• Hazards Assessment Form

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  • Instructions:

    • This review is part of the practice's annual workplace risk assessment and must be completed by all staff.

      1. Conduct a full walkthrough of the premises to identify any potential hazards.

      2. Take note of any new hazards as well as any ongoing or unresolved issues.

      3. Once the walkthrough is complete, return to your workstation and record all identified hazards on this form.

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  • Hazard Assessment Form

  • How to record the Hazards you have identified:

    • Multiple hazards can be recorded in one submission – click on the Add button
    • Specify the type, provide a brief description, and indicate the exact location (e.g., "Treatment Room 2", "Reception Area")
    • Use the Level of Seriousness scale from 1 (Low) to 5 (High) based on your judgement.
    • Once completed, your form will be reviewed by management. You do not need to notify anyone separately.

    Thank you for helping to keep our workplace safe.

  • You can save your progress and return later using the unique link which will be emailed to you.

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