Hazard Identification form
Any person that identified a hazard should complete this form, for example a new hazard that is not enterend into the hazard register or an existing hazard that has been entered into the hazard register that has not been correctly managed to eliminate or mitigate risk
Your Name
Your answer
Date
MM
/
DD
/
YYYY
Location of Hazard
Your answer
Notification to (list who you told about hazard):
Your answer
Description of Hazard including significance in your opinion
Your answer
Any immediate action taken to mitigate (please describe)
Your answer
Your recommendation to control or eliminate the hazard
Your answer
Submit
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