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Hazard Assessment and Control Form

Hazard Assessment and Control Form 2025

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The document is a Hazard Assessment & Control Form used by Human Resources to identify, assess, and manage workplace hazards. It includes sections for detailing the hazard, assessing risk categories using a matrix, planning control actions, and documenting residual risks. The form emphasizes the importance of ongoing management through a Hazard Register and requires managerial approval to ensure accurate record-keeping.

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Begin with Section A – Hazard Details. Fill in the event number, date, BEIMS number, and the name of the person who raised the hazard. Specify the department where the hazard is located and provide a detailed description of the hazard.
Indicate how the hazard can occur by describing necessary circumstances. Assess potential consequences if it occurs, including serious harm or death.
Determine if this is a significant hazard and identify who is exposed to it. Note how frequently it occurs and evaluate its likelihood.
In Section B, use the Risk Matrix to categorize the risk level by circling your assessment based on likelihood and severity.
Proceed to Section C – Hazard Action/Control Plan. List actions required, assign responsibilities, set due dates, and track progress status updates.
In Section D, reassess residual risk using the Risk Rating Matrix from Section B and document results in your Hazard Register.
Finally, complete Section E for approval by entering your name, date, position title, and signature to confirm accuracy.

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What are the 4 steps of a hazard assessment?

A common way to classify hazards is to categorize them as biological, chemical, ergonomic, physical, psychosocial, and safety hazards.

What is a hazard assessment and control form used to record?

A hazard assessment is a process to document identified hazards, risks, and controls in consideration of activities, tasks, and the environment in which they take place.

What is hazard assessment and control?

A hazard is something that can cause harm. Risk is the probability that a hazard will cause harm. A hazard assessment is simply a concerted effort to identify hazards present, assess the risks associated with those hazards, and select appropriate control measures to reduce those risks.

What is hazard assessment?

The hierarchy of controls is a method of identifying and ranking safeguards to protect workers from hazards. They are arranged from the most to least effective and include elimination, substitution, engineering controls, administrative controls and personal protective equipment.

What are the 4 types of hazard control?

Recognizing the hazard exposure or potential hazard exposure; 2. Identifying the source; 3. Evaluating the loss potential; 4. Controlling potential loss exposure.