Lone workers can use this template to report any hazard present during their work shift. Simply do a site walkthrough, capture photos of findings and evidence of any risk that may affect safety, and assign actions to authorized personnel if these hazards would hinder you to continue working. Lastly, provide an overall risk rating.
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Title Page
Name of Lone Worker
Department
Conducted on
Prepared by
Description of task/s involved
Click + to add hazards identified
Identify type of hazard
Description of observed risk
Does this hazard hinder you from finishing your work alone?
Upon evaluating all hazards before commencing work, rate the overall safety of the workplace
Full Name and Signature of Lone Worker
Lone Working Risk Assessment Checklist (Hazard Report)
Lone workers can use this template to report any hazard present during their work shift. Simply do a site walkthrough, capture photos of findings and evidence of any risk that may affect safety, and assign actions to authorized personnel if these hazards would hinder you to continue working. Lastly, provide an overall risk rating.
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