KNOWLEDGE BASE
FORM
Workplace Hazard Report Form
Document No:
FORM-001
Version:
1.0
Approved by:
Management
Effective Date:
30/06/2026
Review Date:
20/07/2027
Purpose
The Workplace Hazard Report Form is used to report hazards that have the potential to cause injury, illness or damage within the workplace. Prompt reporting allows hazards to be assessed and controlled before an incident occurs, supporting a safe working environment for employees, patients, contractors and visitors.
Management is responsible for maintaining the Workplace Hazard Report Form. Completed forms are stored within the organisation's governance records and are reviewed periodically, following reported hazards where appropriate, and as part of workplace health and safety review activities. All employees are responsible for reporting identified workplace hazards and completing this form as soon as practicable.
When is this form used?
This form should be completed whenever a workplace hazard is identified, regardless of whether an incident has occurred.
Examples include:
Slip, trip or fall hazards
Damaged or faulty equipment
Unsafe work practices
Manual handling hazards
Electrical hazards
Fire safety concerns
Biological or chemical hazards
Psychosocial hazards
Environmental hazards
Any other condition that may pose a risk to health and safety
Hazards should be reported as soon as practicable after they are identified.
Completing the Form
Provide as much information as possible to assist with hazard assessment and risk management.
Include:
The location of the hazard
A description of the hazard
Any immediate actions taken
Whether the hazard presents an immediate risk to health or safety
Any suggested control measures, where appropriate
Management will assess the reported hazard, determine appropriate control measures and monitor completion of any required actions.