Title Page
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Client / Site
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Location
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Conducted on
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Prepared by
Identifying the risk
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Click + to add a hazard
Hazard
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Please select potential risk present in the workplace
- Odour
- Noise and Vibration
- Dust
- Toxic Waste
- Plant breakdowns
- Pests
- Fuels and Oils
- Combustible, flammable materials
- Other hazards
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Please specify risk
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What is the risk? What do you wish to protect?
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How can the hazard get to the receptor?
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What measures will you take to reduce the risk? Who is responsible for what?
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Probability of exposure
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What are the possible effects?
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Take a photo (optional)
Overall risk assessment
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Please rate the risk
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Recommendations
Completion
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Full Name and Signature of Inspector