Workplace Hazard Assessment Form Template for United States

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Key Requirements PROMPT example:

Workplace Hazard Assessment Form

"Need a Workplace Hazard Assessment Form for our new chemical manufacturing facility opening in March 2025, with particular focus on chemical exposure risks and appropriate PPE requirements for handling corrosive substances."

Document background
The Workplace Hazard Assessment Form is a critical safety documentation tool required under US OSHA regulations. It is used whenever there are significant changes in workplace conditions, new equipment installations, or as part of regular safety reviews. The form captures detailed information about potential hazards, risk levels, and control measures, serving as both a compliance document and a practical guide for workplace safety improvements. It helps organizations meet their legal obligations while protecting worker safety and health.
Suggested Sections

1. Site Information: Basic details about the workplace location, date of assessment, and assessor information

2. Hazard Identification: Systematic listing of all potential workplace hazards including physical, chemical, biological, and ergonomic risks

3. Risk Assessment Matrix: Evaluation framework for likelihood and severity of identified hazards

4. Control Measures: Documentation of existing and recommended control measures following the hierarchy of controls

5. PPE Requirements: Specific personal protective equipment needed for different tasks and areas

Optional Sections

1. Task-Specific Assessment: Detailed analysis of specific high-risk tasks - used when complex or high-risk operations are present

2. Emergency Procedures: Special procedures for hazard-related emergencies - used when dealing with severe hazards requiring specific emergency responses

3. Environmental Impacts: Assessment of environmental risks - used when operations may affect the environment

Suggested Schedules

1. Risk Matrix Template: Standard template for risk evaluation

2. PPE Selection Guide: Detailed guide for selecting appropriate PPE based on hazards

3. Chemical Inventory: List of hazardous substances present in the workplace

4. Equipment Inspection Checklist: Checklist for regular equipment safety inspections

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Industries

OSH Act 1970: The primary federal legislation governing workplace safety and health in the United States, establishing the framework for workplace safety standards and enforcement

OSHA General Industry Standards (29 CFR 1910): Comprehensive safety standards applicable to most workplaces, covering general requirements for workplace safety and health

OSHA Construction Standards (29 CFR 1926): Specific safety standards applicable to construction industry workplaces

Hazard Communication Standard (29 CFR 1910.1200): Requirements for chemical hazard evaluation, communication, and training in the workplace

Personal Protective Equipment Standards (29 CFR 1910.132): Requirements for assessment, selection, and use of personal protective equipment in workplace settings

State OSHA Plans: State-specific workplace safety and health regulations that may exceed federal OSHA requirements

Americans with Disabilities Act (ADA): Federal law requiring consideration of accessibility and reasonable accommodations in workplace safety planning

EPA Regulations: Environmental protection requirements that may impact workplace hazard assessments and controls

DOT Regulations: Transportation safety requirements that may apply to workplace operations involving vehicles or hazardous materials transport

OSHA Recordkeeping Requirements: Mandatory documentation and reporting requirements including OSHA Forms 300, 300A, and 301 for workplace injuries and illnesses

Industry-Specific Standards: Specialized safety requirements and guidelines applicable to particular industries or workplace processes

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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