Hazard Assessment Inspection Form

Hazard Assessment Inspection Form
Please complete this form to document hazard assessments during the inspection.
Inspector's Full Name
First NameLast Name
Date of Inspection
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Location of Inspection
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Type of Hazard
Description of Hazard
Risk Level
Recommended Actions
Inspector's Signature
Clear
Should be Empty: