Risk Assessment
-
Job No#
-
Prepared on:
-
Prepared by:
-
People involved in the work:
Workplace Risk Assessment
-
To begin the workplace risk assessment, select the "+" icon next to Hazard:
Hazard
-
Description of hazard
-
Photo of the hazard (optional)
-
Risk related to hazard
-
Who might be harmed?
-
Risk likelihood - Before control measures.
-
Risk consequences - Before control measures.
-
Use this risk matrix to identify the risk level:
-
Risk level - Before control measures.
-
Can the hazard be eliminated?
-
What control measure will be undertaken to lower the risk?
-
Risk likelihood - After control measures.
-
Risk consequences - After control measures.
-
Use this risk matrix to identify the risk level:
-
Risk level - After control measures.
-
Do Not Proceed with work. Notify Manager!!!
-
Do Not Proceed with work. Notify Manager!!!
-
Proceed safely with work.
-
Eliminate the hazard causing the risk.
-
Can the hazard be eliminated?
-
What control measure will be undertaken to lower the risk?
-
Risk likelihood - After control measures.
-
Risk consequences - After control measures.
-
Use this risk matrix to identify the risk level:
-
Risk level - After control measures.
-
Eliminate the hazard causing the risk.
-
Proceed safely and with caution.
-
To ADD another hazard to the workplace risk assessment, select the "+" icon next to Hazard.
To END the workplace risk assessment, select the "Next Page >" button at the bottom right.
Completion/Review
-
Are all control measures suitable enough to proceed with work safely?
-
Do Not Proceed with work. Notify Manager!!!
-
Proceed safely with work.
-
Do Not Proceed with work. Notify Manager!!!
-
Name and Signature of Electrical Technician conducting risk assessment:
-
Name and Signature of other involved parties
-
Name and Signature of other involved parties
-
Name and Signature of other involved parties
-
Name and Signature of other involved parties
-
Name and Signature of other involved parties
-
Name and Signature of other involved parties
-
Name and Signature of other involved parties
-
***If task or risk changes a new risk assessment MUST be undertaken.***
