Hazard Identification Checklist

Project Name:
Project Location:
Date:
Inspected By:
Job/Task:

Checklist

No. Hazard Category Description of Hazard Yes No Corrective Action Required
1 Physical Hazards
2 Chemical Hazards
3 Biological Hazards
4 Ergonomic Hazards
5 Electrical Hazards
6 Fire & Explosion Hazards
7 Environmental Hazards
8 Others

Observations / Additional Notes

Inspected By
Date