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HIRARC Form Template for Risk Assessment

This document appears to be a hazard identification, risk assessment, and risk control (HIRARC) form used by a company to identify workplace hazards, assess their risks, and implement controls. The form includes sections to list work activities, identified hazards and their potential effects, existing risk controls, risk ratings, recommended additional controls, and plans to implement controls with responsible individuals and due dates.

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Wan Rozaidi
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234 views1 page

HIRARC Form Template for Risk Assessment

This document appears to be a hazard identification, risk assessment, and risk control (HIRARC) form used by a company to identify workplace hazards, assess their risks, and implement controls. The form includes sections to list work activities, identified hazards and their potential effects, existing risk controls, risk ratings, recommended additional controls, and plans to implement controls with responsible individuals and due dates.

Uploaded by

Wan Rozaidi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

HIRARC Form

Company: Conducted by:


(Name, Designation)
Process:
Location:
Approve by: Date from – to:
(Name, Designation)
Date: Review Date:

Hazard Identification Risk Assessment Risk Control


No
Recommended Control PIC
Work Activity Hazard Effect Existing risk Control (L) (S) (R)
Measure Due Date/Status
1.
2.
3.
4.
5.

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