FormsOnce per job:Risk Assessment ToolSWMS Inspection ToolSite Housekeeping & First Aid InformationOngoing:Weekly Toolbox Talk RecordJSA Pre-Start RecordPer Incident:Hazard ReportHazard Response Hazard Response Name of person completing this form: * Zac Ozolins Sean Millar other Name if listed as other above: Date completing this form: * MM DD YYYY Hazard Report number this form relates to: * Date the hazard was identified: * MM DD YYYY Time the hazard was identified: * Hour Minute Second AM PM Description of the hazard: * Was the Hazard located as the result of an incident or injury? * If yes, complete injury report also. yes no Hazard Rating 1 = Elimination. Modify the process method or material to eliminate the hazard completely. . 2 = Substitution. Replace the material, substance or process with a less hazardous one. 3 = Isolate. Isolate the hazard from the person by safeguarding or by space or time. 4 = Redesign / Engineering Controls. Redesign or modify the plant or process to reduce or eliminate the risk 5 = Administration. Adjust the exposure time or conditions or process by training, procedure, signs etc. 6 = PPE. Use appropriately designed and properly fitted equipment where other controls are not practicable or are accepted Has action been taken to reduce or remove the Hazard? * yes no If yes, describe what action was taken. If no, describe why no action taken. * Has the hazard been permanently controlled? * yes no If ‘YES’ What action was taken to control the hazard? If ‘NO’ What additional action is required to prevent injury or damage to property? * * Initiator of Report to be advised on actions taken and/or progress Thank you!
