Flexihire Quick Risk Assessment

• Client / Site

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• Conducted on

  Date

• Prepared by

• Process or task to be risk assessed

• 

• 

• 

• 
Hazards

• Description of hazard identified

• Does the hazard need to assessed?

  Yes

  No

  N/A

• Likelihood

  (A) Rare

  (B) Unlikely

  (C) Possible

  (D) Likely

  (E) Almost Certain

• Consequence BEFORE Control Measures/Methods

  (1) Minor

  (2) Moderate

  (3) Significant

  (4) Major/Serious

  (5) Catastrophic/ Fatality

• Risk Rating:
  

  

• Risk Rating:
  

  

• Control Measures/Methods to mitigate risks.

• Consequence AFTER Control Measures/Methods

  (1) Minor

  (2) Moderate

  (3) Significant

  (4) Major/Serious

  (5) Catastrophic/ Fatality

• Risk Rating:
  

  

• Risk Rating:
  

  

• Consequence BEFORE Control Measures/Methods

  (1) Minor

  (2) Moderate

  (3) Significant

  (4) Major/Serious

  (5) Catastrophic/ Fatality

• Risk Rating:
  

  

• Risk Rating:
  

  

• Risk Rating:
  

  

• Control Measures/Methods to mitigate risks.

• Consequence AFTER Control Measures/Methods

  (1) Minor

  (2) Moderate

  (3) Significant

  (4) Major/Serious

  (5) Catastrophic/ Fatality

• Risk Rating:
  

  

• Risk Rating:
  

  

• Risk Rating:
  

  

• Consequence BEFORE Control Measures/Methods

  (1) Minor

  (2) Moderate

  (3) Significant

  (4) Major/Serious

  (5) Catastrophic/ Fatality

• Risk Rating:
  

  

• Risk Rating:
  

  

• Risk Rating:
  

  

• Control Measures/Methods to mitigate risks.

• Consequence AFTER Control Measures/Methods

  (1) Minor

  (2) Moderate

  (3) Significant

  (4) Major/Serious

  (5) Catastrophic/ Fatality

• Risk Rating:
  

  

• Risk Rating:
  

  

• Risk Rating:
  

  

• Consequence BEFORE Control Measures/Methods

  (1) Minor

  (2) Moderate

  (3) Significant

  (4) Major/Serious

  (5) Catastrophic/ Fatality

• Risk Rating:
  

  

• Risk Rating:
  

  

• Risk Rating:
  

  

• Risk Rating:
  

  

• Control Measures/Methods to mitigate risks.

• Consequence AFTER Control Measures/Methods

  (1) Minor

  (2) Moderate

  (3) Significant

  (4) Major/Serious

  (5) Catastrophic/ Fatality

• Risk Rating:
  

  

• Risk Rating:
  

  

• Risk Rating:
  

  

• Risk Rating:
  

  

• Consequence BEFORE Control Measures/Methods

  (1) Minor

  (2) Moderate

  (3) Significant

  (4) Major/Serious

  (5) Catastrophic/ Fatality

• Risk Rating:
  

  

• Risk Rating:
  

  

• Risk Rating:
  

  

• Risk Rating:
  

  

• Control Measures/Methods to mitigate risks.

• Have all control measures been implemented ?

  Yes

  No

  N/A

• Implement all control measures BEFORE starting task/process

Completion

• Name and Signature

  Sign