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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. Examine the date from the final report to create better safety plans and strategies for your organisation.
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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:
Name and signature of inspector:
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A Hazard Identification Form is a document used in the workplace to identify potential hazards and risks associated with a particular activity or job. It is used to assess the potential for injury, illness, or property damage due to the activity or job. It includes questions about the activity, its environment, the equipment used, and any other potential hazards associated with the job. The form should be filled out prior to beginning the activity or job, and should be reviewed regularly to ensure that any potential hazards have been identified and addressed. The information collected on the form can then be used to develop safety protocols and procedures to reduce the risk of injury or illness.
Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.