The Hazard Form Template – Australia is offered in multiple formats, including PDF, Word, and Google Docs. All versions are both editable and printable, ensuring convenience and flexibility for your requirements.
Hazard Form Template – Australia Editable | PrintableSample
1. Reporter’s Information 2. Date and Time of Hazard Report 3. Location of Hazard 4. Description of Hazard 5. Immediate Actions Taken 6. Potential Risks Associated with the Hazard 7. Recommended Actions to Mitigate the Hazard 8. Review and Follow-up Date 9. Signatures
PDF
WORD
Examples
[Site Address]
[Date]
[Name]
[Position]
[Contact Information]
[Describe the hazard identified, including location and nature of the hazard]
[List potential risks associated with the identified hazard]
[Detail the measures required to eliminate or mitigate the risk]
[Name/Position of the person responsible for implementing control measures]
[Date for reviewing effectiveness of controls]
______________________
[Signature of person responsible]
[Any additional comments or observations]
[Site Address]
[Date]
[Name]
[Position]
[Contact Information]
[Describe the hazard identified, including specific details regarding the potential impact on health and safety]
[Enumerate possible incidents or injuries that could arise from exposure to the hazard]
[Outline control measures to be implemented to address the hazard and minimize risks]
[Timeline for implementing the recommended control measures]
[Name/Position of the individual accountable for monitoring the hazard]
[Specify date to re-evaluate the hazard assessment and control effectiveness]
______________________
[Signature of authorized person]
[Insert any further information or feedback regarding the hazard]
Printable
