Title Page

  • Department

  • Service Team

  • Area/activity being assessed

  • Location
  • Assessment undertaken by

  • Date and Time of Assessment

  • Risk Assessment Number

  • Suggested date of next review



  • Identified site hazards

  • Site Hazard
  • Area of Concern

  • Description of hazard identified

  • Photo of hazard

  • Persons at Risk

  • Severity of the Risk

  • Likelihood of the Risk

  • Risk rating

  • Summary of significant risks

  • Measures that can be taken to further minimise the risk.


Risk Matrix and Hierarchy of Controls

  • Risk Matrix Reference

  • Hierarchy of Controls Reference

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.