Hazard Assessment Form Template for England and Wales

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Key Requirements PROMPT example:

Hazard Assessment Form Template

I need a Hazard Assessment Form Template for our new chemical processing facility that specifically addresses COSHH regulations and includes detailed sections for spillage procedures and chemical storage requirements, to be implemented by March 2025.

Document background
The Hazard Assessment Form Template is a crucial document required under English and Welsh health and safety legislation to systematically identify and evaluate workplace risks. This template enables organizations to comply with their legal obligations under the Health and Safety at Work etc. Act 1974 and related regulations. It provides a structured approach to documenting hazards, evaluating risks, and specifying control measures. The assessment should be completed before new activities commence, when significant changes occur, or during regular review periods.
Suggested Sections

1. Site/Location Details: Specific location where assessment is being conducted, including department/area identifiers

2. Assessor Information: Name, position, qualifications and contact details of person conducting assessment

3. Date and Review Period: Date of assessment, review period, and next review date

4. Hazard Identification: Comprehensive list of potential hazards identified in the workplace

5. Risk Evaluation: Assessment of likelihood and severity of identified risks using standardized scoring system

6. Control Measures: Detailed description of existing and required control measures to mitigate identified risks

7. Action Plan: Specific actions required, including responsible persons and completion deadlines

8. Sign-off Section: Formal approval section for relevant authorities and stakeholders

Optional Sections

1. Specific Equipment Assessment: Detailed assessment of machinery or equipment-specific hazards and controls

2. Chemical Hazard Details: COSHH-specific information including substance details, exposure routes, and specific control measures

3. Environmental Impact: Assessment of potential environmental risks and required control measures

4. Working at Height Assessment: Specific assessment for tasks involving work at height

5. Manual Handling Assessment: Specific assessment for tasks involving manual handling operations

Suggested Schedules

1. Risk Matrix: Standard risk evaluation matrix for scoring likelihood and severity of risks

2. Control Measure Checklist: Comprehensive checklist of required control measures and their implementation status

3. Emergency Procedures: Detailed emergency response procedures relevant to identified hazards

4. PPE Requirements: Detailed list of required personal protective equipment specifications

5. Relevant Legislation: Reference list of applicable health and safety legislation and regulations

6. Training Requirements: List of required training and competency requirements for affected personnel

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Industries

Health and Safety at Work etc. Act 1974: Primary legislation providing the overarching framework for workplace health and safety in England and Wales, establishing general duties of employers to ensure safety

Management of Health and Safety at Work Regulations 1999: Key regulations detailing specific requirements for risk assessments, requirements for competent persons, and principles of prevention

Regulatory Reform (Fire Safety) Order 2005: Legislation specifically governing fire safety risk assessment requirements

Control of Substances Hazardous to Health Regulations 2002: Specific regulations governing the control and assessment of hazardous substances in the workplace (COSHH)

Manual Handling Operations Regulations 1992: Regulations covering the assessment and management of risks related to manual handling activities

Work at Height Regulations 2005: Specific regulations governing the assessment and control of risks related to working at height

Electricity at Work Regulations 1989: Legislation covering the assessment and management of electrical hazards in the workplace

Personal Protective Equipment at Work Regulations 1992: Regulations governing the assessment and provision of personal protective equipment in the workplace

Display Screen Equipment Regulations 1992: Specific regulations covering the assessment of risks related to working with display screen equipment

RIDDOR 2013: Reporting of Injuries, Diseases and Dangerous Occurrences Regulations - requirements for reporting workplace accidents and incidents

Workplace (Health, Safety and Welfare) Regulations 1992: Regulations covering general workplace conditions and requirements for maintaining a safe working environment

Safety Representatives and Safety Committees Regulations 1977: Legislation governing the appointment and rights of safety representatives and the establishment of safety committees

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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