Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Zone 1

  • Zone Name:

  • Identify, Control and Record.
  • Identify a Hazard: Look around your workplace and think about what may cause harm.
    Consider:
    • How people work and how plant and equipment are used
    • What chemicals and substances are used
    • What safe or unsafe work practices exist
    • The general state of your premises
    • Vulnerable workers, such-as expectant mothers.
    Look back at your accident and ill health records as these can help you identify less obvious hazards. Take account of non-routine operations, such as maintenance, cleaning or changes in production cycles. Think about hazards to health, such as manual handling, use of chemicals and causes of work-related stress.
    For each hazard, think about how employees, contractors, visitors or members of the public might be harmed.

  • What is the Hazard?

  • What is the activity, plant or material in question?

  • Where is the hazard?

  • Who is at risk?

  • Who is this staff member?

  • Are there measures in place to control the risk?

  • What measures are in place?

  • Can anything further be done to control the risk?

  • Please action what can be done to further control the risk using the matrix below:

  • What is the likelihood of the hazard becoming a risk?

  • What would the severity be?

  • What score does this give you? (Likelihood x Severity)

  • Please action what can be done to further control the risk using the matrix below:

  • What is the likelihood of the hazard becoming a risk?

  • What would the severity be?

  • What score does this give you? (Likelihood x Severity)

Zone 2

  • Zone Name:

  • Identify, Control and Record.
  • Identify a Hazard: Look around your workplace and think about what may cause harm.
    Consider:
    • How people work and how plant and equipment are used
    • What chemicals and substances are used
    • What safe or unsafe work practices exist
    • The general state of your premises
    • Vulnerable workers, such-as expectant mothers.
    Look back at your accident and ill health records as these can help you identify less obvious hazards. Take account of non-routine operations, such as maintenance, cleaning or changes in production cycles. Think about hazards to health, such as manual handling, use of chemicals and causes of work-related stress.
    For each hazard, think about how employees, contractors, visitors or members of the public might be harmed.

  • What is the Hazard?

  • What is the activity, plant or material in question?

  • Where is the hazard?

  • Who is at risk?

  • Who is this staff member?

  • Are there measures in place to control the risk?

  • What measures are in place?

  • Can anything further be done to control the risk?

  • Please action what can be done to further control the risk using the matrix below:

  • What is the likelihood of the hazard becoming a risk?

  • What would the severity be?

  • What score does this give you? (Likelihood x Severity)

  • Please action what can be done to further control the risk using the matrix below:

  • What is the likelihood of the hazard becoming a risk?

  • What would the severity be?

  • What score does this give you? (Likelihood x Severity)

Zone 3

  • Zone Name:

  • Identify, Control and Record.
  • Identify a Hazard: Look around your workplace and think about what may cause harm.
    Consider:
    • How people work and how plant and equipment are used
    • What chemicals and substances are used
    • What safe or unsafe work practices exist
    • The general state of your premises
    • Vulnerable workers, such-as expectant mothers.
    Look back at your accident and ill health records as these can help you identify less obvious hazards. Take account of non-routine operations, such as maintenance, cleaning or changes in production cycles. Think about hazards to health, such as manual handling, use of chemicals and causes of work-related stress.
    For each hazard, think about how employees, contractors, visitors or members of the public might be harmed.

  • What is the Hazard?

  • What is the activity, plant or material in question?

  • Where is the hazard?

  • Who is at risk?

  • Who is this staff member?

  • Are there measures in place to control the risk?

  • What measures are in place?

  • Can anything further be done to control the risk?

  • Please action what can be done to further control the risk using the matrix below:

  • What is the likelihood of the hazard becoming a risk?

  • What would the severity be?

  • What score does this give you? (Likelihood x Severity)

  • Please action what can be done to further control the risk using the matrix below:

  • What is the likelihood of the hazard becoming a risk?

  • What would the severity be?

