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COVID-19 Workplace Risk Assessment
Area / Work Process
How might they be harmed?
Current Control Measures (already in place)
Risk Rating H / M / L
Enter Likelihood of Occurrence
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
Date
COVID-19 Workplace Risk Assessment (Continued)
Area / Work Process
How might they be harmed?
Current Control Measures (already in place)
Risk Rating H / M / L
Enter Likelihood of Occurrence
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
Date
COVID-19 Workplace Risk Assessment (Continued)
Area / Work Process
How might they be harmed?
Current Control Measures (already in place)
Risk Rating H / M / L
Enter Likelihood of Occurrence
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
Date
COVID-19 Workplace Risk Assessment (Continued)
Area / Work Process
How might they be harmed?
Current Control Measures (already in place)
Risk Rating H / M / L
Enter Likelihood of Occurrence
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
Date
COVID-19 Workplace Risk Assessment (Continued)
Area / Work Process
How might they be harmed?
Current Control Measures (already in place)
Risk Rating H / M / L
Enter Likelihood of Occurrence
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
Date
Anonymous
COVID-19 Workplace Risk Assessment v2
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended
to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or
treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such
checklist is
permissible in your workplace or jurisdiction.
