Free workplace hazard report
Download a free workplace hazard report template. Document hazards, risk levels, controls and corrective actions. PDF ready to print.
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Updated 26 Oct 2026
Workplace Hazard Report
Hazard identification and risk notification form
Hazard Identification
Risk Assessment
Immediate Actions
Corrective Actions
Review & Close-out
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Short answer
A workplace hazard report records a hazard someone has found: what it is, its exact location, risk rating, who is exposed, immediate controls and recommended corrective actions. Complete one every time a hazard is spotted; there is no set interval. Part 3.1 of the model WHS Regulations requires PCBUs to identify hazards and eliminate risks so far as is reasonably practicable, or otherwise minimise them.
Checked against Model WHS Regulations as at 5 December 2025 (cited within as the Work Health and Safety Regulations 2011) on by the MapTrack templates team. How we check templates
Key takeaways
- The MapTrack workplace hazard report contains 25 checks across 5 sections. Sections covered: Hazard Identification, Risk Assessment, Immediate Actions, Corrective Actions, Review & Close-out.
- Section 28 of the WHS Act: workers must take reasonable care and co-operate with the PCBU's reasonable, notified health and safety procedures, such as a hazard reporting procedure.
- Regulation 36 hierarchy: substitution, isolation and engineering controls first, then administrative controls, then personal protective equipment.
- Regulation 38 review triggers: a control fails, a planned change likely to create new risks, a new hazard, consultation showing a need, or a qualifying representative request.
- Close each report with the action taken, who took it and the date; the model WHS laws set no register review interval, so set one that suits your risks.
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What is a workplace hazard report?
A workplace hazard report is a formal document used to identify, record and escalate hazards found in the workplace. The report captures the hazard description, exact location, risk level, affected workers, immediate controls applied and recommended corrective actions. Hazard reporting is a fundamental obligation under the Work Health and Safety Act 2011, which requires persons conducting a business or undertaking (PCBUs) to identify hazards, assess risks and implement controls to eliminate or minimise risks so far as is reasonably practicable.
Effective hazard reporting relies on every worker being empowered and encouraged to report hazards without fear of reprisal. Under Section 28 of the WHS Act, workers have a duty to take reasonable care for their own health and safety and to co-operate with any reasonable health and safety policy or procedure the PCBU has notified to workers, which can include a hazard reporting procedure. A structured hazard report form makes it easy for workers to provide the information needed for risk assessment and corrective action. When hazard reports are reviewed, actioned and closed out systematically, the organisation builds a continuous improvement loop that progressively reduces workplace risks.
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Benefits of using this workplace hazard report
- Early intervention: identify hazards before they cause injuries, enabling proactive risk management rather than reactive incident response.
- Legal compliance: meet WHS Act obligations for hazard identification, risk assessment and risk control.
- Worker engagement: a structured reporting process encourages workers to actively participate in workplace safety.
- Risk visibility: a register of reported hazards gives management visibility into the types and locations of risks across the business.
- Continuous improvement: tracking hazard reports over time reveals patterns and systemic issues that can be addressed at their root cause.
- Audit evidence: completed hazard reports demonstrate due diligence for regulatory audits and legal proceedings.
Benefits of digitising forms in MapTrack
When you move your reports from paper to MapTrack, you get:
- Field users can easily scan a QR code to complete a form on mobile. Unlimited users.
- Email the right people when a form is submitted, with an automation you set up.
- File every completed form against the asset, location or person it covers.
- Download any completed form as a PDF, with failed answers listed at the top.
- Fill in forms offline; they upload when the device is back online.
- Build conditional logic (show or hide questions based on answers).
- Take pictures or attach photos. Not possible with a paper-based form.
- Electronic signatures.
- Edit forms later without reprinting.
- Set who can view, fill in or edit forms with user roles.
- Upload a paper form (PDF, Word, Excel or a photo) and MapTrack's AI builds a digital version for you to check.
- Email safety managers when a hazard report is submitted, with an automation you set up.
- Keep every hazard and incident report against the site it came from, with photos.
- Turn a hazard report into a corrective-action work order with its own review step.
