Edit, Download, and Sign the Workplace Hazard Assessment Form Instructions
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How do I fill this out?
To fill out the Workplace Hazard Assessment Form, start by identifying potential hazards in your workspace. Next, assess the level of risk associated with each hazard. Finally, select appropriate personal protective equipment to mitigate these risks.

How to fill out the Workplace Hazard Assessment Form Instructions?
1
Identify the types of hazards present.
2
Describe the hazards after identifying them.
3
Select appropriate personal protective equipment.
4
Ensure the form is signed by the principal investigator.
5
Submit the completed form to Environmental Health and Safety.
Who needs the Workplace Hazard Assessment Form Instructions?
1
Laboratory supervisors to ensure compliance with OSHA.
2
Employees to understand the personal protective equipment needed.
3
Safety officers for conducting workplace safety evaluations.
4
Health and safety consultants for advising on hazard assessments.
5
New hires to be informed about workplace safety protocols.
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What are the instructions for submitting this form?
To submit the Workplace Hazard Assessment Form, email the completed form to ehs@uconn.edu, fax it to 860-486-1106, or send it via mail to Environmental Health and Safety, 3102 Horsebarn Hill Road U-4097, Storrs, CT 06269. Ensure your form is signed before submission. Keeping a copy on hand in the workplace is advised for employee access.
What are the important dates for this form in 2024 and 2025?
There are no specific deadlines for this form, but it should be filled out whenever there are changes to the work environment or after an incident. Regular reviews are encouraged, typically on an annual basis, or whenever new staff are onboarded. Keeping this form up-to-date promotes workplace safety compliance.

What is the purpose of this form?
The purpose of the Workplace Hazard Assessment Form is to ensure that all work areas are evaluated for potential hazards. This proactive approach helps in identifying risks and implementing necessary safety measures to protect employees. By adhering to OSHA standards, organizations can foster a culture of safety and accountability.

Tell me about this form and its components and fields line-by-line.

- 1. Types of Hazards: Categories include impact, cuts, chemical, biological, thermal, and more.
- 2. Hazard Description: Detailed descriptions of each identified hazard including equipment and processes.
- 3. PPE Selection: Selecting appropriate PPE based on the identified hazards.
- 4. Signatures: Required signatures from supervisors or principal investigators.
- 5. Submission Confirmation: Instructions for submitting the completed form to EHS.
What happens if I fail to submit this form?
Failing to submit the Workplace Hazard Assessment Form can result in non-compliance with OSHA regulations. This may lead to penalties and compromise workplace safety, putting employees at risk. Organizations must prioritize form submission to avoid any potential legal and safety issues.
- OSHA Non-Compliance: Failure to submit may result in legal penalties and increased scrutiny from regulatory bodies.
- Increased Risk of Accidents: Without proper hazard assessment, employees are at a greater risk for injury.
- Liability Issues: Organizations could face liability claims if hazards go unaddressed.
How do I know when to use this form?

- 1. New Equipment Installation: Use the form during the installation of new tools or machinery.
- 2. Employee Onboarding: Assess hazards when new employees are hired.
- 3. Annual Safety Reviews: Conduct assessments as part of yearly safety evaluations.
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What personal protective equipment do I need?
The form will help guide you on selecting the appropriate PPE based on identified hazards.
Who is responsible for filling out the WHA form?
The principal investigator or supervisor of the work area must complete the form.
What should I do after completing the WHA form?
Submit the completed form to Environmental Health and Safety as per the guidelines.
How often should I conduct hazard assessments?
Hazard assessments should be conducted regularly or whenever changes occur in the workspace.
Can I use this form for both laboratories and general workplaces?
Yes, there are separate versions of the form for different workplace types.
What do I do if no hazards are identified?
Check 'NONE' on the form if no hazards are detected during the assessment.
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