Hazard Identification Form

Please complete as much information as possible. Fields marked with * are required.

Hazard Details

1. Define the Hazard 2. Describe the possible consequences of this hazard

3. Probability (1 = Extremely improbable … 5 = Probable)

Risk matrix reference

Likelihood	Meaning	Value
Probable	Likely to occur multiple times per year…	5
Occasional	Expected 1–3× per year…	4
Remote	Unlikely but possible…	3
Improbable	Very unlikely…	2
Extremely improbable	Almost impossible…	1

4. Severity (A = Catastrophic … E = Negligible)

Risk matrix reference

Severity	Meaning	Value
Catastrophic	One or more fatalities / total loss…	A
Hazardous	Major injury / significant damage…	B
Major	Minor injury; significant repair…	C
Minor	Minor injury; disruption…	D
Negligible	No injury; minor repairs…	E

5. Known risk controls (if any) 6. Suggested actions to reduce the consequences of this hazard

Your name

Date

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