Hazard Closure

Please complete the hazard closure process by filling in the following details:

`Corrective Action Completed` , `Action Taken` and `Date Closed` .

Once you have filled in all the required information, please review the details for accuracy and then submit the form using the 'Submit Hazard Closure' button. Your prompt and precise reporting ensures the continued safety of our workplace.

Reporter's Name

Date of Reporting

Business Unit

Contract

Building

Site Address

Service Type

Area of Event

Date of Occurrence

Time of Event

Hazard Description

Hazard Type

Hazard Type if Other

Root Cause

Recommended Action

Action Responsibility

Corrective Action Completed?

Action Taken

Click to add Closeout Image 1

Click to add Closeout Image 2

Target Date

Date Closed

Responsible Manager Name

Responsible Manager Email