Enter your name, crew and area below.

  • Audit Title (Add your name eg. Joe blogs osgood risk asses.


  • New plant or equipment

  • New process or design

  • New chemical or knowledge

  • Change in legislation

  • Major Incident / Seqis No

  • A request


  • What are you assessing?

  • What is the Hazard?

  • Department

  • Prepared by

  • Location
  • Personnel involved in assessment.

  • Hazard Description

  • Possible Consequences

  • Existing Controls in place

  • Required Controls

  • Person conducting R/A

1.0 - Mechanical Hazards. (Plant and Equipment)

  • 1.1 - Is there moving machinery or vehicles in the work area?

  • 1.2 - Is there a chance of being grabbed, crushed, cut, stabbed or hit by moving parts or machinery?

Non mechanical hazards

Slips, trips, entrapment, falling objects.

  • Are floor areas easily accessible?

  • Entry and walkways kept clear?

  • Walkways adequately and clearly marked?

  • Are floors slippery?

  • Are stairs and platforms in good condition, steps and stairs in good condition?

Dangerous goods, Hazardous substances.

  • Are there any dangerous goods in the work area?

  • Are the dangerous goods/hazardous substances stored correctly in the area?

  • Are there any hazardous substances in the work area?

  • Is the area well ventilated?

  • Other items


  • Are there excess combustible materials in the work area?

  • Are there any potential ignition sources?

  • Are any changes in the area that could adversely affect fire control systems?

  • Anything else

Electric Shock, Burn

  • Can a person come into contact with electricity?

  • Are there any unprotected live circuits in the area ?

  • Are all electrical cabinets locked?

  • Is there any damaged, broken, or defective leads, plugs, sockets in the work area ?

  • Is there any water or combustible material contacting live conductors?

  • Anything else

Confined spaces

  • Is the area a confined space?

  • Anything else


  • Are there low frequency, radio frequency, microwaves, infra red, ultra violet rays or lasers in the work area?

  • Are lasers at eye level?

  • Anything else

  • Anything else


  • Is the exposure to noise greater than 85 db in the work area?

  • Is exposure to noise longer than an 8 hr period?

  • Do the noise levels interfere with speech communication in the work area?

  • Is the work area a designated area for hearing protection?

Compressed air

  • Is there a suitable hand piece attached to the air hose?

  • Are the air lines in good condition?

Falling objects

  • Can objects fall onto an operator from above?

  • Can an operator knock objects to areas below where persons could be hit?

Working at heights. (See Working at heights specific hazard identification checklist)

  • Can you fall from the work area?

  • Is the guard railing in good condition?

Biological Hazards. ( Is there a chance of coming in contact with )

  • Bacteria / Fungi / Enzymes?

  • Body fluids / Blood samples / Infectious diseases / material?

  • Insects / mites / spiders / animals?

  • Anything else

Manual Handling. ( See Manual Handling specific hazard identification checklist )

  • Does the task require lifting, pushing, reaching, twisting etc, when carrying out the task?


  • Does the plant layout pose any potential risks?

  • Does the plant design itself cause any potential hazards?

Chemical Reactions

  • Can the work you are doing cause a chemical reaction ?

Inadequate / Inappropriate signage

  • Can unauthorised people enter the work area?

  • Are signs up to date and clear to read?


  • Can you maintain communication with others, contact for help if needed, or warn others of danger, if need be,

  • Can you warn others of a potential danger?

Unsuitable, untrained personal.

  • Do you and your colleagues hold all the required licenses/certificates for the work being done?

  • Have all workers been inducted and trained as required?

  • Have all workers been signed off as trained for the task they are performing?

Work procedures

  • Are the procedures correct and accessible ?

  • Are the procedures up to date?

  • Do the procedures comply with the safety act?

Isolation of Machinery

  • Can you properly isolate machinery, electricity, moving parts, contents of pipes etc as required?

Temperature extremes

  • Are there extremes of heat or cold within the work environment?

  • Are work surfaces extreme in temperature ?

Weather conditions

  • Can storms, wind, rain, sunlight effect working conditions?

  • Can the work area be flooded (potential drowning or effecting electrical equipment)

Lighting / Visibility

  • Is the work area too dark or too light, excessive glare?

  • Is there sufficient visibility in the work area ?

  • Are there any obstructions to view that effect the task being carried out?

Work being done / effects on adjacent areas

  • Can work being done by others in the vicinity of your work area affect you?

  • Can work being done by others in the vicinity of your work area contaminate your work area?

Access / Egress

  • Poor access & egress in the work area?


  • Is 5s being practised in the area?

  • Is poor housekeeping obvious in the area?

  • Are spillages or obstacles cleared from the work area?

Atmosphere / Flammable gases

  • Is there any risk of exposure to unsafe levels of Toxic gases, Dust, Vapours/fumes, Steam, Oxygen deficiency/enrichment.

Chemical / Dust

  • Is there potential exposure to chemical splashes or dust?

Sign Off

  • On site representative

  • Auditor's signature

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.