Hazards associated with job processes and workflows need to be examined and reviewed to determine if existing control measures are effective and sufficient. Start by listing a process and identify the category of hazard (physical, chemical, biological, etc.). Evaluate the severity, frequency, probability of loss, and significance of hazards observed based on the rating guide provided. Site some recommendations for safety planning and purposes.
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Title Page
Client / Site
Location
Conducted on
Prepared by
Nature of work
Enter work process or flow
Process
Work Process
Category of hazard identified
Physical
Chemical
Biological
Ergonomic
Environmental
Safety
Other
other category
List hazards identified
Severity
Number of persons who may be exposed to or have contact with the hazard
Number of times persons may be exposed to or have contact with the hazard
Number of times persons may be exposed to or have contact with the hazard
Number of times persons may be exposed to or have contact with the hazard
Probability
Significance
Is training required?
Are the controls in place adequate?
Recommendations
Write recommendations for safety planning and purposes
Completion
Full Name and Signature of Inspector
SafetyCulture Staff
Workplace Hazard Assessment Form
Hazards associated with job processes and workflows need to be examined and reviewed to determine if existing control measures are effective and sufficient. Start by listing a process and identify the category of hazard (physical, chemical, biological, etc.). Evaluate the severity, frequency, probability of loss, and significance of hazards observed based on the rating guide provided. Site some recommendations for safety planning and purposes.
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You should independently determine whether the template is suitable for your circumstances.
