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Hazard Identification Form

This General Hazard Identification Form helps you to evaluate potential risks (e.g noise, manual handling, excavation, etc.) noted within the work premises. Define the nature of work and choose the protective equipment available and required to protect the workers from harm. Continue with identifying the hazards present. Capture photo evidence of the situation or object that may lead to serious problems to employees. You can assign a task to a supervisor for review and instant resolution. Add other risks which are not registered on the template. Finish the audit by affirming some observations and rate the overall evaluation if the worksite is secure or not. Use Lumiform’s Analytics feature to track improvements in safety. Examine these data to create better safety plans and strategies for your organisation.

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Hazard Identification Form

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Audit

Describe the kind of work:

Personal Protective Equipment (PPE)

PPE available and required to protect workers against hazards:

Hazard Identification

MANUAL HANDLING:Analyse if the work tasks include any Manual Handling Risks.

WORKING AT HEIGHTS:Consider if employees are working at height throughout this task. Are they qualified to perform the task?

EXCAVATION:Consider if the work needs excavation to be dug.Do you have to check for services before excavation?

SLIP & TRIP HAZARDS:Consider if any slip/trip risks are present at the worksite.

REFERENCE: Wet surfaces marked with proper warning sign to prevent slips and trips[This is an example of how you can use Lumiform to add best practice reference images in your templates to help with inspections]

FALLING OBJECTS:Will staff be working above where others may pass? Will staff be working below others?

NOISE:Will the work generate higher noise levels? Think of the need for hearing protection in the work area.

WORKING OUTDOORS:Think about the ambient conditions / associated risks.Consider precautions to prevent exposure to heat/cold.

TRAFFIC MANAGEMENT:Consider how building traffic will access and egress the workplace in a secure manner.

SITE SECURITY / EMERGENCY PREPAREDNESS:Prevent unauthorised entrance to the worksite at all times.Make sure site emergency planning has occurred.

DANGEROUS SUBSTANCES:Will work task include contact with any dangerous substances? Apply to MSDS and examine specialised PPE / precautions.

WASTE DISPOSAL:Consider if work task creates wastes guided wastes needing special disposal e.g Asbestos

LIFTING:Consider if the work task includes crane lifts.Ensure a lift study has been directed.

CUTS AND ABRASION:Is there a risk of cuts/abrasion? Consider control measures such as task detachment or adequacy of PPE

FIRE / IGNITION SOURCES:Consider if hot work is being conducted in the work area. Consider containment/testing demands.

PLANT AND MACHINERY:Is the plant work area outlined away from other businesses?Are Operators qualified/licensed to work this type of equipment?

ENVIRONMENTAL IMPACTS:Is there potential to clear pollutants to drain’s / marine environment/waterway’s / ground/atmosphere; Vibration/noise emission exceeding the project perimeter; formation of dust or disposal of dangerous waste?

VIBRATION:Consider the requirement for vibration monitoring from the demolition process, particularly when working near heritage type buildings.

CUSTOMER AND SURROUNDING PROPERTY:Consider the possible risk to neighbours’ property and the potential damage to customer property nearby.

DECONTAMINATION OF PLANT AND EQUIPMENT:Plant, Equipment, and PPE must be cleaned at the end of each day and or whenever exposed equipment is to leave the asbestos area

NEARBY WORK:Consider if there will be any work nearby.Consider if there is any influence of your work on others.

DANGEROUS SUBSTANCE STORAGE / SPILLS PREVENTION:Consider if there are any potential spill sources in the work area.Consider the requirement for bunds, drip trays, spill blankets, absorption etc

ASBESTOS:Consider if staff may be exposed to asbestos throughout this task? If you're unsure, check the Asbestos Register/Scope of Works for known sources.

Are there other dangers identified?

Overall summary

Further observations:

Overall assessment:

Completion

Name and signature of inspector:

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