COVID-19 Risk Assessment Template

• Conducted on

  Date

• Prepared by

• Location
  Address

General

• Enter the worksite where the risk assessment is conducted

Risks and Recommendations

• Click Add Risk(+) after you have observed and identified a risk

Risk

• Identify the type of exposure

• Risk rating

  High

  Medium

  Low

  No Identifiable Risk

• Enter control measures

References

• Risk Categories derived from https://www.cdc.gov/coronavirus/2019-ncov/php/risk-assessment.html

  

• CDC Recommendations derived from https://www.cdc.gov/coronavirus/2019-ncov/php/risk-assessment.html
  High Risk Management

  

• Medium Risk Management

  

• Low Risk and No Identifiable Risk Management

  

Completion

• Comments

• Signature

  Sign