Template

PCN0167 Hazard Report

by Greg House, from the Community

This PCN0167 Hazard Report template helps teams capture and manage hazards on site. Record the name of the hazard, date and time, branch or location, and the person preparing the report. Add photo evidence for up to three hazards, note suggested controls for each, and assign a responsible person to action the controls. Guidance reminds users to put immediate controls in place such as barricades, isolation, danger tape, or out of service tags. Use this template to standardize hazard identification and improve safety on construction projects.

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With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

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VIP ET Hazard Report

Use the VIP ET Hazard Report template to capture identified hazards on site, note immediate actions taken to eliminate, isolate, or minimize risks, and recommend permanent controls. Record locations, responsible personnel, and attach photos or evidence to support your report. This template helps teams standardize hazard reporting and drive timely corrective actions to improve workplace safety and compliance.

by Kevin James, from the Community

10+

Get

Template

Hazard Recognition

Use this hazard recognition checklist to capture and assess hazards in the field. Record map location or pole number and GPS coordinates, note who conducted the inspection, and set the urgency of response. Describe each hazard, document corrective actions or additional information, and attach up to three photos for evidence. This template helps utilities and field teams standardize hazard identification, prioritize remediation, and improve site safety and compliance across inspections.

by Jamie Mannigel, from the Community

Get

Template

Workplace Hazard Report Form

This workplace hazard report form helps teams identify and report serious hazards at any site. Capture hazard details and reported date, name the site and manager, assess risk using a simple risk matrix to determine initial risk, and outline control actions to eliminate or mitigate the hazard. Track whether controls are implemented, record residual risk after action, assign a responsible person with a due date, and capture manager and CEO signatures to confirm completion. Ideal for ongoing facility safety reporting and incident prevention across industries.

by Wendy Worters, from the Community

Get

Template

Hazard Reporting Form

This hazard reporting form helps teams record and communicate hazards found on construction sites. Capture key details including a title page, client name, site address, date and time, and comprehensive hazard information. Add a photo of the hazard, describe the risk, specify the exact location, and include the reporter’s name and signature. Once completed, share the report with a supervisor or site manager to prompt timely corrective action. This template is provided as a general example from the SafetyCulture Public Library and should be reviewed for suitability and compliance with your workplace and jurisdiction.

by Mark Taylor, from the Community

20+

Get

PCN0167 Hazard Report

About author

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VIP ET Hazard Report

Hazard Recognition

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VIP ET Hazard Report

Hazard Recognition

Workplace Hazard Report Form

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