The Hazard Identification Form is a fundamental workplace safety document required under New Zealand's health and safety legislation. It serves as a systematic tool for identifying, assessing, and managing workplace hazards in compliance with the Health and Safety at Work Act 2015 and associated regulations. This document should be used whenever new hazards are identified, when implementing new processes or equipment, during regular workplace safety reviews, and when investigating incidents. The form captures essential information about potential hazards, risk levels, existing controls, and required actions, providing a documented approach to maintaining workplace safety. It supports organizations in meeting their duty of care obligations and demonstrates due diligence in hazard management practices.
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1. Site/Location Information: Details of the workplace or specific area being assessed, including address and department/area identifiers
2. Assessment Details: Date of assessment, assessor name(s), position(s), and review date
3. Hazard Identification: Table or matrix for listing identified hazards, including hazard type categorization (physical, chemical, biological, psychological, etc.)
4. Risk Assessment: Evaluation of each hazard's risk level using likelihood and consequence matrices
5. Current Controls: Existing control measures in place for each identified hazard
6. Required Actions: Additional control measures needed, following the hierarchy of controls
7. Action Assignment: Person(s) responsible for implementing controls and completion timeframes
8. Verification and Sign-off: Signatures of assessor(s), supervisor/manager, and health and safety representative
1. Specific Task Analysis: Detailed breakdown of task steps and associated hazards - use when assessing specific work procedures
2. Hazardous Substances Assessment: Additional section for detailed assessment of hazardous substances - include when chemicals or dangerous goods are present
3. Emergency Response Procedures: Specific emergency responses for identified hazards - include for high-risk work areas
4. Contractor Requirements: Special considerations for contractor work - include when assessment involves contractor activities
5. Environmental Impact: Assessment of environmental hazards and controls - include when activities may affect the environment
1. Risk Matrix: Standard risk assessment matrix used for evaluating hazard severity and likelihood
2. Control Measures Hierarchy: Reference guide showing hierarchy of hazard control measures
3. Hazard Categories Checklist: Comprehensive checklist of common workplace hazard categories
4. PPE Requirements Guide: Reference table for required Personal Protective Equipment based on hazard types
5. Relevant Safety Data Sheets: Appendix for attaching relevant Safety Data Sheets for hazardous substances
Authors
Relevant legal definitions
Clauses
Relevant Industries
Construction
Manufacturing
Mining
Agriculture
Forestry
Healthcare
Transportation
Warehousing
Chemical Industry
Food Processing
Energy and Utilities
Marine Operations
Education
Retail
Hospitality
Relevant Teams
Health and Safety
Operations
Production
Maintenance
Quality Assurance
Compliance
Human Resources
Facilities Management
Risk Management
Project Management
Environmental Management
Training and Development
Relevant Roles
Health and Safety Manager
Risk Assessment Officer
Site Supervisor
Operations Manager
Facility Manager
Production Supervisor
Safety Coordinator
Compliance Officer
Department Manager
Project Manager
Maintenance Supervisor
Quality Control Manager
Environmental Health Officer
Industrial Hygienist
Training Coordinator
Human Resources Manager
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