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1. Document Information: Form number, date, revision number, and document control information
2. Workplace Details: Company name, site location, department/area being assessed
3. Assessment Team: Names and positions of personnel conducting the hazard identification
4. Work Activity Description: Detailed description of the work process or area being assessed
5. Hazard Categories: Structured checklist of hazard types (physical, chemical, biological, ergonomic, psychological)
6. Hazard Details: Specific hazards identified, their location, and nature of the risk
7. Risk Assessment: Initial risk rating using likelihood and consequence matrix
8. Existing Control Measures: Current controls in place to minimize identified risks
9. Recommended Actions: Proposed additional control measures and improvements
10. Action Priority: Urgency rating and timeline for implementing control measures
11. Responsibilities: Assignment of personnel responsible for implementing controls
12. Review and Approval: Sign-off section for relevant authorities and safety officers
1. Emergency Response Procedures: Specific emergency protocols related to identified hazards - include for high-risk activities
2. Environmental Impact Assessment: Environmental considerations of identified hazards - include when operations may affect the environment
3. Equipment/Machinery Details: Specific equipment-related hazards - include for mechanical/industrial operations
4. Personal Protective Equipment (PPE) Requirements: Detailed PPE specifications - include for hazards requiring specific protective equipment
5. Training Requirements: Specific training needs identified during assessment - include when specialized training is needed
6. Chemical Inventory: List of hazardous substances - include when chemical hazards are present
7. Contractor Requirements: Special considerations for contractors - include when external workers are involved
1. Risk Assessment Matrix: Standard matrix for evaluating risk levels based on likelihood and consequence
2. Hazard Pictograms: Standard GHS hazard symbols and their meanings
3. Control Measures Hierarchy: Hierarchy of controls reference guide
4. Incident Report Form: Template for reporting incidents related to identified hazards
5. Safety Data Sheets (SDS): Relevant SDS for hazardous materials identified
6. Area Maps: Workplace layouts marking hazard locations and emergency equipment
7. Review Schedule: Timeline for periodic review of hazard controls
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