Information

  • TASK RISK ASSESSMENT

  • Task/Job Name

  • TRA Number

  • Conducted on

Part A - ASSESSMENT SUMMARY

  • Date Risk Assessment Date Completed

  • Task/Job Description/Name (Assessment Title):

  • TRA No.

  • Location

  • RISK ASSESSMENT TEAM

  • Name

  • Position

  • Signature

  • Date

  • RISK ASSESSMENT TEAM

  • Name

  • Position

  • Signature

  • Date

  • RISK ASSESSMENT TEAM

  • Name

  • Position

  • Signature

  • Date

  • Department Manager/Coordinator:

  • Select date

  • WHS Representative (HSR)

  • Select date

Part B - HAZARD IDENTIFICATION

  • Can this task/job or process be eliminated entirely?

  • 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 Task Risk Assessment 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 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)

  • 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)

  • 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)

  • 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)

  • 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)

  • 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

  • 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

  • Enter due date for control to be implemented by

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