Information

  • Event Title

  • Location
  • Risk Assessment Date

  • Prepared by

  • Completed by

HAZARD IDENTIFICATION AND ASSESSMENT OF RISK

  • Use this list and add any other items which are unique to this event

  • Hazard 1:

  • What Category is this Risk

  • Please Specify:

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Further Actions Required?

  • Hazard 2:

  • What Category is this Risk

  • Please Specify:

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Further Actions Required?

  • Hazard 3:

  • What Category is this Risk

  • Please Specify:

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Further Actions Required?

  • Hazard 4:

  • What Category is this Risk

  • Please Specify:

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Further Actions Required?

  • Hazard 5:

  • What Category is this Risk

  • Please Specify:

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Further Actions Required?

  • Hazard 6:

  • What Category is this Risk

  • Please Specify:

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Further Actions Required?

  • Hazard 7:

  • What Category is this Risk

  • Please Specify:

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Further Actions Required?

  • Hazard 8:

  • What Category is this Risk

  • Please Specify:

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Further Actions Required?

  • Hazard 9:

  • What Category is this Risk

  • Please Specify:

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Further Actions Required?

  • Hazard 10:

  • What Category is this Risk

  • Please Specify:

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Further Actions Required?

AFFECTED PERSONS

  • The presence of any of the following groups may affect the level of Risk (due to vulnerability, lack of knowledge etc) associated with the hazards identified above. Additional safety controls maybe necessary. Include all the groups relevant to this Risk assessment.

  • Affected Group 1:

  • Please specify how they are affected

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Affected Group 2:

  • Please specify how they are affected

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Affected Group 3:

  • Please specify how they are affected

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Affected Group 4:

  • Please specify how they are affected

  • Describe the Existing Control System (to prevent accidents/incidents)

  • Affected Group 5:

  • Please specify how they are affected

  • Describe the Existing Control System (to prevent accidents/incidents)

ONPOINT 365 MANAGERS DECLARATION

  • To be signed off ONLY when the Risk Assessment has be completed.

  • Name of Assessor

  • Date of Assessment

  • Date of Event

  • Location of Event

  • Tel/Email

  • THE MANGER SHOULD NOW CHOOSE AS APPROPRIATE AND SIGN THE FORM

  • Signature of Manager

  • Date completed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.