Hazard report form

A reportable hazard is any condition that could potentially cause injury, illness, or property damage. Focus on unusual situations that aren’t part of normal operations—exposed wiring, slippery floors, broken equipment, missing guards, or unsafe behaviors. When in doubt, report it; it’s better to document a minor concern than miss something serious.

Document any steps you took to minimize risk, such as placing warning signs, cordoning off the area, notifying supervisors, shutting down equipment, or providing temporary fixes. Also note who was informed about the hazard and when. These details show your proactive response and help safety teams understand what’s already been addressed.

Submit complete, factual reports with specific details and clear descriptions of potential consequences. Avoid exaggerating or using emotional language, and suggest practical solutions when possible. Follow up appropriately without being confrontational. Quality reports that demonstrate genuine safety concerns rather than complaints are more likely to receive attention.

Yes, for serious or imminent danger hazards, verbally notify your supervisor or safety representative immediately while also completing the form. This approach ensures swift action while maintaining proper documentation. For less urgent hazards, the form submission is usually sufficient, but follow your organization’s specific notification protocols.