Template

Survey Lokasi Toko Ritel

by Jesse Greene, from the Community

10+

This MC Hazard Report Form helps teams quickly identify and document hazards on site. Record when and where the hazard was found, describe the risk, assess likelihood and potential severity, and propose corrective actions. Add supporting photos with annotations for clarity, and include additional comments as needed. A supervisor section tracks whether controls and corrective actions have been implemented, with fields for completion date and signature. Ideal for construction safety workflows, this mobile-friendly form streamlines reporting and ensures timely follow-up.

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

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.

Template
Hazard Report Form
This hazard report form helps teams capture and manage workplace hazards quickly and consistently. Record when and where a hazard was identified, describe the risk with text and images, and assess severity and likelihood. Create and assign corrective actions with due dates, then verify control measures have been implemented by supervisors or managers. Use this template to standardize hazard identification, accelerate issue resolution, and reduce incident risk across worksites.
by Alyssa Lopez, from the Community
Downloads: 10+
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Template
Hazard Reporting Form with Risk Assessment
Capture and report hazards on site with a structured form that guides teams from identification to control. Record project and site details, describe the hazard and context, add photos, and assess risk by consequence, likelihood, and overall rating. Document immediate controls, take after-action photos, and note long term recommendations. Includes fields for worker sign off, supervisor comments, and whether a formal risk assessment is required. Ideal for construction and general workplace safety.
by Matt Crozier, from the Community
Downloads: 10+
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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
Downloads: 20+
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Template
Hazard Identification Form
Use this Hazard Identification Form to record site observations, describe hazards, add photos, assign responsibility, and document notifications and follow up. Sections cover project and location details, activity and team, hazard description, resolution notes, additional comments, and signatures for the observer and sign off. Ideal for construction teams standardizing safety reporting and compliance.
by Dzikamai Madzamba, from the Community
Downloads: 0
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Survey Lokasi Toko Ritel

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