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HAZARD RISK OR NEAR MISS DETAILS

Date of Birth
Risk Level
Does any process, policy and procedure already exist for this kind hazard risk / near miss?
Is the risk acceptable?
The existing process, policy and procedure is

Corrective Actions (CA)

CA Status:
CA Deadline Date
Outcomes:

SIGN OFF

NDIS consultation required?
If yes; has NDIS been contacted?
If yes, date of NDIS consultation.
Date / Time