Audit

Job Title

Task, Hazards and Controls

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Task

Task description

Hazard Type

Hazard description

Consequence

Hazard controls

Rationale/Comment

Completion
Full Name and Signature of Inspector
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.