Jan Medina WHS521 Generic Hazard Identification Form

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BSBWHS521 - Ensure a safe workplace for a work area

HAZARD IDENTIFICATION FORM

Learner Name Jan Medina

Workplace/Organisation Bounce Fitness

Learner’s Work Role Manager

State/Territory QLD

Date Prepared 01/04/2022

What is the hazard?

Slipping/tripping hazards: e.g. equipment not returned to racks, spilt water not mopped up, children running in
the free weight area or group fitness studio during a class

What are the risks associated with the hazard?

Falls, concussion, contusion, sprains, strains, dislocations, fractures, multiple injuries.

People/person who may be affected by the hazard:

All workers and customers that might pass through a wet/slipping floor

Hazard Identification Form Version 1.0 Produced 30 September 2020


© Precision Group (Australia) Page 1

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What are the existing risk control measures used?

Leave this section blank if nothing has been done

Warning signals for wet floors and substitution of slippery floor materials

Initial risk rating Moderate

Rating must be based on the


risk rating matrix your
organisation uses.

What further action needs to be taken?

Maintenance of floor materials and ensure the cleaning team does not forget about putting signals wherever the
floor is wet.

By when (date) 28/01/2022

Residual risk rating: Low

Note: the residual risk rating


should be “low” at this stage,
if this is not the case, think of
a more effective way to
control the hazard.

END OF HAZARD IDENTIFICATION FORM

Hazard Identification Form Version 1.0 Produced 30 September 2020


Page 2 © Precision Group (Australia)

This study source was downloaded by 100000853844517 from CourseHero.com on 10-13-2022 06:27:41 GMT -05:00

https://www.coursehero.com/file/146709541/Jan-Medina-WHS521-Generic-Hazard-Identification-Formdocx/

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