Use this Hazard Report Form to capture and manage workplace hazards from identification through control. Record site and personnel details, describe the hazard and context, select hazard types such as manual tasks, machinery and equipment, hazardous chemicals, electricity, extreme temperature, noise, radiation, biological, or psychosocial. Assess risk by noting consequence and likelihood to generate a risk rating. Document immediate controls, add photos before and after, and outline long-term recommendations. Capture sign-offs from the person raising the hazard and collect supervisor or HSR comments, including follow-up actions and whether a formal risk assessment is recommended.
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