Hazard Analysis Form
Job Steps
Please describe the job steps.
Hazard Description and Effect
Please describe the hazard and its effects.
People, Property, or Environment at Risk
Please specify who or what is at risk.
Hazard Consequence
Select Consequence
Trivial
Minor
Major
Serious
Fatal
Please select a hazard consequence.
Chance of Occurrence
Select Chance
Remote
Unlikely
Possible
Probable
Near Certain
Please select the chance of occurrence.
Initial Risk Rating
Select Initial Risk
Low
Medium
High
Please select an initial risk rating.
List of Controls Required
Please specify the required controls.
Controlled Hazard Consequence
Select Controlled Consequence
Trivial
Minor
Major
Serious
Fatal
Please select a controlled hazard consequence.
Controlled Chance of Occurrence
Select Controlled Chance
Remote
Unlikely
Possible
Probable
Near Certain
Please select a controlled chance of occurrence.
Residual Risk Rating
Select Residual Risk
Low
Medium
High
Please select a residual risk rating.
Submit