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Overview
Complete
Hazard Report Form
05 Jan 2021 / SafetyCulture Staff
Inspection score
25%
Failed items
3
Created actions
3
Date and Time Hazard Identified

5th Jan, 2021

2:54 PM PST

Person Reporting Hazard
SafetyCulture Staff
Location of Hazard
Armidale NSW 2350, Australia (-30.5015616, 151.6661993)
Failed items
3
Inspection
Have you notified your supervisor/manager?
No
Actions
To do
Notify supervisor/manager.
For Supervisor/Manager
Have corrective actions been taken?
No
For Supervisor/Manager
Have control measures been implemented?
No
Actions
To do
Talk with supervisor regarding cables and other hazards.
Actions
3
Inspection
1
2
50%
Have you notified your supervisor/manager?
No
Actions
To do
Notify supervisor/manager.
Describe the Hazard
There are a bunch of cables on the floor.
Why/How is it a Hazard?
I almost tripped on them.
How serious could the injury be?
First Aid Needed
How likely is it to be that serious?
Unlikely
If requiring first aid is very likely or likely, determine controls that are reasonably practicable to minimize the risk. Eliminate hazard if: -serious injury is very likely or likely -long term illness is very likely or likely -permanent disability is very likely, likely, or unlikely
Corrective Action
100%
Corrective Action / Corrective Action 1
1
100%
Please click "Action" icon below
Compliant
Photos
Actions
To do
Remove the cables from the floor, or at least organize them so that people don't accident trip/fall.
After creating an action, set the date and time the action has to be completed and assign it to a user.
For Supervisor/Manager
2
1
0%
Have corrective actions been taken?
No
Have control measures been implemented?
No
Actions
To do
Talk with supervisor regarding cables and other hazards.
Hazard Report Form completed on:

5th Jan, 2021

Name and Signature:
Johnny Hazard
5th Jan, 2021 3:07 PM PST
Media summary
1 Media file