Hazard Classification Checklist
Complete this checklist to accurately and operationally classify a hazard. Please provide as much relevant detail as possible to support effective hazard management.
Hazard Description
*
Hazard Location
*
Hazard Category
*
Physical
Chemical
Biological
Ergonomic
Psychosocial
Other
Potential Consequences (Select all that apply)
*
Injury/Illness
Property Damage
Environmental Impact
Operational Disruption
Reputational Damage
Other
Likelihood of Occurrence
*
Please Select
Rare
Unlikely
Possible
Likely
Almost Certain
Severity of Consequences
*
Please Select
Insignificant
Minor
Moderate
Major
Catastrophic
Existing Controls (Select all that apply)
*
Elimination/Substitution
Engineering Controls
Administrative Controls
Personal Protective Equipment
None
Recommended Actions
*
Responsible Person or Department
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Additional Comments
Submit Checklist
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