The Hazard Report Form is a crucial workplace safety document required under Philippine law, specifically aligned with Republic Act No. 11058 and related DOLE regulations. This form serves as the primary tool for employees and safety personnel to formally document potential workplace hazards, unsafe conditions, or practices that could lead to accidents or injuries. The document is designed to capture essential information including hazard details, risk levels, immediate actions taken, and recommended corrective measures. It plays a vital role in an organization's safety management system, providing a standardized method for reporting hazards across all operational areas. The form supports compliance with local safety regulations while helping organizations maintain a proactive approach to workplace safety management. Implementation of this Hazard Report Form is mandatory for most businesses operating in the Philippines, particularly those in high-risk industries.
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1. Report Identification: Unique report ID, date and time of report, and location details
2. Reporter Information: Name, position, department, and contact details of the person reporting the hazard (with privacy notice)
3. Hazard Location: Specific details about where the hazard was identified, including building, floor, room, or area
4. Hazard Description: Detailed description of the hazard, including type of hazard and potential risks
5. Risk Assessment: Initial assessment of risk level (Low/Medium/High) and number of people potentially affected
6. Immediate Actions Taken: Description of any immediate actions taken to minimize risk
7. Recommended Actions: Suggested corrective actions to address the hazard
8. Verification: Reporter's signature and declaration of truth of information provided
1. Photos/Visual Evidence: Section for attaching or describing visual evidence of the hazard - useful for complex or visual hazards
2. Equipment Details: Specific section for machinery/equipment-related hazards - include when report involves equipment issues
3. Environmental Conditions: Details about environmental factors contributing to the hazard - relevant for weather or environment-related hazards
4. Witness Information: Details of any witnesses to the hazard - important for incidents that have been observed by others
5. Previous Incidents: Information about any related previous incidents - useful for recurring hazards
6. PPE Requirements: Details of Personal Protective Equipment needed in the hazard area - relevant for chemical or physical hazards
1. Hazard Classification Guide: Reference guide for categorizing different types of hazards (physical, chemical, biological, ergonomic, etc.)
2. Risk Matrix: Guide for assessing risk levels based on likelihood and severity
3. Emergency Contact List: List of relevant emergency contacts and response teams
4. PPE Reference Chart: Visual guide showing required PPE for different types of hazards
5. Investigation Process Flow: Flowchart showing the process after a hazard report is submitted
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