The Job Site Hazard Assessment Form is a fundamental tool in New Zealand's workplace safety framework, designed to comply with the Health and Safety at Work Act 2015 and associated regulations. This document should be completed before commencing work at any new site or when significant changes occur in existing work environments. It captures critical information about potential workplace hazards, risk levels, and necessary control measures, serving as both a practical safety tool and a legal record of hazard management efforts. The form is particularly important in high-risk industries and must be regularly reviewed and updated to reflect changing site conditions or work practices. It supports organizations in meeting their legal obligations while providing a practical framework for protecting worker safety and health.
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1. Site Information: Basic details including site location, date of assessment, project name, and responsible persons
2. Scope of Work: Description of work activities to be performed at the site
3. Assessment Team: Names and roles of people conducting the hazard assessment
4. Hazard Identification Checklist: Structured checklist of common workplace hazards including physical, chemical, biological, and psychological hazards
5. Risk Assessment Matrix: Framework for evaluating likelihood and consequence of identified hazards
6. Control Measures: Detailed description of existing and proposed control measures following the hierarchy of controls
7. Action Plan: Specific actions required to implement additional control measures, including responsibilities and timeframes
8. Sign-off and Approval: Signatures of assessment team members and relevant authority figures confirming assessment completion
1. Environmental Conditions: Assessment of weather conditions and environmental factors - include for outdoor work sites
2. Equipment and Plant Assessment: Detailed assessment of machinery and equipment - include when heavy machinery is involved
3. Hazardous Substances Register: List and assessment of hazardous materials - include when chemicals or dangerous goods are present
4. Emergency Response Procedures: Site-specific emergency protocols - include for high-risk work environments
5. Traffic Management: Assessment of vehicle and pedestrian movement - include for sites with vehicle traffic
6. Working at Heights Assessment: Specific assessment for elevated work - include when working above ground level
7. Confined Space Assessment: Specific assessment for confined spaces - include when work involves enclosed or partially enclosed spaces
1. Appendix A: Risk Matrix Guide: Detailed guide explaining how to use the risk assessment matrix
2. Appendix B: Common Hazard Reference List: Comprehensive list of common hazards by category with example control measures
3. Appendix C: PPE Requirements Chart: Chart showing required personal protective equipment for different types of work
4. Appendix D: Emergency Contact Information: List of emergency contacts and first responders
5. Appendix E: Relevant Safety Data Sheets: Collection of safety data sheets for hazardous substances present on site
6. Appendix F: Site Map: Map showing site layout, emergency exits, and key safety equipment locations
Authors
Relevant legal definitions
Clauses
Relevant Industries
Construction
Manufacturing
Mining
Agriculture
Forestry
Transport and Logistics
Energy and Utilities
Waste Management
Marine Operations
Infrastructure Development
Oil and Gas
Chemical Processing
Warehousing
Civil Engineering
Industrial Maintenance
Relevant Teams
Health and Safety
Operations
Project Management
Risk Management
Site Operations
Quality Assurance
Compliance
Field Operations
Environmental Health and Safety
Production
Facilities Management
Relevant Roles
Health and Safety Manager
Site Supervisor
Project Manager
Construction Manager
Safety Officer
Risk Assessment Specialist
Operations Manager
Workplace Safety Coordinator
Compliance Officer
Field Supervisor
Safety Consultant
Site Safety Representative
Environmental Health and Safety Specialist
Quality Control Manager
Production Supervisor
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