Title Page

  • Date

  • Prepared by

  • Name(s) of Personnel Involved

  • Shift Involved

Task Dynamic Risk Assessment

General Details

  • Description of task or area being assessed

Hazards and Risks

  • Photograph the area / equipment / materials where relevant

  • Identified Risk
  • Description of Hazard

  • Attach photos of Hazard

  • Identify type of Hazard

  • Persons at risk

  • Managing the Hazard - Use the Hierarchy of Risk Control

    RiskControlHierarchy.png
  • Risk Controls - What are the Key Controls to remove, reduce, or manage the Risk?

  • Assess the Risk
    Take into account the action that has - or will be - taken to remove, reduce, or manage it. What is the remaining risk, after controls are applied?

  • Severity - <br>[How bad could the outcome be if the Risk is realised?]

  • Likelihood<br>[How likely is the hazard to cause harm?]

  • Risk Rating (Overall Assessment = Severity x Likelihood)

Job Commencement

If Further Action required

  • What needs to be done? Should there be an SOP? Further Risk Assessment?

  • Is there a need for extra safety measures?

  • Identify needed control measure

  • Specify / Details

Job Commencement

  • Are you satisfied that you have the correct knowledge, skills, and information to conduct this task?

  • Are you satisfied that you have the correct tools to conduct this task in the correct manner?

  • Are you satisfied that you have the correct PPE available to conduct this task?

  • Are you satisfied that the risk to you / your colleagues has been adequately controlled?

  • Are you satisfied that this task can be completed in a safe manner?

Completion

  • Additional comments and recommendations

  • Risk assessed and safe to start? (Full Name & Signature) [Operative]

  • Where the task has required specific measures to make safe, or has a level of residual risk, must be reviewed and approved by a Shift Supervisor

  • Approved to begin Task (Full Name & Signature) [Supervisor]

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