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Incident/Accident/Hazard Report Form Reporting a (circle one): Incident Accident Hazard Person Involved: Male: Female: (Last Name) (First Name) (Middle Initial) Local Home Address: City: Zip: Birth.

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Keep track of when and where the hazard was reported. Describe the hazard using text, images, and annotations. Determine the seriousness of the injury and the medical attention required. Create a corrective action plan to minimize hazard risk.

Why are hazard reports important? Reporting on all workplace safety hazards can help organisations identify potential causes of incidents and mitigate them before an incident can occur. Hazard reports are a form of risk prevention.

Brief description of hazard/incident: (Describe the task, equipment, tools and people involved. Use sketches, if necessary. Include any action taken to ensure the safety of those who may be affected.) Where is the hazard located in the workplace?

If you spot something you think might be hazardous in your workplace, report it to your employer and safety rep straight away. Your employer should then decide what harm the hazard could cause and take action to eliminate, prevent or reduce that harm. Read more about risk assessments .

To contact the HSE call 0300 003 1647 or complete the HSE online reporting form. We investigate reports of accidents at work that involve staff or the general public and complaints relating to health and safety matters at a workplace.

The hazard identification form can be used to document hazards and risks at your workplace. Use one form to document each hazard. Integrate all identified hazards and their control measures into the Safety Action Plan to monitor and track the progress.

In simple terms, a hazard report should be documented and shared when any situation is found that could potentially cause harm to people including: The condition of the work environment itself. Heavy machinery, equipment, materials and substance issues and defects. How work is being performed, managed and designed.

Hazards can be reported verbally, electronically or by filling out company specific forms that should be available at bulletin boards or other conspicuous places. Ask your supervisor, or health and safety committee or representative if there is a formal process for reporting hazards.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232