You are on page 1of 1

HowtocompleteaHazardReview

AHazardreviewformmaybecompletedeitheronlineandemailedtosupervisor,orinprintedformand
giventosupervisor

Itisvitalthattheformbecompletedassoonaspossible,withintwentyfourhoursaftertheincident

Theformmustbecompletedby:
Eachemployeeinvolved
Eachwitnesstotheincident
Supervisorondutyatthetimeoftheincident

Eachformmustbesignedwithdateandtimeofincidentandthedateandtimethattheformwasfiled

Indicateiftheformisbeingfilledoutbyanemployeethatwasinvolvedorbyawitness

Includeathoroughexplanationoftheincidentincludingdateandtimeofincidentandlocation.Please
includeanypertinentinformationthatmayhavecontributedtotheincident

Explaintheprocedurestakentocontaintheincident

Giveadetailedlistofanyinjuriesorpossibleinjuriesandanymedicalattentionthatwassought

Provideanyideasforhowtoimprovepoliciesandprocedurestoavoidfutureincidents

Ifmorespaceisneeded,attachadditionalsheetsasneeded

You might also like