Hazard report form for councils and local government
Short answer
A council hazard form covers two kinds of workplace: outdoor crews on public land and staff who face the public. It asks for the asset ID, who could be affected and the interim control. This page lists those fields, with a free PDF and Word template, plus a route for confidential reports.
What goes wrong in local government
Councils run parks, depots, libraries, pools and roadsides, so the hazards range from a lifted footpath slab to an angry customer at a counter. The form needs an asset ID and a team, because the person who sees the problem rarely owns it.
- Lifted footpath slabs and tree roots in busy streets
- Playground equipment with loose fixings or broken surfacing
- Roadside mowing and verge work near live traffic
- Needles and other sharps in parks and public toilets
- Fallen trees and limbs after storms
- Aggression from the public at counters, libraries and pools
Fields that earn their place on a local government form
Reports about public assets get lost between teams. These fields send the report to the team that owns the asset on a single read.
- Asset ID or street location, with a photo from a safe spot
- Who could be affected: children, older people, staff or contractors
- Interim control put in place: tape, sign or closure
- Owning team: parks, roads, buildings or facilities
- Customer interaction involved, and whether the report needs to stay confidential
- Sharps kit used, if a needle was found
On paper and by voice
A parks worker is clearing leaf litter and notices a slab lifted by a root on the school-run footpath. Kids are walking over it. They put a cone on it, say “Elm Street, outside number 40, slab lifted about three centimetres, cone placed” and take a photo. It reaches the roads team without a phone call.
Where Haznote fits
Haznote files the report with the location and photo, and a manager decides which team it goes to. For a report about a colleague or a member of the public, the report can be marked confidential. Just the people set up to handle it see it. Haznote doesn’t replace the council’s asset system.
Download the form.
A free example to print or edit. It’s general information, not legal advice, and it asks for no email.
Plain answers.
Is this just for outdoor staff?
No. Counter and library staff see hazards too, such as aggression. The psychosocial hazards page explains that side.
Who owns a hazard on public land?
Often a team the reporter doesn’t know. An owning-team field on the form helps the manager route it.
Can a resident’s complaint go on it?
Treat that as a customer request, not a staff hazard report, unless a worker raised it.
Where this comes from.
This page describes how Haznote works. It makes no claims about the law, so it cites no regulator.
Report a local government hazard by voice. A manager confirms it.
Run it on one site and see the first report land in the manager’s list.