The Hazard Report Form is a crucial health and safety management tool used across various industries in England and Wales. It facilitates compliance with statutory requirements under the Health and Safety at Work etc. Act 1974 and related regulations. This document should be used whenever an employee or individual identifies a potential workplace hazard or safety concern. The form collects detailed information about the nature and location of the hazard, risk assessment, and immediate control measures implemented. It serves as both a legal record and an operational tool for managing workplace safety risks effectively.
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1. Reporter Information: Details of person reporting the hazard including name, role, contact information
2. Hazard Location: Specific location details including building, floor, room, area
3. Hazard Description: Detailed description of the hazard, including type and nature of risk
4. Risk Assessment: Initial assessment of risk level and potential consequences
5. Immediate Actions Taken: Any immediate measures taken to control or minimize the hazard
1. Witness Information: Details of any witnesses, used when hazard resulted in incident
2. Photos/Evidence: Attachment section for visual evidence, when available
3. Equipment Details: Specific equipment information when hazard involves machinery/equipment
1. Risk Matrix: Standard risk assessment matrix for reference
2. Site Map: Layout diagram for precise hazard location marking
3. Emergency Contact List: List of relevant emergency contacts and procedures
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