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Hazard Report Form-Checklist 4 - Covid-19 - 16252 - Rebeca Raducu
Hazard Report Form-Checklist 4 - Covid-19 - 16252 - Rebeca Raducu
☒Employee
☐Client
☐Contractor/Volunteer
☐Visitor
☐Agency Casual
Position: educator
Department: Education
The risk rating of a hazard is based on the combination of likelihood, consequence and amount of
exposure to a hazard.
HLTINF006 Apply basic principles and practices of infection prevention and control
CRICOS Provider Code 02934D
Page 1 of 3 RTO Number 121952
Assessor Guide
HLTINF006 Apply basic principles and practices of
infection prevention and control
1 and 2 Extreme risk; consider elimination of the activity. Otherwise determine controls that are
reasonably practicable to minimise the risk.
3 and 4 Moderate risk; determine controls that are reasonably practicable to minimise the risk.
5 and 6 Low risk; manage by routine procedures.
Death or permanent Extreme risk Click or tap here Click or tap here Click or tap here
disability to enter text. to enter text. to enter text.
Long term illness or Extreme to Click or tap here Click or tap here Click or tap here
serious injury moderate to enter text. to enter text. to enter text.
Medical attention and extreme Click or tap here Click or tap here Click or tap here
several absentee to enter text. to enter text. to enter text.
days from school or
work
First aid needed extreme Click or tap here Click or tap here Click or tap here
to enter text. to enter text. to enter text.
Please use the Hierarchy of Controls to complete the corrective action plan. Consultation with
management and colleagues will assist in identifying effective controls.
1. Eliminate
2. Substitute
3. Engineering control
4. Administrative control
5. PPE.
Actions Recommended to be Taken By whom? By when?
HLTINF006 Apply basic principles and practices of infection prevention and control
CRICOS Provider Code 02934D
Page 2 of 3 RTO Number 121952
Assessor Guide
HLTINF006 Apply basic principles and practices of
infection prevention and control
☒Yes
☐No
Provide comments on action taken to remedy the hazard or proposed actions:
Cleaning up the area
Signature: Raducu
Date: 27.06.2023
Has the hazard been controlled effectively? What if any follow up action is still required?
Provide training
HLTINF006 Apply basic principles and practices of infection prevention and control
CRICOS Provider Code 02934D
Page 3 of 3 RTO Number 121952