Hazard Identification Form
Email address *
Name *
Your answer
Location *
Describe hazard including significance in your opinion
Your answer
Describe any immediate action taken to mitigate the hazard
Your answer
Your recommendations to control or eliminate the hazard
Your answer
Hazard-Impact Scale
Likelihood *
Rare
Almost Certain
Impact *
Insignificant
Catastrophic
Likelihood x Impact = Priority *
Submit
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