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Details
Company (Eg. Signet)
Department (Eg. Operations, Marketing, Finance)
Accountable Person
Person Reporting the Hazard
People Involved
Date Reported
Brief Description
Location
Type of Hazard
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Biological
Chemical
Environmental
Ergonomic
Gravitational
Mechanical
Physical
Psychological
Vehicles
Details
Initial Risk Consequence
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Insignificant
Minor
Moderate
Critical
Catastrophic
Initial Risk Likelihood
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Very Unlikely
Unlikely
Possible
Likely
Almost Certain
Residual Risk Consequence
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Insignificant
Minor
Moderate
Critical
Catastrophic
Residual Risk Likelihood
Select a value
Very Unlikely
Unlikely
Possible
Likely
Almost Certain
Control Strategy
Elimination
Substitution
Isolation
Engineering
Administration
PPE
What Action have you taken?
Is there any further Action required?
Yes
No
Attachment
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