Greg Mack

Salmat Carrier Delivery - Hazard Assessment

Routine assessments of delivery addresses that have been flagged as potentially unsafe for a carrier or another person.

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Title Page

Conducted on
Prepared by

General Details

WHS Ticket Number
Date of Ticket
Person Reporting the Hazard

Assessment Details

Delivery Address of Hazard
Specific concerns to be assessed

Hazard Items for Carriers

Parking at or outside of delivery location

Images Relevant to this Hazard
Assessment Findings
Assessed Risk

Forward entry into delivery location

Images Relevant to this Hazard
Assessment Findings
Assessed Risk

Reverse entry into delivery location

Images Relevant to this Hazard
Assessment Findings
Assessed Risk

Ability to unload stock at delivery location

Images Relevant to this Hazard
Assessment Findings
Assessed Risk

Ability to exit delivery location

Images Relevant to this Hazard
Assessment Findings
Assessed Risk

Overall Assessment and Recommendations

Overall Risk Rating
Recommendations
Date completed
Signature of Assessor

Greg Mack

Salmat Carrier Delivery - Hazard Assessment

Routine assessments of delivery addresses that have been flagged as potentially unsafe for a carrier or another person.

Use this Template

Print as PDF

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