Hazard Report

About the Hazard Report

A digital hazard report form for educators to document and report hazards identified at the education and care service premises. Under Regulation 103, the approved provider must ensure premises, furniture, and equipment are safe, clean, and in good repair. This form captures date, time, photo evidence, hazard description and location, with responsible person review and sign-off.

Also called

  • Hazard report form
  • Workplace hazard form
  • Risk report form

What's on this form

Every question included in the hazard report. Add, remove or reword any of them in the form builder.

Step 1 — Completed first

Filled in by the educator or responsible person

  • Date

    Date

  • Time

    Time

  • Description and location of hazard

    Long answer

  • Educator / Person Completing Form

    Educator signature

Step 2 — Responsible Person

Completed by a staff member at the service

  • Responsible Person Details

    Educator signature

How this form gets signed

This template runs as a multi-step signing workflow. Each person is notified in turn, and every signature is timestamped and stored against the record.

  1. 1

    Responsible Person

    Signs inside the service, using a staff PIN

Australian regulations this form supports

The hazard report is built around the Education and Care Services National Regulations. These are the regulations it helps you meet.

Reg 103

Premises, furniture and equipment to be safe, clean and in good repair

The approved provider must ensure that the service premises and all equipment and furniture are safe, clean and in good repair.

Read the full text of Reg 103

(1) The approved provider of an education and care service must ensure that the education and care service premises and all equipment and furniture used in providing the education and care service are safe, clean and in good repair. (2) This regulation does not apply to a part of a family day care residence that is not used to provide a family day care service.

Provided for information only and may not reflect the latest amendments. Refer to the Education and Care Services National Regulations (NSW) for the official legal text.

Where this form fits

The hazard report is part of these jobs — each guide walks through the whole sequence and the other forms that go with it.

Questions about the hazard report

What is the hazard report used for?

A digital hazard report form for educators to document and report hazards identified at the education and care service premises. Under Regulation 103, the approved provider must ensure premises, furniture, and equipment are safe, clean, and in good repair. This form captures date, time, photo evidence, hazard description and location, with responsible person review and sign-off.

Who fills in the hazard report?

The hazard report is completed by educators or the responsible person at the service. Staff open it on any device and sign with a service PIN, so there's no separate login to manage. It then moves through 1 signing step — Responsible Person — with each signature timestamped against the record.

Which Australian regulations does the hazard report meet?

It is built around Reg 103 of the Education and Care Services National Regulations. Reg 103 covers premises, furniture and equipment to be safe, clean and in good repair. Every question the regulations require is already on the form.

Is the hazard report the same as a hazard report form?

Yes. Different services use different names for this form — it is also called hazard report form, workplace hazard form and risk report form. They all describe the same record, and this template covers it. You can rename it to whatever your service already calls it.

Can I change the questions on the hazard report?

Yes. The template comes with 5 fields ready to go, but you can add, remove, reword or reorder anything in the drag-and-drop form builder, and add your own conditional logic and signing steps. Your changes only affect your service's copy.

Is the hazard report free?

Yes — the hazard report is free to use on the Childcare Forms free plan. No credit card is required to create an account and start sending it.

Ready to use it?

Create a free account, change anything you want, and send it to your first family. No credit card needed.