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Workplace Hazard Assessment

The chart on the following pages has been pre-populated with common workplace hazards and controls relevant to business and operations. Please note this chart is not complete and it is necessary to customize this chart to meet the unique circumstances of your workplace.

Instructions:

  • Customize the chart to accurately reflect the current hazards found in the workplace including workplace violence risks.
  • Customize the chart to accurately reflect the engineering controls, administrative controls and personal protective. equipment controls currently implemented to address the hazards found in the workplace.
  • Note there are blank spaces at the bottom of the chart, for you to add any additional hazards and controls.
  • Communicate to team members the hazards identified, the associated risks, the measures implemented for hazard elimination or control and how to work safely.
  • Monitor and evaluate controls for continuing effectiveness.
  • Establish a regular schedule for conducting hazard assessments in the workplace.

Print and complete the Hazard Assessment Form

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