  • What score does this give you? (Likelihood x Severity)

Zone 4

  • Zone Name:

  • Identify, Control and Record.
  • Identify a Hazard: Look around your workplace and think about what may cause harm.
    Consider:
    • How people work and how plant and equipment are used
    • What chemicals and substances are used
    • What safe or unsafe work practices exist
    • The general state of your premises
    • Vulnerable workers, such-as expectant mothers.
    Look back at your accident and ill health records as these can help you identify less obvious hazards. Take account of non-routine operations, such as maintenance, cleaning or changes in production cycles. Think about hazards to health, such as manual handling, use of chemicals and causes of work-related stress.
    For each hazard, think about how employees, contractors, visitors or members of the public might be harmed.

  • What is the Hazard?

  • What is the activity, plant or material in question?

  • Where is the hazard?

  • Who is at risk?

  • Who is this staff member?

  • Are there measures in place to control the risk?

  • What measures are in place?

  • Can anything further be done to control the risk?

  • Please action what can be done to further control the risk using the matrix below:

  • What is the likelihood of the hazard becoming a risk?

  • What would the severity be?

  • What score does this give you? (Likelihood x Severity)

  • Please action what can be done to further control the risk using the matrix below:

  • What is the likelihood of the hazard becoming a risk?

  • What would the severity be?

  • What score does this give you? (Likelihood x Severity)

Zone 5

  • Zone Name:

  • Identify, Control and Record.
  • Identify a Hazard: Look around your workplace and think about what may cause harm.
    Consider:
    • How people work and how plant and equipment are used
    • What chemicals and substances are used
    • What safe or unsafe work practices exist
    • The general state of your premises
    • Vulnerable workers, such-as expectant mothers.
    Look back at your accident and ill health records as these can help you identify less obvious hazards. Take account of non-routine operations, such as maintenance, cleaning or changes in production cycles. Think about hazards to health, such as manual handling, use of chemicals and causes of work-related stress.
    For each hazard, think about how employees, contractors, visitors or members of the public might be harmed.

  • What is the Hazard?

  • What is the activity, plant or material in question?

  • Where is the hazard?

  • Who is at risk?

  • Who is this staff member?

  • Are there measures in place to control the risk?

  • What measures are in place?

  • Can anything further be done to control the risk?

  • Please action what can be done to further control the risk using the matrix below:

  • What is the likelihood of the hazard becoming a risk?

  • What would the severity be?

  • What score does this give you? (Likelihood x Severity)

  • Please action what can be done to further control the risk using the matrix below:

  • What is the likelihood of the hazard becoming a risk?

  • What would the severity be?

  • What score does this give you? (Likelihood x Severity)

Zone 6

  • Zone Name:

  • Identify, Control and Record.
  • Identify a Hazard: Look around your workplace and think about what may cause harm.
    Consider:
    • How people work and how plant and equipment are used
    • What chemicals and substances are used
    • What safe or unsafe work practices exist
    • The general state of your premises
    • Vulnerable workers, such-as expectant mothers.
    Look back at your accident and ill health records as these can help you identify less obvious hazards. Take account of non-routine operations, such as maintenance, cleaning or changes in production cycles. Think about hazards to health, such as manual handling, use of chemicals and causes of work-related stress.
    For each hazard, think about how employees, contractors, visitors or members of the public might be harmed.

  • What is the Hazard?

  • What is the activity, plant or material in question?

  • Where is the hazard?

  • Who is at risk?

  • Who is this staff member?

  • Are there measures in place to control the risk?

  • What measures are in place?

  • Can anything further be done to control the risk?

  • Please action what can be done to further control the risk using the matrix below:

  • What is the likelihood of the hazard becoming a risk?

  • What would the severity be?

  • What score does this give you? (Likelihood x Severity)

  • Please action what can be done to further control the risk using the matrix below:

  • What is the likelihood of the hazard becoming a risk?

  • What would the severity be?

  • What score does this give you? (Likelihood x Severity)

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.