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What to include in a workplace hazard report
This workplace hazard report covers 11 key areas:
- Reporter details: name, position, department, date and time of report.
- Hazard location: site, building, area, floor, specific location description.
- Hazard description: detailed description of the hazard observed, what could go wrong and who could be affected.
- Hazard category: physical, chemical, biological, ergonomic, psychosocial, electrical, environmental.
- Risk assessment: likelihood (rare, unlikely, possible, likely, almost certain) and consequence (insignificant, minor, moderate, major, catastrophic).
- Risk rating: calculated from likelihood and consequence (low, medium, high, extreme).
- Immediate actions taken: any temporary controls applied at the time of reporting (barricading, signage, isolation).
- Recommended corrective actions: permanent controls recommended to eliminate or reduce the hazard.
- Responsible person and due date: who is responsible for implementing corrective actions and by when.
- Close-out: confirmation that corrective actions have been completed, verified and effective.
- Signatures: reporter, supervisor and safety manager.
How to use this workplace hazard report
- Identify the hazard and apply any immediate temporary controls to make the area safe.: If the hazard presents an immediate danger, take steps to protect workers. This may include barricading the area, applying warning signage, isolating equipment or removing people from the hazard zone. Do not attempt to fix the hazard yourself if it requires specialist skills.
- Complete the hazard report form with a clear description of the hazard, its location and who could be affected.: Describe the hazard in specific terms. Avoid vague language. State exactly what the hazard is, where it is located, what could happen if it is not controlled and which workers or visitors could be affected. Include photographs if possible.
- Assess the risk level using the likelihood and consequence matrix.: Estimate the likelihood of the hazard causing harm and the potential consequence if it does. Use the risk matrix to determine the risk rating (low, medium, high, extreme). This helps prioritise corrective actions and determines escalation requirements.
- Recommend corrective actions and assign a responsible person and due date.: Suggest permanent controls to eliminate or reduce the hazard, following the hierarchy of controls: elimination, substitution, engineering controls, administrative controls and PPE. Assign a specific person to implement each action and set a realistic due date.
- Submit the report to your supervisor and safety manager for review and action.: The supervisor should review the report, verify the risk assessment and ensure corrective actions are appropriate. The safety manager tracks the report to close-out, confirming that actions have been completed, verified and are effective. File the completed report in the hazard register.
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Get the free templateEnter your email above to download the full workplace hazard report as a PDF.Back to download formHow often should you complete this report?
A workplace hazard report should be completed every time a hazard is identified, regardless of the risk level. There is no scheduled interval. The trigger is the observation of a hazard. Organisations should review their hazard register at least monthly to identify trends, track corrective action completion and assess the effectiveness of controls.
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Frequently asked questions
Applicable regulatory standards
This template is a starting point. Check the current requirements that apply to your equipment, work and location. The template alone does not establish compliance.
| Standard | Edition | Clauses this template relies on | Source |
|---|---|---|---|
| Model Work Health and Safety RegulationsHazard identification and risk control, the hierarchy of controls, and when controls must be reviewed. Model law: check your state's version. | Model WHS Regulations as at 5 December 2025 (cited within as the Work Health and Safety Regulations 2011) |
| Safe Work Australia (drafted by the Parliamentary Counsel's Committee) |
| Model Work Health and Safety Act (Model Work Health and Safety Bill)Eliminate or minimise risks so far as is reasonably practicable, the PCBU primary duty, and workers' duties of care and co-operation. | Model WHS Bill as at 5 December 2025 (includes the Model WHS Legislation Amendment (Incident Notification) 2025) |
| Safe Work Australia (drafted by the Parliamentary Counsel's Committee) |
| Model Code of Practice: How to manage work health and safety risksModel Code guidance on identifying hazards, assessing risks and keeping records of the process. | November 2024 version (first published December 2011; revised 2018) |
| Safe Work Australia |
Model Work Health and Safety Regulations
Edition: Model WHS Regulations as at 5 December 2025 (cited within as the Work Health and Safety Regulations 2011)
Hazard identification and risk control, the hierarchy of controls, and when controls must be reviewed. Model law: check your state's version.
- Part 3.1: Managing risks to health and safety: identify hazards, eliminate or minimise risks using the hierarchy of controls, maintain and review controls.
