LRPR Hazard Identification Form
Welcome to the Hazard Identification Report Form for Little Rock Parks & Recreation. Please complete the form for any hazards you observe.
Describe the Hazard:
What are the risks associated with the hazard?
Whom or what may be affected by the hazard?
What has been done to control the hazard (if nothing has been done previously)?
In your perception what is the current severity of Risk?
Risk Severity Categories
Minor injuries/first aid/Emergency Room/short-term discomfort possible; minor damage to equipment, structures, property possible - operational as is
Major injuries/non-life threatening; temporary disability/short term hospitalization possible; major damage to equipment, structures, property possible - salvageable with repair
Severe Injuries to one/multiple persons; extensive hospitalization/permanent disability/disfigurement possible; severe damage/total loss of equipment, structures, property possible
Multiple loss of life possible; Total destruction of equipment, structures, property possible
Please upload a photo of the Hazard