Title Page

  • Title of Risk Assessment

  • Date and Time of Risk Assessment

  • Risk Assessment completed by:

  • Date that this Risk Assessment need Reviewing (12 months time unless there is an Accident or Change in the Meantime)

COVID-19 Workplace Risk Assessment

Area / Work Process

  • Area / Work Process

  • Hazard

  • Persons at Risk E P C O

  • How might they be harmed?

  • Specify Illness / Injury

  • Current Control Measures (already in place)

  • Detail Other control measures

Risk Rating H / M / L

  • Enter Likelihood of Occurrence

  • Enter Potential Severity

  • Enter Risk Rating (Likelihood x Severity)

Additional Controls

  • Additional Control Measures Required

  • Specify Other Control measures required

  • Enter Revised Risk Rating (After Additional Control Measures have been Completed)

  • Estimated Date for Completion of Additional Control Measures

COVID-19 Workplace Risk Assessment (Continued)

Area / Work Process

  • Area / Work Process

  • Hazard

  • Persons at Risk E P C O

  • How might they be harmed?

  • Specify Illness / Injury

  • Current Control Measures (already in place)

  • Detail Other control measures

Risk Rating H / M / L

  • Enter Likelihood of Occurrence

  • Enter Potential Severity

  • Enter Risk Rating (Likelihood x Severity)

Additional Controls

  • Additional Control Measures Required

  • Specify Other Control measures required

  • Enter Revised Risk Rating (After Additional Control Measures have been Completed)

  • Estimated Date for Completion of Additional Control Measures

COVID-19 Workplace Risk Assessment (Continued)

Area / Work Process

  • Area / Work Process

  • Hazard

  • Persons at Risk E P C O

  • How might they be harmed?

  • Specify Illness / Injury

  • Current Control Measures (already in place)

  • Detail Other control measures

Risk Rating H / M / L

  • Enter Likelihood of Occurrence

  • Enter Potential Severity

  • Enter Risk Rating (Likelihood x Severity)

Additional Controls

  • Additional Control Measures Required

  • Specify Other Control measures required

  • Enter Revised Risk Rating (After Additional Control Measures have been Completed)

  • Estimated Date for Completion of Additional Control Measures

COVID-19 Workplace Risk Assessment (Continued)

Area / Work Process

  • Area / Work Process

  • Hazard

  • Persons at Risk E P C O

  • How might they be harmed?

  • Specify Illness / Injury

  • Current Control Measures (already in place)

  • Detail Other control measures

Risk Rating H / M / L

  • Enter Likelihood of Occurrence

  • Enter Potential Severity

  • Enter Risk Rating (Likelihood x Severity)

Additional Controls

  • Additional Control Measures Required

  • Specify Other Control measures required

  • Enter Revised Risk Rating (After Additional Control Measures have been Completed)

  • Estimated Date for Completion of Additional Control Measures

COVID-19 Workplace Risk Assessment (Continued)

Area / Work Process

  • Area / Work Process

  • Hazard

  • Persons at Risk E P C O

  • How might they be harmed?

  • Specify Illness / Injury

  • Current Control Measures (already in place)

  • Detail Other control measures

Risk Rating H / M / L

  • Enter Likelihood of Occurrence

  • Enter Potential Severity

  • Enter Risk Rating (Likelihood x Severity)

Additional Controls

  • Additional Control Measures Required

  • Specify Other Control measures required

  • Enter Revised Risk Rating (After Additional Control Measures have been Completed)

  • Estimated Date for Completion of Additional Control Measures

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