VEMCO HAZARD I.D. NOTICE

• Document No.

• Vemco Business Unit

  Select SFS CONSTRUCTION VEGETATION CONSTRUCTION DESIGN OTHER

  • SFS
  • CONSTRUCTION
  • VEGETATION
  • CONSTRUCTION
  • DESIGN
  • OTHER

• Client if applicable

• Conducted on

  Date

• Hazard Reported by

• Location
  Address

• Personnel

HAZARD IDENTIFIED

• Add a photo of hazard if you can.

  Media

• Hazard Category

  Select Knowledge Skills Attitude Guarding / Barricading Tools Vehicles / Driving Housekeeping Electrical Signage Ergonomics Plant and Equipment Work Practices Working at Heights P.P.E. Isolation & Tag Out

  • Knowledge
  • Skills
  • Attitude
  • Guarding / Barricading
  • Tools
  • Vehicles / Driving
  • Housekeeping
  • Electrical
  • Signage
  • Ergonomics
  • Plant and Equipment
  • Work Practices
  • Working at Heights
  • P.P.E.
  • Isolation & Tag Out

• What is the risk of harm?

  LOW

  MODERATE

  HIGH

  EXTREME

• What is the POTENTIAL risk of harm?

  LOW

  MODERATE

  HIGH

  EXTREME

• What immediate actions have been taken?

• Are further actions required?

  Yes

  No

  N/A

FURTHER ACTIONS:

• Who is responsible for the actions

• Has that person been notified?

  Yes

  No

SIGN OFF

• Auditor Signature

  Sign