This hazard report form:
A hazard report form is a document that can be used to report potential workplace safety hazards. The form is used to record information about the hazard, including a description of the hazard, the location of the hazard and the potential risks associated with the hazard. The form can then be submitted to the appropriate person for review and follow-up.
If you see something, say something, this statement is more than just a slogan, it is crucial to maintaining a safe and healthy workplace. If you see a hazard, report it immediately. We all know the drill and it is a simple enough concept to follow when maintaining a safe and healthy workplace. If a hazard is identified that cannot be immediately controlled, a verbal or documented hazard report should be completed and submitted to management ASAP.
It is important to identify and document hazards to help prevent accidents and injuries. Here is a basic overview on how to fill out a hazard report form.
1. Fill out the date and time the type of hazard identified.
2. Fill out the name and job title of the person who observed the hazard.
3. Describe the hazard in detail (include where it is located, what it is, and how it could cause an accident or injury etc).
4. List any potential risks that are linked to the hazard and do a risk assessment.
5. List the corrective actions to eliminate or reduce the risks associated with the hazard.
Note: A worker at any level in a company, including contractors, is required to report any situation in the workplace which they believe could constitute a hazard to themselves or any other person.
Hazards and risks that are identified in the health and safety or risk management process, should be transferred to a hazard and risk register. A hazard and risk register is a living document that allows new or changed hazards to be recorded and monitored for mitigation too as low as reasonably practicable.
This hazard report form template can be used to document an identified hazard. The form has provisions for:
This 1-page hazard report form template can enable:
Note: A hazard report helps people understand the hazard and any hazardous conditions better. Outcomes of hazard reporting can then be discussed at toolbox talks or other safety forums.