Hazard/Risk Identification Form
Hockey Southland is committed to providing a safe and healthy work environment for its Workers, Contractors, Association members and Visitors.  This commitment extends to ensuring that the company's operations do not place members of the public at risk of injury, illness or property damage.

We therefore encourage any person at either Gore or Invercargill Hockey turfs that identifies a potential hazard/risk to please complete and submit this form.

Hockey Southland and the relevant association will investigate and eliminate/isolate the hazard/risk.

If there are any questions or if immediate contact is required please ring Tracey McCall 027 5164011


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Name *
Phone Number *
Email address *
Details and location of Hazard/Risk                                                                              
To ensure location of the potential hazard/risk please take a photo of the location/hazard/risk and email to manager@hockeysouthland.co.nz
Location of Hazard *
Required
Where is the specific location of the hazard or risk on site *
Please explain the potential hazard/risk *
Please explain any action you have taken to lower the risk or hazard *
Recommendations to control or eliminate the hazard/risk? *
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