Health & Safety Committee Hazard Identification Form
Health & Safety Committee Hazard Identification Form
This Hazard Identification Form serves to systematically identify and address potential risks within our workplace. Stay vigilant, stay safe.
I. General Information
|
Date of Assessment: |
[Month Day, Year] |
|
Location/Department: |
|
|
Assessment Conducted by: |
II. Hazard Identification
|
Hazard Category |
Description |
|
Physical Hazards |
Machinery operation, noise |
III. Risk Assessment
|
Risk Level |
Description |
Action Required |
|
Medium |
Moderate risk; implement controls |
Follow recommendations for identified hazards |
IV. Follow-Up Actions
|
Action Item |
Deadline |
Status |
|
Lathe Area Guard Check |
[Month Day, Year] |
Incomplete |
V. Review and Approval
|
Reviewed By: |
[Name, Job Title] |
|
Date of Review: |
[Month Day, Year] |
|
Approval: |
|
