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Assessment

Hazard Identification

Enter description of procedure, task, or worksite being assessed

Biological (e.g. hygiene, disease, infection)

Are there biological hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard

Choose the type of hazard

Kindly specify

Description of hazard

Take a photo (Optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Chemicals

Are there chemical hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard

Choose the type of hazard

Description of hazard

Photo of hazard (optional)

Name of chemical(s) / Details

Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Critical Incident

Are there critical hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard

Choose type of hazard resulting in:

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Energy Systems

Are there energy system hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard

Choose the type of hazard / incident or issues involving:

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Environment

Are there environment hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard
Choose type of hazard

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Facilities / Built Environment

Are there facilities / built environment hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard
Choose type of hazard

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Machinery, Plant and Equipment

Are there machinery, plant and equipment hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard

Choose type of hazard

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Manual Tasks / Ergonomics

Are there manual tasks / ergonomics hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard

Choose type of hazard

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

People

Are there people hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard
Choose type of hazard

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Others

Are there any other hazards not listed above?

Click Add Hazard after you have observed and identified a hazard

Hazard

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

References

Risk Matrix Reference

Screen Shot 2018-05-21 at 11.14.28 am.png

Hierarchy of Controls Reference

OSH toolkit noise - hierachy of controls.jpg
Monitor and Review Controls

Are the planned control measures sufficient and effective in minimizing the level of risk?

Are further control measures required in future?

Have there been any changes to the planned control measures?

Completion

Recommendations

Full Name and Signature of the Inspector

General Health and Safety Risk Assessment Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 416

This General Health and Safety Risk Assessment template can be used by managers and safety officials when managing health and safety hazards at work. Spot potential and existing hazards such as biological, chemical, energy, environmental, and the like. Evaluate each hazard’s risk level and provide preventive control measures. Monitor and review planned control measures and advise if further measures are required. Lastly, provide overall recommendations to avoid and manage risk hazards. Use iAuditor to capture photos of frequently ignored and undetected hazards and assign actions to notify your managers of immediate risks.

Signup for a free iAuditor account to download and edit this checklist. It will be added to your free account and you will be able to conduct inspections from your mobile device.

Download and edit this free checklist

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Assessment

Hazard Identification

Enter description of procedure, task, or worksite being assessed

Biological (e.g. hygiene, disease, infection)

Are there biological hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard

Choose the type of hazard

Kindly specify

Description of hazard

Take a photo (Optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Chemicals

Are there chemical hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard

Choose the type of hazard

Description of hazard

Photo of hazard (optional)

Name of chemical(s) / Details

Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Critical Incident

Are there critical hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard

Choose type of hazard resulting in:

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Energy Systems

Are there energy system hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard

Choose the type of hazard / incident or issues involving:

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Environment

Are there environment hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard
Choose type of hazard

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Facilities / Built Environment

Are there facilities / built environment hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard
Choose type of hazard

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Machinery, Plant and Equipment

Are there machinery, plant and equipment hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard

Choose type of hazard

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Manual Tasks / Ergonomics

Are there manual tasks / ergonomics hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard

Choose type of hazard

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

People

Are there people hazards observed?

Click Add Hazard after you have observed and identified a hazard

Hazard
Choose type of hazard

Kindly specify

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

Others

Are there any other hazards not listed above?

Click Add Hazard after you have observed and identified a hazard

Hazard

Description of hazard

Photo of hazard (optional)
Risk rating

Consequence

Likelihood

Risk rating

Controls
Select control measures

Kindly specify

References

Risk Matrix Reference

Screen Shot 2018-05-21 at 11.14.28 am.png

Hierarchy of Controls Reference

OSH toolkit noise - hierachy of controls.jpg
Monitor and Review Controls

Are the planned control measures sufficient and effective in minimizing the level of risk?

Are further control measures required in future?

Have there been any changes to the planned control measures?

Completion

Recommendations

Full Name and Signature of the Inspector