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HIRARC FORM

HAZARD IDENTIFICATION , RISK ASSESSMENT AND DETERMINING


Rev. 0
Group xx CONTROL FORM
(HIRARC FORM)
Page 1 of 1

Department: Function / Main Activity: Date:

HAZARD IDENTIFICATION RISK ASSESSMENT CONTROL MEASURES

Likelihood

Severity
Existing Controls
Additional Controls Legal & Other

Risk
NO Work Activity Hazard Hazard Effect (if any) Action By
Required Requirements

COMMENT PREPARED BY APPROVED BY


Name: Name:
Date: Date:
Signature: Signature:

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