| Nature of hazard
What is the hazard? What is the risk it presents to the safety and well-being of people? |
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| Location
Where is the hazard? |
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| Timing
When was the hazard identified (i.e. the date and time)? |
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| Immediate action
Was anything done immediately to remove, isolate or minimise the hazard (if yes, state what): |
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| Is this hazard considered significant and in need of urgent action? |
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| Name of person identifying hazard: |
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| Name of person notified of hazard: |
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| Date today: |
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If you are a member of the congregation or visitor filling out this form, please give it to the Church Office, the Pastor or Associate Pastor, one of the Deacons, or a member of the Health & Safety Committee.
If there was an accident or incident because of the hazard, please also complete an accident notification form (or ensure one is completed).
Tawa Baptist 