Lumiform
Features Solutions Resources Templates Enterprise Pricing
Select a language
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
en
Contact salesLog in
Sign up
Back
Englishen
Deutschde
Françaisfr
Españoles
Português (BR)pt-BR
Features Solutions Resources Templates Enterprise Pricing
Free demo
Log in
en
Book a personal demoView video demoContact sales
Explore
Resource hubCentral repository for all Lumiform resourcesCustomer storiesReal-world successes and experiences with Lumiform.
Learn
Template collectionsComprehensive collections of best practice templates.Topic guidesComprehensive safety, quality, and excellence insights.LexiconDefinitions key to quality, safety, and compliance.
Support
Developer's guideTechnical documentation for developers.Help centerAssistance with onboarding and platform mastery.
Featured reads
Explore our collection of 38 free preventive maintenance checklists

Template collection

Explore our collection of 38 free preventive maintenance checklists

Start reading
Your guide to performing and documenting efficient child care observation

Topic guide

Your guide to performing and documenting efficient child care observation

Start reading
Lumiform as customer journey mapping tool in gastronomy

Success story

Lumiform as customer journey mapping tool in gastronomy

Start reading
Book a personal demoView video demoContact sales
By industry
Food and hospitalityManufacturingConstructionRetailTransport and logisticsFacility managementView all industries
By business needs
Health and safety managementQuality managementOperational excellenceRisk management and complianceView all business needs
By use case
Safety management softwareEnergy audit appForklift inspection appBuilding management softwareVehicle inspection appQMS appKaizen method appProperty inspection appRestaurant inspection appElevator management appProject management softwareFire inspection app
View all app uses
Book a personal demoView video demoContact sales
Overview
Template libraryDiscover over 12,000 free, ready-made and expert proofed templates.
Use cases
CleaningMaintenanceRisk assessmentSupply chainIncident management
Business needs
Health and safety managementQuality managementOperational excellenceRisk management and compliance
Industries
Food and hospitalityManufacturingRetailTransport and logisticsConstructionFacility management
Book a personal demoView video demoContact sales
Overview
Product overviewAll features
Capabilities
Digitize
Form builderMobile AppActions
Automate
Workflow automationApprovalsIntegrations
Transparency and accountability
ReportsAnalytics
Orchestrate
Administration
Book a personal demoView video demoContact sales
Templates
System safety hazard analysis report template

System safety hazard analysis report template

Designed to evaluate and document potential hazards within complex systems.

Use this template
or download pdf
System safety hazard analysis report template

Designed to evaluate and document potential hazards within complex systems.

Use this template
or download pdf

About the System safety hazard analysis report template

Using a system safety hazard analysis report template can significantly enhance your safety management processes. This template provides a structured approach to identifying, evaluating, and mitigating potential hazards within complex systems

By employing a template, you can ensure consistency and thoroughness in your hazard analysis. It helps you systematically capture all necessary information, from hazard identification to risk assessment and mitigation strategies. This not only saves time but also reduces the likelihood of missing critical steps.

A template such as this serves you by facilitating better communication among team members. When everyone uses the same format, it becomes easier to understand and act upon the findings, leading to more efficient hazard management.

Also, you can easily track and review past analyses to identify recurring issues and trends, allowing for continuous improvement in your safety practices. Using a system safety hazard analysis report template ensures that your hazard analyses are comprehensive, consistent, and actionable, contributing to a safer operational environment.

Key elements of a system safety hazard analysis report template

A system safety hazard analysis report template is designed to capture essential details systematically, ensuring thorough evaluation and documentation of potential risks. Here are the key elements you should include:

  1. Hazard identification: This section allows you to list all potential hazards within the system. Accurate identification helps in understanding the scope of risks and their impact on the system’s safety.
  2. Risk assessment: Here, you evaluate the likelihood and potential consequences of each identified hazard. This step is crucial for prioritizing which risks need immediate attention and which can be monitored over time.
  3. Mitigation strategies: This part outlines the measures required to eliminate or control the identified hazards. Clear and actionable mitigation strategies help in preventing the recurrence of similar hazards and ensuring long-term safety.
  4. Responsibilities: Assigning specific tasks to team members ensures accountability. This section helps you designate who is responsible for implementing each mitigation strategy, enhancing clarity and efficiency.
  5. Review and monitoring: Regularly reviewing and updating the analysis is vital. This element allows you to track the effectiveness of mitigation strategies and make necessary adjustments to improve safety continuously

How to customize a system safety hazard analysis report template

Customizing a system safety hazard analysis report template can help you tailor it to your specific needs and organizational structure. Here are some tips on how to make the most of your template:

  • Add industry-specific hazards: Customize the hazard identification section by including hazards unique to your industry. This ensures that all relevant risks are captured, making your analysis more comprehensive.
  • Adjust risk assessment criteria: Modify the risk assessment section to reflect your organization’s specific criteria for evaluating hazards. This can include different scales for likelihood and severity, ensuring that the assessment aligns with your risk management policies.
  • Include custom mitigation strategies: Tailor the mitigation strategies section to incorporate your organization’s standard operating procedures and safety protocols. Clear and actionable strategies help in effectively managing and mitigating risks.
  • Assign roles based on your team structure: Customize the responsibilities section to match your organizational hierarchy. Assign specific tasks to team members based on their roles, ensuring accountability and clarity.

