Title Page
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Site
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Date hazard reported
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Person reporting hazard
Details
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Hazard: A hazard is something that has potential to cause harm. When we find and fix any hazard this is an overall safety and productivity gain (Example: a trip hazard left on the floor)
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Have you identified a Hazard?
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Hazard category
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Please specify
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Name of person who reported hazard
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Hazard Mechanism
- Chemicals
- Cut / Lacerations
- Fall, trip and slip
- Heat, electricity, weather or other environmental factors
- Items falling from height
- Manual Handling
- Mental stress
- Other (Specify)
- Traffic management
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Specify
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Description of Hazard
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Was any equipment involved
- Asbestos
- Biological / Chemical
- Cartons and boxes
- Electrical installation, wiring, switchboard
- Environmental
- Forklift
- Knives or cutting instruments
- Other
- Pallets
- Pallet jack
- Pallet Racking
- Pallet wrapper
- People
- Slip or Trip
- Storage equipment (eg shelving)
- Tiles
- Unspecified
- Vehicle
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Specify
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Location (drop down selection of one of following)
- Car Park
- Cleaners Storage Area
- Display area
- Entrance / Exit
- Office
- Other
- Pallet Racking
- Plant Room
- Receiving / Loading Bay
- Stairs
- Toilet / Change Room
- Trade store
- Warehouse
- Workstation
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Please specify
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Risk Level
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If unsure of risk level, refer to risk matrix
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Take at least one photo
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Immediate Action/s taken to control risk
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Has this hazard been fixed and closed out?
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This hazard has been closed off as a Gain - thank you for finding and fixing this hazard
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Generate action. Close out the hazard so this is a safety gain.
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Optional: Rate your experience using iauditor
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Optional: Please enter feedback on your experience using iauditor and add any ideas to help us improve
