HAZARD IDENTIFICATION FORM
Hazard Identification Form in PDF format
Hazard Identification Form in MS Word format
(to be filled out by trip leader and filed with LOC Safety Officer or
Appropriate
Section/Division Head or designate prior to trip departure )
Example of a completed Hazard Identification Form
Field Trip Name _________________________________________________
Date _________________________________________________
Field Trip Leader _________________________________________________
Responsible Safety officer ____________________________________________
General Hazards
| Nature of Hazard | Location of Hazard | Mitigation |
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STOP _________
| Nature of Hazard | Location of Hazard | Instructions to participants |
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STOP _________
| Nature of Hazard | Location of Hazard | Mitigation |
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STOP _________
| Nature of Hazard | Location of Hazard | Mitigation |
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STOP _________
| Nature of Hazard | Location of Hazard | Mitigation |
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STOP _________
| Nature of Hazard | Location of Hazard | Mitigation |
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STOP _________
| Nature of Hazard | Location of Hazard | Mitigation |
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STOP _________
| Nature of Hazard | Location of Hazard | Mitigation |
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STOP _________
| Nature of Hazard | Location of Hazard | Mitigation |
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STOP _________
| Nature of Hazard | Location of Hazard | Mitigation |
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