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Free template Safety and WHS

Free hazard report form for building sites

Let anyone on site report a hazard in two minutes, then track it: risk rating, immediate action, the permanent fix, who owns it and when it was closed out.

The short version

A hazard report records something that could cause harm before it does: a missing guardrail, a damaged lead, an unstable stack. Anyone on site should be able to fill one in quickly. The supervisor rates the risk, makes it safe immediately if needed, fixes it properly using the hierarchy of control, and tells the person who reported it what was done.

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  • Updated 14 Sep 2026

Reviewed by Daniel Betros, Licensed Building Practitioner

Animated walkthrough · 6 steps

How to report and close out a hazard

Six steps: the first two are for whoever spots it, the rest for the supervisor.

1 / 6
  1. Describe the hazard and its exact location in a sentence. A photo is worth more than a paragraph. Anyone can fill this part in, and no one gets in trouble for it.

  2. If it is safe to do so, take immediate action: barricade it, tag it out, warn others. Record what you did. If you cannot, tell the supervisor straight away.

  3. The supervisor rates likelihood and consequence. The rating decides how fast it must be fixed: extreme and high risks stop work in that area now.

  4. Work down the hierarchy of control. A sign is not a fix for a missing guardrail. Record the action, the owner and a due date that matches the risk.

  5. Inspect the fix before closing the report, and check whether the SWMS, JSA or site rules need to change.

  6. Close the loop. People who see their reports acted on keep reporting; people who hear nothing stop.

Every serious site injury is preceded by a hazard someone noticed and did not report, or reported and saw nothing happen. A hazard report form fixes both halves of that problem: it makes reporting quick enough that people do it, and it tracks the hazard until someone has fixed it and told the reporter. This template does both on one page.

Hazards, incidents and near misses

A hazard is anything that could cause harm: a missing guardrail, a frayed lead, a pallet stacked too high, a trench with no batter. An incident is an event where harm happened or nearly happened. The hazard report sits before the incident. Its whole value is in catching the problem while the cost of fixing it is a few minutes’ work rather than an injury, an investigation and a stopped site.

WHS laws require businesses to identify reasonably foreseeable hazards, eliminate the risks they create so far as is reasonably practicable, and otherwise minimise them using the hierarchy of control. Workers have a duty to take reasonable care and to cooperate with reasonable safety instructions. A hazard reporting system connects the two: workers identify, supervisors control.

Make reporting easy, and make it safe to report

Sections 1 and 2 of the template are deliberately short, so anyone can complete them in a couple of minutes. The most important parts are the exact location, a one-line description and a photo. The biggest barrier to reporting is not the form; it is whether people think they will be blamed or ignored. Two habits change that:

  • Thank people for reporting, publicly at the toolbox talk where appropriate.
  • Close the loop. Tell the reporter what was done. It is the last line of the close-out checklist for a reason.

Rating: how fast does it need fixing?

The supervisor rates the risk on the matrix. The rating sets the response. An extreme or high risk means work in that area stops until it is controlled; there is no “fix it later” for an open stair void on a site with trades working. A medium risk gets a fix within days, a low risk as part of normal work. Whatever the rating, the fix gets an owner and a date.

Fixes that last: use the hierarchy

HazardWeak responseReal fix
Open stair void“Danger” sign and a verbal warningEdge protection or a secured cover installed before work continues
Damaged extension leadTape over the damageLead removed from service, tagged out, replaced; leads inspected
Cutting fibre cement in the openTell people to stay awayScore-and-snap tools, or saw with extraction and a set cutting area
Materials stacked on a slab edgeRemind the delivery driverDesignated set-down area agreed and marked; supplier told

Close-out is where most systems fail

A hazard register full of open items is worse than useless: it proves the business knew and did nothing. Section 5 makes close-out explicit. Check the fix works. Ask whether the SWMS, JSA or site rules need to change so it does not recur. Tell the crew. Tell the reporter. Only then sign it off.

From individual reports to a pattern

Review hazard reports every few weeks. The same hazard appearing repeatedly, the same trade, the same stage of the job: those patterns tell you where the system is weak. Feed them into the project risk register and your weekly site inspection, so the next job starts with the fix built in.

What a good hazard report looks like

Compare two reports about the same problem:

Weak reportUseful report
“Scaffold dodgy”“North scaffold, second lift, near the corner downpipe: two planks lifted and not refixed, gap of about 400 mm. Photo attached. Taped off the bay; told the supervisor at 9.40am.”
“Leads everywhere”“Level 1 hallway: three extension leads run through water pooling at the base of the stairs. Tags on two are out of date. Photo attached.”

The useful reports say exactly where, exactly what, what was done immediately and who was told. They can be acted on in minutes. Show examples like these at the induction so people know what a good report looks like.

