Skip to content
SafetyCulture
Template

Hazard Report Form

by SafetyCulture

Free
581

Use this hazard report form to: - Keep track of when and where the hazard was reported - Describe the hazard using text, images, and annotations - Determine the seriousness of the injury and the medical attention required - Create a corrective action plan to minimize hazard risk - Implement control measures for accident prevention

About author

Free 1,000+ Workplace Checklists & Templates created by the SafetyCulture team.

You might also like

  • Incident / Hazard Report Form
    SafetyCulture logo
    Template

    Incident / Hazard Report Form

    Use this hazard report form to: - Identify the incident / hazard type and the level of treatment needed - Record who was injured, their contact number, and the nature of the injury - Document the task/s performed when the incident / injury occurred - Check which factors contributed to the hazard, incident, and/or injury - Specify the control type when creating corrective actions

    by SafetyCulture
    98 downloads
    Get
  • Basic Hazard Identification Template
    SafetyCulture logo
    Template

    Basic Hazard Identification Template

    Use this basic hazard identification template to perform general hazard assessments. Safety officers can also use this template during walkthroughs to easily document potential hazards in the facility. Maximize the use of this template by following these points: 1) Identify potential hazards, provide a description, and determine the risk rating depending on the hazard's severity, 2) Take or attach a photo of the hazard (if possible), 3) Add notes or comments where necessary, 4) Assign corrective actions to appropriate personnel, set priority level, and indicate the due date, and 5) Provide additional comments and sign off with a digital signature

    by SafetyCulture
    449 downloads
    Get
  • Incident Report Form
    SafetyCulture logo
    Template

    Incident Report Form

    Document and attach photos for injury/ illness, near miss, property damage, hazard, risk.

    by SafetyCulture
    3912 downloads
    Get
  • Hazard Identification Form - WorkSafe NZ
    SafetyCulture logo
    Template

    Hazard Identification Form - WorkSafe NZ

    Use this form to record hazards.

    by SafetyCulture
    202 downloads
    Get