Workplace Hazard Assessment Form Template for Philippines

A comprehensive document mandated by Philippine Occupational Safety and Health Standards (OSHS) that systematically identifies, evaluates, and documents workplace hazards and their associated risks. This assessment form serves as both a compliance tool and a practical guide for maintaining workplace safety, incorporating requirements from Republic Act No. 11058 and various Department Orders. It enables organizations to document existing hazards, evaluate their potential impact, outline current control measures, and propose additional safety protocols to protect workers and ensure regulatory compliance.

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What is a Workplace Hazard Assessment Form?

The Workplace Hazard Assessment Form is a crucial document required under Philippine labor law and occupational safety regulations, specifically aligned with Republic Act No. 11058 and its implementing rules. This form must be completed regularly as part of an organization's safety compliance program and whenever significant changes occur in the workplace environment or processes. It serves multiple purposes: documenting potential hazards, assessing risks, evaluating control measures, and establishing action plans for safety improvements. The assessment covers various risk categories including physical, chemical, biological, ergonomic, and psychosocial hazards, and must be conducted by qualified personnel with input from workers. Recent regulations have expanded its scope to include COVID-19 related workplace hazards.

What sections should be included in a Workplace Hazard Assessment Form?

1. Facility Information: Basic details including company name, address, department/area being assessed, and date of assessment

2. Assessment Team: Names and roles of individuals conducting the assessment, including safety officers and employee representatives

3. Work Area Description: Detailed description of the physical workspace, equipment, and operations being assessed

4. Hazard Identification Checklist: Systematic checklist of common workplace hazards including physical, chemical, biological, ergonomic, and psychosocial risks

5. Risk Assessment Matrix: Evaluation of identified hazards using likelihood and severity matrices to determine risk levels

6. Current Control Measures: Documentation of existing safety measures and their effectiveness

7. Recommended Control Measures: Proposed additional safety measures, including hierarchy of controls application

8. Action Plan: Timeline and responsibilities for implementing recommended control measures

9. Assessment Certification: Signatures of assessment team members and approval from management

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

1. Chemical Hazards Assessment: Detailed assessment of chemical risks when workplace involves handling of hazardous substances

2. Machine-Specific Hazards: Additional section for workplaces with specialized machinery or equipment

3. Construction Site Hazards: Specific hazards related to construction activities, required for construction sites

4. COVID-19 Risk Assessment: Assessment of infection risks and control measures as per current health guidelines

5. Environmental Impact Assessment: Additional section for operations with significant environmental risks

6. Emergency Response Procedures: Detailed emergency protocols when high-risk operations are identified

What schedules should be included in a Workplace Hazard Assessment Form?

1. Appendix A: Risk Rating Criteria: Detailed criteria for assessing likelihood and severity of risks

2. Appendix B: PPE Requirements Matrix: Matrix showing required personal protective equipment for different hazards

3. Appendix C: Hazard Pictograms: Standard hazard symbols and their meanings

4. Appendix D: Incident Report Form: Template for reporting workplace incidents or near-misses

5. Appendix E: Safety Equipment Inventory: List of available safety equipment and their locations

6. Appendix F: Emergency Contact Information: List of emergency contacts and response procedures

7. Appendix G: Reference Standards: Relevant OSHS standards and regulations applicable to the assessment

Authors

Alex Denne

Advisor @ GenieAI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

Philippines

Publisher

GenieAI

Cost

Free to use

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