COVID-19 Workplace Risk Assessment V2 Checklist

COVID-19 Workplace Risk Assessment

Area / Work Process

Hazard

Persons at Risk E P C O

How might they be harmed?

Current Control Measures (already in place)

Risk Rating H / M / L

Enter Likelihood of Occurrence

Enter Potential Severity

Enter Risk Rating (Likelihood x Severity)

Additional Controls

Additional 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

Hazard

Persons at Risk E P C O

How might they be harmed?

Current Control Measures (already in place)

Risk Rating H / M / L

Enter Likelihood of Occurrence

Enter Potential Severity

Enter Risk Rating (Likelihood x Severity)

Additional Controls

Additional 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

Hazard

Persons at Risk E P C O

How might they be harmed?

Current Control Measures (already in place)

Risk Rating H / M / L

Enter Likelihood of Occurrence

Enter Potential Severity

Enter Risk Rating (Likelihood x Severity)

Additional Controls

Additional 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

Hazard

Persons at Risk E P C O

How might they be harmed?

Current Control Measures (already in place)

Risk Rating H / M / L

Enter Likelihood of Occurrence

Enter Potential Severity

Enter Risk Rating (Likelihood x Severity)

Additional Controls

Additional 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

Hazard

Persons at Risk E P C O

How might they be harmed?

Current Control Measures (already in place)

Risk Rating H / M / L

Enter Likelihood of Occurrence

Enter Potential Severity

Enter Risk Rating (Likelihood x Severity)

Additional Controls

Additional 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 V2 Checklist

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