The Workplace Hazard Assessment Form is a fundamental tool for maintaining workplace safety and ensuring compliance with Australian Work Health and Safety legislation. This document should be used whenever there are significant changes to workplace operations, introduction of new equipment or processes, or as part of regular safety reviews. The form encompasses comprehensive hazard identification, risk assessment, and control measure documentation, aligned with the requirements of the Work Health and Safety Act 2011 and its regulations. It serves as both a legal record of safety assessments and an active management tool for preventing workplace incidents. The document is designed to facilitate systematic evaluation of workplace risks while promoting consultation between management and workers, as required by Australian WHS laws.
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1. Assessment Details: Basic information including date, location, assessor name(s), and department/area being assessed
2. Scope of Assessment: Clear definition of what areas, activities, or processes are being assessed
3. Hazard Identification: Systematic listing of all potential hazards observed, including physical, chemical, biological, psychological, and ergonomic hazards
4. Risk Assessment Matrix: Standard risk evaluation matrix to rate likelihood and consequence of each hazard
5. Current Control Measures: Documentation of existing safety measures and their effectiveness
6. Risk Rating: Assessment of risk levels for each identified hazard after considering current controls
7. Recommended Control Measures: Proposed additional controls following the hierarchy of controls
8. Action Plan: Specific actions required, including responsible persons and timeframes
9. Review and Sign-off: Signatures of assessor(s), supervisor, and health and safety representative
1. Consultation Record: Details of worker consultation process - required when significant changes to workplace safety are proposed
2. Previous Incident History: Summary of relevant past incidents - include when assessing areas with history of incidents
3. Equipment/Machinery Specific Assessment: Detailed assessment for specific equipment - include when assessing high-risk machinery
4. Environmental Factors: Assessment of environmental conditions - include for outdoor work areas or temperature-sensitive environments
5. Emergency Response Considerations: Special emergency procedures - include for high-risk areas or remote locations
1. Appendix A: Risk Matrix Guide: Detailed guide explaining how to use the risk assessment matrix
2. Appendix B: Hazard Checklist: Standard checklist of common workplace hazards by category
3. Appendix C: Control Measures Library: Reference list of typical control measures for common hazards
4. Appendix D: Relevant Legislation: Summary of applicable WHS legislation and codes of practice
5. Appendix E: Review Schedule: Template for scheduling regular reviews of identified hazards and controls
Relevant legal definitions
Clauses
Relevant Industries
Manufacturing
Construction
Mining
Healthcare
Education
Retail
Hospitality
Transportation and Logistics
Agriculture
Professional Services
Warehousing
Chemical Industry
Food Processing
Public Administration
Utilities
Relevant Teams
Workplace Health and Safety
Operations
Human Resources
Compliance
Quality Assurance
Facility Management
Risk Management
Production
Maintenance
Environmental Health
Training and Development
Relevant Roles
Workplace Health and Safety Manager
Risk Assessment Officer
Operations Manager
Site Supervisor
Facility Manager
Department Head
Safety Coordinator
Compliance Officer
Production Manager
Human Resources Manager
Quality Assurance Manager
Project Manager
Maintenance Supervisor
Environmental Health Officer
Training Coordinator
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