Title Page

  • Client / Site

  • Conducted on (Date and Time)

  • Inspected by

  • Location


  • Click "Add" button to add hazard

  • Item


  • Raw Materials or Process Steps

  • Identified Hazards

  • Kindly Specify: Biological Hazard

  • Kindly Specify: Chemical Hazard

  • Kindly Specify: Physical Hazard


Risk rating

  • Consequence

  • Likelihood

  • Risk rating


  • Select control measures

  • Enter other control measures

  • Is this a significant hazard?


  • Prerequisite Programs

  • Process Steps


  • Risk Matrix Reference

    risk matrix.png
  • Hierarchy of Controls Reference



  • Full Name and Signature of the Inspector

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