Trimark Interiors – Hazard Sheet

	HAZARD ASSESSMENT SHEET MUST BE COMPLETED PRIOR TO STARTING WORK.
	HARD HATS AND SAFETY FOOTWEAR ARE COMPULSORY. THERE IS NO SMOKING WITHIN 5 METERS OF THE HOUSE.

	Please enable JavaScript in your browser to complete this form. 1. WHAT ADDRESS ARE YOU WORKING AT? 2. BUILDERS NAME? 3. CONTRACTOR OR COMPANY NAME: WHAT GUARD 13. 4. WHAT IS YOUR TRADE? 5. DATE YOU WORKED: 6. IS ENTRY AND EXIT TO HOUSE SAFE? YES NO 7. ARE GUARD RAILS IN PLACE? YES NO 8. ARE THERE ANY FALL HAZARDS? YES NO 9. ARE THERE ANY SLIP OR TRIP HAZARDS? YES NO 10. ARE THERE ANY OPEN FLOOR AREAS? YES NO 11. IS SCAFFOLD SET UP PROPERLY? YES NO 12. ARE YOUR STILTS AND LADDERS IN GOOD SHAPE? YES NO 13. ARE THERE OTHER WORKERS ON SITE? YES NO 14. WHAT OTHER TRADE IS ON SITE? 15. DO YOU HAVE PROPER PPE? YES NO 16. CORRECTIVE ACTION TAKEN FOR ANY HAZARDS: