Title Page
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Date
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Prepared by
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Name(s) of Personnel Involved
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Shift Involved
Task Dynamic Risk Assessment
General Details
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Description of task or area being assessed
Hazards and Risks
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Photograph the area / equipment / materials where relevant
Identified Risk
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Description of Hazard
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Attach photos of Hazard
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Identify type of Hazard
- Physical
- Chemical
- Biological
- Access
- Equipment
- Organisational
- Knowledge-Based
- Other
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Persons at risk
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Managing the Hazard - Use the Hierarchy of Risk Control
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Risk Controls - What are the Key Controls to remove, reduce, or manage the Risk?
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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?]
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Likelihood<br>[How likely is the hazard to cause harm?]
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Risk Rating (Overall Assessment = Severity x Likelihood)
Job Commencement
If Further Action required
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What needs to be done? Should there be an SOP? Further Risk Assessment?
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Is there a need for extra safety measures?
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Identify needed control measure
- Specific PPE
- Specialised Equipment / Tools
- Removal of a specific Hazard
- Improved Access
- Formal training
- Other
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Specify / Details
Job Commencement
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Are you satisfied that you have the correct knowledge, skills, and information to conduct this task?
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Are you satisfied that you have the correct tools to conduct this task in the correct manner?
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Are you satisfied that you have the correct PPE available to conduct this task?
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Are you satisfied that the risk to you / your colleagues has been adequately controlled?
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Are you satisfied that this task can be completed in a safe manner?
Completion
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Additional comments and recommendations
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Risk assessed and safe to start? (Full Name & Signature) [Operative]
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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
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Approved to begin Task (Full Name & Signature) [Supervisor]