Lamb of God Hazard Register

Shopping Cart

Your Cart is Empty

Quantity:

Subtotal

Taxes

Shipping

Total

Lamb of God Hazard Register

Type of Event

Branch*

Activity*

Venue and Address*

Date [DD/MM/YYYY], start and end time of the activity *

H and S Representative*

Are entry/exit signs clearly visible?*

Is there an emergency evacuation sign posted on a wall?

Please check off the following common hazards: 1 Obstruction - Entry/Exit of the venue*

2 Trips and falling hazards - electrical cables, etc.*

3 Slipping hazards*

4 Falling object hazards - ladders, etc.*

5 Carrying heavy load hazards*

6 Electrical Hazards*

7 Chemical Hazards*

8 Burn or fire hazards

9 Heating, cooling, or ventilation hazards

10 Lighting hazards

11 Children/people running or behaving unsafely*

12 Traffic hazards*

If you find other hazards, please write them below.*

For each hazard identified, please indicate the possible harm - slip, fall, trip, body injury, etc.*

For each hazard identified, please indicate if [a] it is likely to reoccur, or [b] not likely to reoccur.*

Write down below the action taken to eliminate, isolate and/or minimize each of the hazard found.*

Name of person filling this register*

Your email address*

Your mobile number*

Date of submission [DD/MM/YYYY]*

Any other comments?*

This site uses Google reCAPTCHA technology to fight spam. Your use of reCAPTCHA is subject to Google's Privacy Policy and Terms of Service.

Thank you for filling the hazard register. We will contact you if needed. God bless!