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Safety Analysis and Incident Report

  • Date Format: DD slash MM slash YYYY
  • :
  • 1. Stop, Step Back and Think

  • 2. Identify the Hazard(s)

    e.g. Lifting, awkward positions, impacts, over-exertion
  • Risk Rating How will hazards and risks be controlled? Actions
       
    • Edit
    • Delete
    There are no Entries.

    Maximum number of entries reached.

    e.g. Slips, trips and falls and struck by fallen objects
  • Risk Rating How will hazards and risks be controlled? Actions
       
    • Edit
    • Delete
    There are no Entries.

    Maximum number of entries reached.

    e.g. Caught in moving parts, struck by plant or flying objects
  • Risk Rating How will hazards and risks be controlled? Actions
       
    • Edit
    • Delete
    There are no Entries.

    Maximum number of entries reached.

    e.g. Electrocution from faulty tools or working close to live power
  • Risk Rating How will hazards and risks be controlled? Actions
       
    • Edit
    • Delete
    There are no Entries.

    Maximum number of entries reached.

    e.g. Inhaling, swallowing or touching acid, solvents or asbestos
  • Risk Rating How will hazards and risks be controlled? Actions
       
    • Edit
    • Delete
    There are no Entries.

    Maximum number of entries reached.

    e.g. Contact with highly pressurised fluid/gas or air
  • Risk Rating How will hazards and risks be controlled? Actions
       
    • Edit
    • Delete
    There are no Entries.

    Maximum number of entries reached.

    e.g. Hearing damage, masking of emergency alarms
  • Risk Rating How will hazards and risks be controlled? Actions
       
    • Edit
    • Delete
    There are no Entries.

    Maximum number of entries reached.

    e.g. Contracting diseases, e.g. Hepatitis and Legionnaires
  • Risk Rating How will hazards and risks be controlled? Actions
       
    • Edit
    • Delete
    There are no Entries.

    Maximum number of entries reached.

    e.g. Exposure to radiation such as X-rays, sunlight or ultra-violet
  • Risk Rating How will hazards and risks be controlled? Actions
       
    • Edit
    • Delete
    There are no Entries.

    Maximum number of entries reached.

    e.g. Stress, violence, fatigue, depression
  • Risk Rating How will hazards and risks be controlled? Actions
       
    • Edit
    • Delete
    There are no Entries.

    Maximum number of entries reached.

    e.g. Working with hot or cold objects or exposure to environment
  • Risk Rating How will hazards and risks be controlled? Actions
       
    • Edit
    • Delete
    There are no Entries.

    Maximum number of entries reached.

  • 3. Assess the Level of Risk

  • 4. Control the Hazards

  • 5. Proceed Safely

  • Name Signature Date Actions
         
    • Edit
    • Delete
    There are no Entries.

    Maximum number of entries reached.

Save and Continue Later

RLink Pty Ltd

Call us – 1300 091 287

Email us – info@rlink.com.au

Send us mail – PO Box 2154,     Ringwood North

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  • Date Format: MM slash DD slash YYYY