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Hazard report form

Hazard report form template for Australian worksites

Short answer

A hazard report form records what someone saw before anyone was hurt. What it is, where it is, who could be affected and what was done. Download the free PDF or Word form below, or pick your trade for a version with the questions that trade needs. You can also fill the same fields by voice.

What a hazard form should capture

Most forms fail the same way. They ask for a lot and get little back. Or they ask for the wrong things, and a supervisor rings three people to find out where it was. A short form with the right fields gets filled in. So does a form that tells the reader why each question is there, which is why the trade pages explain theirs.

  • Report number
  • Date and time you saw it
  • What the hazard is, in your own words
  • Exactly where it is
  • Immediate control: barrier, tag, isolation or area cleared
  • Who you told, and when
  • Priority
  • Action to fix it

Why the follow-up fields matter

A report that nobody closes is worse than no report, because the worker who raised it now knows it went nowhere. The last block of the form is for the supervisor: a priority, an owner, a due date and a close-out. It turns a note into a job. Keep the dates on it, too. A due date nobody can see is a wish, and a close-out date is how you show the worker that raised it that something happened.

Paper, spreadsheet or voice

Paper works until the clipboard gets wet. A spreadsheet works until the person who reports a hazard is on a roof. Speaking works in both places. In Haznote the worker describes the hazard, takes a photo and sends it, with the location from the phone attached. A manager confirms the category and priority.

Pick your trade

A hazard on a roof isn’t the same as one in a warehouse aisle. Each trade page below lists the hazards that trade actually meets and the extra questions worth asking, with its own template.

Template

Download the form.

A free example to print or edit. It’s general information, not legal advice, and it asks for no email.

By trade

Pick your trade.

Questions

Plain answers.

Is the template free?

Yes. It’s a PDF and a Word file with no email needed. Edit it for your workplace.

Is a hazard form the same as an incident report?

No. A hazard form records something that could cause harm. An incident report records what happened. The incident report template covers the second.

Does Haznote replace the form?

Haznote is a way to fill the same fields by voice, with a photo and location. You can use the paper form alongside it.

Sources

Where this comes from.

This page describes how Haznote works. It makes no claims about the law, so it cites no regulator.

Fill the same fields by voice. A manager confirms the report.

Run it on one site and see the first report land in the manager’s list.