Job Site Hazard Assessment Form Template for New Zealand

A Job Site Hazard Assessment Form is a crucial workplace safety document used in New Zealand under the Health and Safety at Work Act 2015. It provides a structured framework for identifying, assessing, and controlling workplace hazards before work begins at a specific site or for a particular task. The document ensures compliance with New Zealand's workplace safety regulations while providing a systematic approach to risk management. It includes detailed sections for hazard identification, risk assessment, control measures, and action planning, helping organizations meet their duty of care obligations and protect worker safety.

Generate a Bespoke Document

1. Select your governing law:

2. Enter your key requirements:

Typically:

With Genie AI:

£0

Download a Standard Job Site Hazard Assessment Form

Download a New Zealand-compliant Job Site Hazard Assessment Form or see Genie's full template library.

Get template free

Review your own Job Site Hazard Assessment Form

Let Genie AI identify missing terms, unusual language, compliance issues and more.

Upload to review

Your data doesn't train Genie's AI

You keep IP ownership of your docs

4.6 / 5

4.8 / 5

What is a Job Site Hazard Assessment Form?

The Job Site Hazard Assessment Form is a fundamental tool in New Zealand's workplace safety framework, designed to comply with the Health and Safety at Work Act 2015 and associated regulations. This document should be completed before commencing work at any new site or when significant changes occur in existing work environments. It captures critical information about potential workplace hazards, risk levels, and necessary control measures, serving as both a practical safety tool and a legal record of hazard management efforts. The form is particularly important in high-risk industries and must be regularly reviewed and updated to reflect changing site conditions or work practices. It supports organizations in meeting their legal obligations while providing a practical framework for protecting worker safety and health.

What sections should be included in a Job Site Hazard Assessment Form?

1. Site Information: Basic details including site location, date of assessment, project name, and responsible persons

2. Scope of Work: Description of work activities to be performed at the site

3. Assessment Team: Names and roles of people conducting the hazard assessment

4. Hazard Identification Checklist: Structured checklist of common workplace hazards including physical, chemical, biological, and psychological hazards

5. Risk Assessment Matrix: Framework for evaluating likelihood and consequence of identified hazards

6. Control Measures: Detailed description of existing and proposed control measures following the hierarchy of controls

7. Action Plan: Specific actions required to implement additional control measures, including responsibilities and timeframes

8. Sign-off and Approval: Signatures of assessment team members and relevant authority figures confirming assessment completion

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

1. Environmental Conditions: Assessment of weather conditions and environmental factors - include for outdoor work sites

2. Equipment and Plant Assessment: Detailed assessment of machinery and equipment - include when heavy machinery is involved

3. Hazardous Substances Register: List and assessment of hazardous materials - include when chemicals or dangerous goods are present

4. Emergency Response Procedures: Site-specific emergency protocols - include for high-risk work environments

5. Traffic Management: Assessment of vehicle and pedestrian movement - include for sites with vehicle traffic

6. Working at Heights Assessment: Specific assessment for elevated work - include when working above ground level

7. Confined Space Assessment: Specific assessment for confined spaces - include when work involves enclosed or partially enclosed spaces

What schedules should be included in a Job Site Hazard Assessment Form?

1. Appendix A: Risk Matrix Guide: Detailed guide explaining how to use the risk assessment matrix

2. Appendix B: Common Hazard Reference List: Comprehensive list of common hazards by category with example control measures

3. Appendix C: PPE Requirements Chart: Chart showing required personal protective equipment for different types of work

4. Appendix D: Emergency Contact Information: List of emergency contacts and first responders

5. Appendix E: Relevant Safety Data Sheets: Collection of safety data sheets for hazardous substances present on site

6. Appendix F: Site Map: Map showing site layout, emergency exits, and key safety equipment locations

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

Cost

Free to use

Find the exact document you need

No matches found.

Water Risk Assessment

A New Zealand-compliant assessment document that evaluates water-related risks and provides mitigation strategies in accordance with local regulations and standards.

How a Fast-Growing Real Estate Company Uses Genie AI to Save $50,000 Per Year in Legal Fees

Generate a Bespoke Document

Download a Standard Job Site Hazard Assessment Form

Review your own Job Site Hazard Assessment Form

What is a Job Site Hazard Assessment Form?

What sections should be included in a Job Site Hazard Assessment Form?

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

What schedules should be included in a Job Site Hazard Assessment Form?

Authors

Alex Denne

Jurisdiction

Publisher

Document Type

Sector

Cost

Find the exact document you need

Water Risk Assessment

Tree Surgeon Risk Assessment

Risk Assessment Health And Social Care

Risk Assessment Form Project Management

Risk Assessment For Schools

Risk Assessment Chemistry

Risk Analysis Form

Oxygen Risk Assessment Form

Model Risk Assessment

Laboratory Risk Assessment

Home Risk Assessment

Hazard Risk Assessment

Health And Safety Assessment Form

Government Risk Assessment

Face Risk Assessment

Construction Risk Assessment Form

Building Risk Assessment

Bribery And Corruption Risk Assessment

Area Risk Assessment

Site Visit Risk Assessment

Risk Self Assessment

Pharmacy Risk Assessment

Makeup Artist Risk Assessment

Forestry Risk Assessment

Smoking Risk Assessment

Ppe Risk Assessment

Participant Risk Assessment

Machine Guarding Assessment

Bar Risk Assessment

Machine Guarding Risk Assessment

Home Visit Risk Assessment

Workstation Risk Assessment Form

Formal Hazard Assessment

Risk Assessment And Management Plan

High Level Risk Assessment

Care Home Risk Assessment

Workplace Assessment

Employee Health Risk Assessment

Asset Management Risk Assessment

Display Screen Equipment Risk Assessment

Genie’s Security Promise

Your documents are private:

Your documents are protected:

Organizational security:

Use Cases