Related categories

  • Health and safety management templates
  • Operational excellence templates
  • Emergency services templates
  • General templates
  • Emergency preparedness templates
  • Safety templates
Preview of the template
Page 1
Hazard Identification
Identify potential hazards within the system
Describe the nature and source of each hazard
Risk Assessment
Assess the likelihood of each hazard occurring
Evaluate the potential consequences of each hazard
Mitigation Strategies
Identify control measures to mitigate each hazard
Specify the responsible party for implementing controls
Outline the timeline for completing mitigation actions

More templates like this

Hazard Report Form
Hazard Report Form
The hazard report form is designed to help you systematically document and address potential safety hazards in your workplace.
Emergency preparedness templates
Incident Hazard Report
Incident Hazard Report
Incident hazard report forms are essential for capturing detailed information about safety incidents and near-misses.
Emergency preparedness templates
Hazard communication plan template
Hazard communication plan template
Use this template to ensure that all employees are informed about the chemical hazards in the workplace.
Risk assessment templates
Forklift hazard identification checklist
Forklift hazard identification checklist
Inspect forklifts thoroughly with this checklist. Address potential risks, standardize safety protocols, and maintain a secure workplace.
Risk assessment templates
HACCP hazard analysis template
HACCP hazard analysis template
This practical HACCP template guides you in identifying risks, evaluating their impact, and setting control measures to improve food safety in your processes.
HACCP templates
Field Level Hazard Assessment Template
Field Level Hazard Assessment Template
A field level hazard assessment template aims to help frontline workers identify and immediately control hazards in designated work areas.
Risk assessment templates

Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

Read in-depth guides covering key topics related to this article.

Workplace hazards: Effective management techniquesChemical hazards: A mandatory risk assesment guide (with examples for businesses & industries)Combustible dust: A comprehensive hazard prevention guideHazard communication program: A guide for workplace safety
See all topic guides

Template collections

See comprehensive collections of best practice templates related to this topic.

6 free hazard report form templates5 hazard identification forms for workplace safety12 free JSA templates for safer workplacesTop 3 workplace hazard inspection checklist templates
See all template collections

Use cases

Check out how the Lumiform software can be utilized for related use cases.

Workplace AppWorkplace investigation softwareIncident report softwareApply Lumiform's workflow automation platform to all use cases
See all use cases

Other resources

Explore all the additional resources we offer to assist you in mastering this topic.

5 steps of a fire risk assessment5 Types of workplace hazardsHow to write a workplace safety policy4 benefits of safety management and how to communicate them

Frequently asked questions

What is a system safety hazard analysis report template?

A system safety hazard analysis template is a structured tool used to identify, evaluate, and mitigate potential hazards within complex systems. It ensures thorough documentation and effective risk management, enhancing overall system safety.

Who should use a system safety hazard analysis report template?

Safety officers, project managers, and engineers in industries such as aerospace, manufacturing, and construction should use this hazard analysis report template. It is essential for anyone responsible for managing system safety and risk.

How do you train employees to use a system safety hazard analysis template?

Train employees by providing clear instructions and conducting hands-on training sessions. Emphasize the importance of thorough documentation and explain how to use the template effectively to identify and mitigate hazards.

What are common challenges in system safety hazard analysis?

Common challenges in system safety hazard analysis include incomplete documentation, inconsistent reporting, and lack of follow-up on identified hazards. Using a structured template helps address these issues by standardizing the process.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
Lumiform logo
Platform
HomeSign upProductAll featuresPricingEnterpriseTrust and securityCustomer success offeringsDownload the app
Solutions
IndustriesFood and hospitalityManufacturingConstructionRetailTransport and logisticsFacility management
Business needsHealth and safety managementQuality managementOperational excellenceCompliance and risk management
Uses cases
Learn
Template collectionsTopic guidesLexiconHelp centerJournalInfographicsVideos
Resources
Lumiform templatesby industryby use caseby business needAll categories
Customer storiesDeveloper APIResource hubIntegrations
Company
AboutJobsLegalBook a demoContact sales
© 2025 LumiformTerms and conditionsPrivacyData processingSitemap
App StoreGoogle play