• Enter description of procedure or job task.

  • Identified Hazard.


  • Description of Hazard

  • Photo of Hazard

Initial risk rating

  • Initial Consequence

  • Initial Likelihood

  • Initial Risk Rating


  • Select Control Measures

  • Enter Other Control Measures

Residual risk rating

  • Residual Consequence

  • Residual Likelihood

  • Residual Risk Rating


  • 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


  • Recommendations

  • Inspector's Full Name & Signature

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