Report type

  • Report Type

  • Category

Description of Hazard

  • Description of Hazard and how it poses a risk ( or positive observation)

  • Photos of Hazard / Observation

Assessment of Risk

  • Reasonable forseeable outcome if an incident occurred

  • THE RISK RATING IS AS A FUNCTION OF CONSEQUENCE AND LIKELIHOOD AS PER BELOW MATRIX.

    matrix.jpg
  • RISK RATING

Control the hazard

  • Corrective Action

  • Describe actions ( If applicable)

  • Photos of corrective action

Name and signature of issuer

  • Name

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