Information
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TASK RISK ASSESSMENT
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Task/Job Name
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TRA Number
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Conducted on
Part A - ASSESSMENT SUMMARY
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Date Risk Assessment Date Completed
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Task/Job Description/Name (Assessment Title):
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TRA No.
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Location
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RISK ASSESSMENT TEAM
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Name
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Position
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Signature
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Date
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RISK ASSESSMENT TEAM
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Name
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Position
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Signature
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Date
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RISK ASSESSMENT TEAM
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Name
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Position
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Signature
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Date
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Department Manager/Coordinator:
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Select date
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WHS Representative (HSR)
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Select date
Part B - HAZARD IDENTIFICATION
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Can this task/job or process be eliminated entirely?
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List identified hazards from the Task Risk Assessment Checklist and detail measures taken or that need to be taken to address the hazards
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Basic Job Step
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Code Reference/s from Task Risk Assessment Checklist (e.g. B3 or H7)
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Identified/Potential Hazard/s (expanded explanation)
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Existing Controls in Place
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Likelihood
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Consequence
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Risk Rating (please select the one applicable which match up Likelihood and Consequnce)
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Proposed Additional Controls (List those relevant to this hazard)
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Likelihood
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Consequence
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Residual Risk (once controls are in place or implemented)
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Person Responsible
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Enter date for control to be completed by
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List identified hazards from the Task Risk Assessment Checklist and detail measures taken or that need to be taken to address the hazards.
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Basic Job Step
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Code Reference/s from Plant Hazard Checklist (e.g. B3 or H7)
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Identified/Potential Hazard/s (expanded explanation)
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Existing Controls in Place
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Likelihood
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Consequence
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Risk Rating (please select the one applicable which match up Likelihood and Consequnce)
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Proposed Additional Controls (List those relevant to this hazard)
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Likelihood
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Consequence
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Residual Risk (once controls are in place or implemented)
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Person Responsible
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Enter date for control to be completed by
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List identified hazards from the Task Risk Assessment Checklist and detail measures taken or that need to be taken to address the hazards
-
Basic Job Step
-
Code Reference/s from Plant Hazard Checklist (e.g. B3 or H7)
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Identified/Potential Hazard/s (expanded explanation)
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Existing Controls in Place
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Likelihood
-
Consequence
-
Risk Rating (please select the one applicable which match up Likelihood and Consequnce)
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Proposed Additional Controls (List those relevant to this hazard)
-
Likelihood
-
Consequence
-
Residual Risk (once controls are in place or implemented)
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Person Responsible
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Enter date for control to be completed by
-
List identified hazards from the Task Risk Assessment Checklist and detail measures taken or that need to be taken to address the hazards
-
Basic Job Step
-
Code Reference/s from Plant Hazard Checklist (e.g. B3 or H7)
-
Identified/Potential Hazard/s (expanded explanation)
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Existing Controls in Place
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Likelihood
-
Consequence
-
Risk Rating (please select the one applicable which match up Likelihood and Consequnce)
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Proposed Additional Controls (List those relevant to this hazard)
-
Likelihood
-
Consequence
-
Residual Risk (once controls are in place or implemented)
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Person Responsible
-
Enter date for control to be completed by
-
List identified hazards from the Task Risk Assessment Checklist and detail measures taken or that need to be taken to address the hazards
-
Basic Job Step
-
Code Reference/s from Plant Hazard Checklist (e.g. B3 or H7)
-
Identified/Potential Hazard/s (expanded explanation)
-
Existing Controls in Place
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Likelihood
-
Consequence
-
Risk Rating (please select the one applicable which match up Likelihood and Consequnce)
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Proposed Additional Controls (List those relevant to this hazard)
-
Likelihood
-
Consequence
-
Residual Risk (once controls are in place or implemented)
-
Person Responsible
-
Enter date for control to be completed by
-
List identified hazards from the Task Risk Assessment Checklist and detail measures taken or that need to be taken to address the hazards
-
Basic Job Step
-
Code Reference/s from Plant Hazard Checklist (e.g. B3 or H7)
-
Identified/Potential Hazard/s (expanded explanation)
-
Existing Controls in Place
-
Likelihood
-
Consequence
-
Risk Rating (please select the one applicable which match up Likelihood and Consequnce)
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Proposed Additional Controls (List those relevant to this hazard)
-
Likelihood
-
Consequence
-
Residual Risk (once controls are in place or implemented)
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Person Responsible
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Enter due date for control to be implemented by
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List identified hazards from the Task Risk Assessment Checklist and detail measures taken or that need to be taken to address the hazards
-
Basic Job Step
-
Code Reference/s from Plant Hazard Checklist (e.g. B3 or H7)
-
Identified/Potential Hazard/s (expanded explanation)
-
Existing Controls in Place
-
Likelihood
-
Consequence
-
Risk Rating (please select the one applicable which match up Likelihood and Consequnce)
-
Proposed Additional Controls (List those relevant to this hazard)
-
Likelihood
-
Consequence
-
Residual Risk (once controls are in place or implemented)
-
Person Responsible
-
Enter due date for control to be implemented by
-
List identified hazards from the Task Risk Assessment Checklist and detail measures taken or that need to be taken to address the hazards
-
Basic Job Step
-
Code Reference/s from Plant Hazard Checklist (e.g. B3 or H7)
-
Identified/Potential Hazard/s (expanded explanation)
-
Existing Controls in Place
-
Likelihood
-
Consequence
-
Risk Rating (please select the one applicable which match up Likelihood and Consequnce)
-
Proposed Additional Controls (List those relevant to this hazard)
-
Likelihood
-
Consequence
-
Residual Risk (once controls are in place or implemented)
-
Person Responsible
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Enter due date for control to be implemented by