Electrical Hazard Assessment Report

1. Project & Assessment Details

Project Name Location Date of Assessment Assessor Name(s)

2. Description of Area/Process

Area / Equipment / Process Assessed Work Activities Involved

3. Hazard Identification

Hazard	Source/Location	Potential Consequence	Current Controls	Risk Level

4. Risk Evaluation

Risk Matrix Used Summary of Highest Risks Identified

5. Recommendations

Recommended Control Measures	Responsible Person	Target Date

6. Additional Notes / Comments

7. Review / Approval

Reviewed By Date