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Safety Hazard Report Template

This Venue Inspection Checklist helps the team to keep track of when and where the hazard was reported, to describe the hazard using text, to determine the seriousness of the injury and the medical attention required and to implement control measures for accident prevention.
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Safety Hazard Report Template

Report

Have you notified your supervisor/manager?

Describe the Hazard

How important could the injury be?

How likely is it to be that serious?

Comments

Actions

Have control measures been implemented?

Hazard Report Form completed on:

Comments

Final comments and signature

Comments

Signature

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