Broadland Dynamic Risk Assessment

• Site conducted

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• Conducted on

  Date

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• Prepared by

• STOP and SURVEY your surroundings and identify the hazards. ASSESS what could go wrong and put CONTROL measures in place to minimise risk. Do NOT start if you think it is unsafe to do so - notify senior personnel if unsure. STOP, THINK and REASSESS if conditions change only continue when safe to do so.

General

• Enter description of procedure, task, incident or worksite being assessed

Hazards, Risks and Controls

• Click Add Hazard (+) after you have observed and identified a task and associated hazard

Hazard

Hazard

• Identified Hazard's

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• Provide details

• Photo of hazard (optional)

  Media

• Persons at risk

Initial risk rating

• Initial consequence

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• Initial likelihood

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Initial risk rating

  High

  Medium

  Low

Controls

• Select control measures

  Select Elimination Substitution Engineering Controls Administrative Controls PPE Other

  • Elimination
  • Substitution
  • Engineering Controls
  • Administrative Controls
  • PPE
  • Other

• Enter other control measures

• Enter description of control measures

Residual risk rating

• Residual consequence

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• Residual likelihood

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Residual risk rating

  High

  Medium

  Low

References

• Risk Matrix Reference

  

• Hierarchy of Controls Reference

  

Completion

• Useful information

• Signature

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