Building a reporting culture on a small site

On a residential job with five or six trades, formal systems can feel like overkill. The principles still work at that scale:

  • Make it easy: a pad of forms in the site box, or a photo and a text message to the supervisor that the supervisor then records.
  • Act visibly: when a hazard is fixed, say so at the next toolbox talk and name who reported it, if they are comfortable with that.
  • Never punish the reporter: even when the hazard was theirs. The first time someone is blamed for reporting, reporting stops.
  • Include subcontractors: they see hazards created by other trades that your own people never walk past.

Over a year, a steady trickle of hazard reports on small jobs is a sign of a healthy site. Silence usually is not.

Preview the full Hazard report form template

Every section, field and check in the download, exactly as it prints. Edit the Word version to add your logo, delete what does not apply and add your own site-specific items.

pointCPD

Hazard report form

Report it before it hurts someone

Doc no.
Revision
Page
__ of __

Anyone on site can complete sections 1 and 2. The supervisor completes the rest and must tell the person who reported the hazard what was done.

1. The hazard (anyone can complete)

Reported byCompany
Date and timeSite
Exact location
Describe the hazardWhat could cause harm, and to whom
Photo taken?Supervisor told (name)

Type of hazard

  • Fall from height
  • Falling objects
  • Electrical
  • Mobile plant or traffic
  • Excavation or ground
  • Hazardous substance or dust
  • Manual handling
  • Slip or trip
  • Fire or hot work
  • Unsafe equipment
  • Public or neighbour
  • Weather or heat
  • Other:

2. Immediate action taken

What was done straight awayBarricaded, tagged out, area cleared, work stopped
By whomTime

3. Risk rating (supervisor)

Extreme or high: stop work in the area until controlled. Medium: fix within days. Low: fix as part of normal work.

Likelihood ↓ / Consequence →InsignificantMinorModerateMajorCatastrophic
Almost certainMHHEE
LikelyMMHHE
PossibleLMHHE
UnlikelyLLMHH
RareLLMMH
  • E Extreme: do not start. Eliminate or redesign the task before any work.
  • H High: work only with higher-order controls in place and a supervisor sign-off.
  • M Medium: controls in place, monitored during the task.
  • L Low: manage by routine procedures.

Rating

Risk rating (L / M / H / E)Work stopped in area?

4. Permanent fix

Prefer eliminating, substituting, isolating or engineering the hazard out over procedures and PPE.

ActionControl typeOwnerDueDone
ExampleInstall edge protection to the stair void on level 1EngineeringCarpenterToday

5. Close-out

#CheckYesNoN/AComments / action
1Fix inspected and effective
2SWMS, JSA or site rules updated
3Crew told at a toolbox talk
4Person who reported the hazard told the outcome
5Hazard register updated

Sign-off

Closed out byDate
Template by PointCPD · pointcpd.com.au/resources/templates/hazard-report-form/Free to use, copy and adapt, including commercially (CC BY 4.0). Keep this credit line.v1.0

Download Word Download PDF

Questions builders ask

What is the difference between a hazard and an incident?

A hazard is something that could cause harm. An incident is an event where harm was done or nearly done. A hazard report is filed before anything happens; an incident report after.

Who can fill in a hazard report?

Anyone on site: workers, subcontractors, visitors. The more people who can report hazards easily, the more hazards get fixed before they hurt someone.

How quickly must a hazard be fixed?

As fast as the risk demands. An extreme or high risk means stopping work in that area until it is controlled. Lower risks can be scheduled, but should have a date and an owner.

Is a warning sign enough to control a hazard?

Usually not on its own. Signs are an administrative control, near the bottom of the hierarchy. Where a physical fix is reasonably practicable, such as a guardrail, a barrier or a guard, it should come first.

Should hazard reports be anonymous?

Allow it if it helps people report, but a named report lets you ask questions and tell the person what was done. Most sites find that a culture of thanking reporters works better than anonymity.

Do hazard reports need to be kept?

Keep them with the site WHS records or in a hazard register. They show hazards were identified and controlled, which is the core of the risk management duty.

Free to use, adapt and share, including commercially

This template is licensed under Creative Commons Attribution 4.0. Copy it, rebrand it, edit it for your jobs, hand it to clients and subcontractors, or republish it. The one condition: keep the small PointCPD credit line on the document. If you publish it online, credit it like this:

<a href="https://pointcpd.com.au/resources/templates/hazard-report-form/">Hazard report form template</a> by PointCPD, CC BY 4.0

Last reviewed 14 September 2026. A template is a starting point: it becomes a compliant document only once it is completed for the actual job by people who understand the work, and kept current as the work changes. General information, not legal advice. Check the requirements of your state regulator and your contract.

Sources: Model Work Health and Safety Act and Regulations (risk management and the hierarchy of control). Safe Work Australia, Code of Practice: How to manage work health and safety risks.