Title Page

  • Client / Site

  • Location
  • Conducted on

  • Prepared by

Identifying the risk

  • Click + to add a hazard

  • Hazard
  • Please select potential risk present in the workplace

  • Please specify risk

  • What is the risk? What do you wish to protect?

  • How can the hazard get to the receptor?

  • What measures will you take to reduce the risk? Who is responsible for what?

  • Probability of exposure

  • What are the possible effects?

  • Take a photo (optional)

Overall risk assessment

  • Please rate the risk

  • Recommendations


  • Full Name and Signature of Inspector

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.