Hazard Identification Form

HIRARC
HIRARC FORM

Company Name Conducted

by: (Name,
designation)
Process/Location Date:
(from…to ..)
Approved by: Last Review 1.
(Name, Date
2.
designation)
Date

1.) Hazard Identification 2.)Risk Analysis 3.) Risk Control

No
Work Activity Hazard Potential ExistingRisk Likelihood Severity Risk Recommend Control Measure Person In
Effect Control Charge
(if any) (Due Date)

1
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5
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