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Hazard Identification Form for New Zealand

Hazard Identification Form Template for New Zealand

A comprehensive workplace hazard identification and risk assessment document compliant with New Zealand's Health and Safety at Work Act 2015. This form provides a structured approach to identifying, assessing, and controlling workplace hazards, ensuring organizations meet their legal obligations for maintaining a safe workplace. It includes sections for hazard identification, risk assessment, control measures, and action planning, incorporating WorkSafe NZ guidelines and requirements for systematic hazard management.

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What is a Hazard Identification Form?

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.

What sections should be included in a Hazard Identification Form?

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

What sections are optional to include in a Hazard Identification Form?

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

What schedules should be included in a Hazard Identification Form?

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

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

New Zealand

Publisher

Genie AI

Cost

Free to use
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

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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