The Site Hazard Assessment Form is a fundamental workplace safety document required under New Zealand's Health and Safety at Work Act 2015. This document should be completed before commencing work at any new site, when significant changes occur in the workplace, or as part of regular safety reviews. The form captures critical information about potential hazards, risk levels, control measures, and emergency procedures. It serves multiple purposes: ensuring regulatory compliance, protecting worker safety, documenting due diligence, and establishing clear safety protocols. The assessment must be conducted by competent persons and reviewed regularly to maintain its effectiveness. This document is particularly crucial in high-risk industries but is relevant across all sectors where workplace safety is a concern.
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1. Site Information: Basic details including site address, date of assessment, assessor name and contact details
2. Purpose of Assessment: Specify whether this is an initial assessment, periodic review, or response to an incident/change
3. Site Access and Security: Details of site entry points, security requirements, and emergency exit locations
4. General Hazard Identification: Checklist of common workplace hazards including physical, chemical, biological, and psychological hazards
5. Risk Assessment Matrix: Standard risk assessment matrix to evaluate likelihood and consequence of identified hazards
6. Control Measures: Existing and recommended control measures for identified hazards using the hierarchy of controls
7. Emergency Procedures: Overview of emergency response procedures and contact information
8. Sign-off and Review: Signatures of assessor, site supervisor, and review date requirements
1. Specific Work Activity Assessment: Detailed assessment of hazards associated with specific work activities, used when special tasks are being performed
2. Environmental Hazards: Assessment of environmental impacts and hazards, required when activities may affect the environment
3. Hazardous Substances Register: Detailed list of hazardous substances present on site, required when chemicals or dangerous goods are stored/used
4. Contractor Management: Special considerations for contractor work, used when contractors are present on site
5. Public Safety Assessment: Assessment of risks to public safety, required when work affects public areas
6. Noise Assessment: Specific assessment of noise hazards, required for sites with high noise levels
7. Working at Heights Assessment: Specific assessment for work at heights, required when elevated work is performed
1. Hazard Identification Checklist: Comprehensive checklist of potential hazards by category
2. Site Map: Detailed map showing hazard locations, emergency equipment, and evacuation routes
3. Risk Matrix Guidelines: Detailed guidelines for using the risk assessment matrix
4. Control Measures Library: Reference guide of standard control measures for common hazards
5. Emergency Contact List: Complete list of emergency contacts and procedures
6. PPE Requirements: Detailed list of required Personal Protective Equipment for different areas/activities
7. Incident Report Form: Standard form for reporting incidents or near-misses
Authors
Relevant legal definitions
Clauses
Relevant Industries
Construction
Manufacturing
Mining and Resources
Agriculture
Warehousing and Logistics
Healthcare
Education
Retail
Hospitality
Industrial Services
Utilities
Transportation
Facilities Management
Chemical Processing
Waste Management
Relevant Teams
Health and Safety
Operations
Facilities Management
Risk Management
Compliance
Production
Maintenance
Quality Assurance
Emergency Response
Environmental Health
Site Management
Project Management
Relevant Roles
Health and Safety Manager
Site Manager
Operations Manager
Project Manager
Safety Officer
Risk Assessment Specialist
Compliance Officer
Facilities Manager
Construction Supervisor
Industrial Hygienist
Environmental Health Officer
Production Manager
Maintenance Supervisor
Quality Control Manager
Emergency Response Coordinator
Occupational Health Nurse
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