Hazard Assessment Form for New Zealand

Hazard Assessment Form Template for New Zealand

A comprehensive workplace safety document mandated under New Zealand's Health and Safety at Work Act 2015, designed to systematically identify, assess, and control workplace hazards. This form provides a structured approach to risk assessment, incorporating both qualitative and quantitative measures to evaluate potential risks, current control measures, and additional controls required. It aligns with New Zealand's workplace safety regulations and WorkSafe NZ guidelines, serving as a crucial tool for maintaining workplace safety compliance and protecting worker wellbeing.

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What is a Hazard Assessment Form?

The Hazard Assessment Form is a fundamental workplace safety document required under New Zealand's health and safety legislation. It serves as a systematic tool for identifying, assessing, and controlling workplace hazards in accordance with the Health and Safety at Work Act 2015 and associated regulations. This document should be used whenever new work processes are introduced, when existing processes change, or during regular safety reviews. The form captures crucial information about potential hazards, risk levels, existing control measures, and required actions, forming part of an organization's broader health and safety management system. It helps organizations meet their legal obligations while providing a practical framework for maintaining a safe workplace.

What sections should be included in a Hazard Assessment Form?

1. Assessment Details: Basic information including date, location, assessor name, and scope of assessment

2. Work Activity Description: Detailed description of the task, process, or area being assessed

3. Hazard Identification: List and description of identified hazards, including physical, chemical, biological, psychological, and ergonomic hazards

4. Risk Assessment Matrix: Assessment of likelihood and consequence for each identified hazard, resulting in risk ratings

5. Current Control Measures: Existing controls in place for each identified hazard

6. Risk Rating with Current Controls: Assessment of residual risk with existing controls in place

7. Additional Control Measures Required: New or enhanced control measures needed to reduce risks to acceptable levels

8. Action Plan: Specific actions, responsibilities, and timeframes for implementing additional controls

9. Review and Sign-off: Approval section including signatures of assessor, supervisor, and health and safety representative

What sections are optional to include in a Hazard Assessment Form?

1. Specific Equipment/Machinery Assessment: Detailed assessment section for specific equipment or machinery, used when the hazard assessment focuses on particular plant or equipment

2. Hazardous Substances Assessment: Additional section for assessment of hazardous substances, including SDS references and specific control requirements

3. Emergency Response Procedures: Section detailing emergency procedures specific to the identified hazards, used for high-risk activities

4. Contractor Management: Section for managing contractor-related hazards and controls, used when contractors are involved in the work

5. Environmental Impact Assessment: Assessment of environmental hazards and controls, used when work activities may impact the environment

What schedules should be included in a Hazard Assessment Form?

1. Risk Matrix Guide: Detailed guide explaining how to use the risk assessment matrix and definitions of likelihood and consequence levels

2. Control Measures Hierarchy: Guide explaining the hierarchy of controls and examples of each control type

3. Hazard Checklist: Comprehensive checklist of common hazards by category to assist in hazard identification

4. Relevant Legislative Requirements: Summary of applicable legislation and compliance requirements

5. Review Schedule: Timeline and triggers for reviewing and updating the hazard assessment

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

Jurisdiction

New Zealand

Publisher

Genie AI

Cost

Free to use
Relevant legal definitions
Relevant Industries

Construction

Manufacturing

Mining and Resources

Agriculture

Healthcare

Transportation and Logistics

Education

Retail

Hospitality

Warehousing

Chemical Industry

Energy and Utilities

Food Processing

Forestry

Marine Industries

Relevant Teams

Health and Safety

Operations

Production

Maintenance

Quality Assurance

Risk Management

Compliance

Human Resources

Training and Development

Facility Management

Project Management

Environmental Management

Relevant Roles

Health and Safety Manager

Risk Assessment Officer

Site Supervisor

Operations Manager

Project Manager

Safety Coordinator

Department Manager

Maintenance Supervisor

Production Manager

Quality Control Manager

Compliance Officer

Environmental Health Officer

Facility Manager

Training Coordinator

Human Resources Manager

Industries
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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