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Hazard Identification Checklist Form Template

Streamline your workplace safety assessments with this effective template

Identifying workplace hazards can feel overwhelming, but it doesn't have to be. This Hazard Identification Checklist Form Template helps you systematically recognize and record potential risks in your environment. By using this template, you enhance workplace safety, ensure compliance with regulations, and streamline your assessment process, all while promoting team awareness. With clear, user-friendly design and WCAG-aligned labels, this form is ready to help you take control of safety assessments-try the live template now.

Use this Template (FREE) Live Preview
Inspection date
Site or location name
Specific area or asset ID
Task or activity observed
Inspector full name
Role or title
Work email
Which hazards were observed?
Describe the hazard and location details
Photo or file reference ID (if applicable)
Is anyone at immediate risk?
Yes
No
Unsure
Housekeeping and access routes are clear and maintained
Yes
Partially
No
Not applicable
Unsure
Machine guarding and energy isolation (LOTO) are in place where required
Yes
Partially
No
Not applicable
Unsure
Electrical equipment, cords, and outlets are in safe condition
Yes
Partially
No
Not applicable
Unsure
Hazardous substances are labeled and stored, and SDS are accessible
Yes
Partially
No
Not applicable
Unsure
Ventilation or dust/fume controls are adequate for the task
Yes
Partially
No
Not applicable
Unsure
Fall protection and access equipment are suitable and in good condition
Yes
Partially
No
Not applicable
Unsure
Manual handling and ergonomics are acceptable for the task
Yes
Partially
No
Not applicable
Unsure
Fire protection and emergency arrangements (exits, alarms, first aid) are in place
Yes
Partially
No
Not applicable
Unsure
Pedestrian and vehicle or mobile plant interactions are controlled
Yes
Partially
No
Not applicable
Unsure
Required PPE is available and worn correctly
Yes
Partially
No
Not applicable
Unsure
How likely is harm if the hazard is not addressed?
Very unlikely
Unlikely
Neutral
Likely
Very likely
Potential consequence severity if the hazard occurs
Minor
Moderate
Serious
Major
Catastrophic
Corrective action required (what needs to be done)
Responsible person or team for follow-up
Target completion date
Immediate controls applied (select all that apply)
Please Specify:
Signature
Date signed
I confirm the information provided is accurate to the best of my knowledge
Strongly disagree
Disagree
Neither
Agree
Strongly agree
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Paper art illustration featuring a hazard identification checklist template for FormCreatorAI article.

When to use this form

Use this checklist before starting a new job, after a layout change, or when a near miss occurs. Supervisors, safety leads, and crew members can spot hazards early, assign controls, and document proof. It fits field walks on construction sites, daily line checks in a plant, labs introducing a new chemical, or offices after a renovation. Your notes feed into a broader Risk assessment form so you can rate severity and plan controls. For welding, cutting, or grinding, pair findings with a Hot work permit form. To track trends across teams and shifts, roll up results with a short Risk assessment survey form. The outcome is a clear list of risks, owners, and next steps.

Must Ask Hazard Identification Checklist Questions

  1. Which job, task, or area are you inspecting today?

    Clear scope makes findings precise and actionable. It also lets you trend issues by location or process over time.

  2. What physical hazards are present (slips, trips, falls, pinch points, moving equipment)?

    This prompts a thorough look at the work area, equipment, and housekeeping. Naming the hazard type speeds fixes and helps prevent common incidents.

  3. What chemical or environmental exposures could affect people (fumes, dust, noise, heat or cold)?

    Identifying exposures guides the right ventilation, monitoring, and PPE. It reduces both acute events and long-term health risks.

  4. Are required controls in place and effective (guards, signage, ventilation, PPE)? If not, what is missing?

    Confirming effectiveness turns observations into decisions. Listing gaps creates a to-do list that maintenance and supervisors can act on fast.

  5. Who owns each corrective action, what is the due date, and how will you verify completion?

    Ownership and timelines drive follow-through and accountability. You can reinforce expectations during your next check-in using the Employee safety performance review form.

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