard
Conducted on
Prepared by

Name of person who reported the near miss (this can be yourself or on behalf of someone)
Precise Location (e.g. Prees Mill Yard, near Trailer 200)
Date and time of near miss
Please describe the near miss (photos can be added if needed)
Names of any witnesses
Signature:

Matthew Newbrook

Hazard Spot

A way to document any near miss, hazard spots or dangerous conditions seen at Prees Mill

Use this Template

Print as PDF

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.