Every responsible employer needs to be aware of the potential hazards present in their workplace, not just for safety reasons but also for regulatory compliance. With this in mind it is important to have a system and process in place that helps identify any hazardous situations or risks, and document them correctly. A Hazard Report Form can provide an invaluable tool to ensure that all potential hazards are recorded accurately, so they can be mitigated appropriately. In this post we'll look at why the introduction of a Hazard Report form into your business should become part of best practice, how you can go about setting one up and most importantly what information you need to consider when drafting yours. By following these steps you will ensure that employees stay protected with everything swiftly documented if anything were wrong.
| Question | Answer |
|---|---|
| Form Name | Hazard Report Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | hazard reporting form template, hazard incident report example, example of hazard report, hazard report form sample |
HAZARD/INCIDENT REPORT FORM
To be completed by supervisor
1. Who reported the hazard/incident? Ahmed
Time: |
9:30am |
Date: |
Tue 26th Aug 2006 |
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2.What is the hazard/incident? Guard taken off brake press when it was undergoing maintenance and guard has been lost.
3.What has been done to rectify the hazard/incident? Machine use stopped (has been tagged out)
New guard being made and will be fitted once complete
Time: |
8:00am |
Date: |
Thur 28th Aug 2006 |
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4.What further action needs to be taken? 1. Tool Box talk - 17 Oct
2.Machine maintenance safe work procedures to be written up and displayed
3.Leading hands to undertake weekly inspection program (incl all guards)
4.Induction training for all new employees to include machine guarding
5. Referred to manager/owner for information or action (date) |
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Thur 28th 2006 |
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Signed: |
Dave Sharpe |
Date: |
28/8/06 |
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To be completed by manager/owner
6. Action taken by manager/owner Undertake regular review of inspection
sheets to ensure follow up and to identify emerging issues.
Signed: |
MR FABIO METTALL |
Date: |
01/9/06 |
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