- reg 36: Hierarchy of control measures: substitution, isolation and engineering controls first, then administrative controls, then personal protective equipment.
- reg 38: Control measures must be reviewed and revised as necessary, including when they fail, before changes creating new risks, for new hazards, after consultation, or on a qualifying representative's request.
Safe Work Australia (drafted by the Parliamentary Counsel's Committee)
Model Work Health and Safety Act (Model Work Health and Safety Bill)
Edition: Model WHS Bill as at 5 December 2025 (includes the Model WHS Legislation Amendment (Incident Notification) 2025)
Eliminate or minimise risks so far as is reasonably practicable, the PCBU primary duty, and workers' duties of care and co-operation.
- s 17: Duty holders must eliminate risks so far as is reasonably practicable, or otherwise minimise them.
- s 19: Primary duty of care: a PCBU must ensure, so far as is reasonably practicable, the health and safety of workers and others, including safe plant, systems, training and supervision.
- s 28: Workers must take reasonable care for their own and others' health and safety, and comply with reasonable instructions so far as they are reasonably able.
Safe Work Australia (drafted by the Parliamentary Counsel's Committee)
Model Code of Practice: How to manage work health and safety risks
Edition: November 2024 version (first published December 2011; revised 2018)
Model Code guidance on identifying hazards, assessing risks and keeping records of the process.
- Section 2: Step 1 of the risk management process: how to identify hazards.
- Section 3: Step 2 of the risk management process: how to assess risks.
- Section 6: Keeping records of the risk management process.
Each source was read at its publisher and the page checked on 26 October 2026. The publisher's current text is the authority.
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Workplace hazard report preview
The numbers behind this workplace hazard report
The pages below gather the figures behind this kind of check. Each figure on them carries its source and date, so you can quote it in a toolbox talk, a budget case or a board paper without chasing the original report.
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<p style="font-size:12px;font-weight:700;letter-spacing:0.05em;text-transform:uppercase;color:#071D49;margin:0;">Free template</p>
<p style="font-size:18px;font-weight:700;color:#071D49;margin:6px 0 0;">Workplace hazard report</p>
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<li style="margin:4px 0;">Reporter details: name, position, department, date and time of report.</li>
<li style="margin:4px 0;">Hazard location: site, building, area, floor, specific location description.</li>
<li style="margin:4px 0;">Hazard description: detailed description of the hazard observed, what could go wrong and who could be affected.</li>
<li style="margin:4px 0;">Hazard category: physical, chemical, biological, ergonomic, psychosocial, electrical, environmental.</li>
<li style="margin:4px 0;">Risk assessment: likelihood (rare, unlikely, possible, likely, almost certain) and consequence (insignificant, minor, moderate, major, catastrophic).</li>
<li style="margin:4px 0;">Risk rating: calculated from likelihood and consequence (low, medium, high, extreme).</li>
</ul>
<p style="font-size:13px;color:#6B7280;margin:14px 0 0;padding-top:12px;border-top:1px solid #E5E7EB;">Free <a href="https://www.maptrack.com/templates/workplace-hazard-report" style="color:#071D49;font-weight:600;text-decoration:none;">Workplace hazard report</a> by MapTrack</p>
</div>Free to reuse, including commercially. This template is published under a Creative Commons Attribution 4.0 licence. Copy it, adapt it, put it on your own site or in your own docs. All we ask is that you credit MapTrack with a link back to this page. The snippet above already includes that credit, so if you use it as-is you’re covered.
Cite this template
Writing about this topic? You’re welcome to quote this checklist. Here’s the wording to use so your readers can find the original.
The MapTrack workplace hazard report contains 25 checks across 5 sections.
- Short attribution
- MapTrack Workplace hazard report, https://www.maptrack.com/templates/workplace-hazard-report
- Reference list
- MapTrack. (2026). Workplace hazard report [Checklist template]. Retrieved from https://www.maptrack.com/templates/workplace-hazard-report
Free to reuse with credit under a Creative Commons Attribution 4.0 licence. If you’d rather link straight to it, the page is https://www.maptrack.com/templates/workplace-hazard-report.
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