Andrew Weller

Spot The Hazard

Use this Template

Print as PDF

Use this Template

Page 1: Initial questions

Type of Hazard
Unsafe act / Unsafe Condition
Type of Incident
Sub type of Incident
- Any other safety
- Breach of licence/Resource consent
- Chain of responsibility breach
- Client management
- Contractor management
- Injury/illness
- Motor vehicle
- Process
- Quality event
- Toolbox meeting record
- Water quality
- Environmental Issue
Person Involved
Date and Time
Description of Hazard/Incident
High Risk Management Standard related to this incident
- Gas Safety
- Asbestos
- Lock out Tag out
- Confined Space
- Electrical Safety
- Excavation and Trenching
- Hazardous material and chemicals
- High Pressure Water Jetting
- Hot Works
- Lifting Operations
- Traffic Management
- Working at Heights
- N/A
Have you informed your line manager/supervisor
Immediate actions taken
Further actions required
Details

Andrew Weller

Spot The Hazard

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.