WHS521-Generic-Hazard-Identification-Form

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BSBWHS521 - Ensure a safe workplace for a work area
	HAZARD IDENTIFICATION FORM 
	Learner Name
	Jonatahan Dutra
	Workplace/Organisation
	Bounce Fitness
	Learner’s Work Role 
	WHS Officer
	State/Territory
	NSW
	Date Prepared
	16/03/2022
	What is the hazard? 
	Slippery floors
	What are the risks associated with the hazard?
	Risk of trips and falls
	People/person who may be affected by the hazard:
	Any person who passess through the slippery area
	What are the existing risk control measures used?
Leave this section blank if nothing has been done
	Slippery signs
	Initial risk rating
Rating must be based on the risk rating matrix your organisation uses. 
	Likely 
High risks
	What further action needs to be taken?
	Increase cleaning in the area to assure the floors are dry
	By when (date)
	16/03/2022
	Residual risk rating:
Note: the residual risk rating should be “low” at this stage, if this is not the case, think of a more effective way to control the hazard. 
	Low risk 
Unlikely
END OF HAZARD IDENTIFICATION FORM 
Hazard Identification Form 		Version 1.0 Produced 30 September 2020
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Hazard Identification Form		Version 1.0 Produced 30 September 2020
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Sustainability Policies Plan		Version 1.0 Produced xx Month 20xx
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