Title Page

  • Site conducted

  • Location
  • Conducted on

  • Prepared by

  • Position

Risk Assessment

  • Click the '+' to add an event / activity / task to be risk assessed.

  • Hole
  • Description of hole being assessed

Risk Matrix and Hierarchy of Controls

  • Risk Matrix Reference:

    risk_matrix.png
  • Hierarchy of Controls Reference:

    controls.png

People at Risk

  • Who is at risk? (multiple choice)

  • Please detail

Hazard Register

  • Click the '+' to list additional hazards which relate to this procedure / task. Multiple hazards can be added to each event / activity / task being risk assessed.

  • Significant Hazards
  • Likely places/ways that people could be seriously harmed.

  • Description of hazard

  • Photo of hazard

Risk Rating

  • Please reference Risk Matrix at the top of this document.

  • What are the consequences of this hazard?

  • What is the likelihood of this hazard occurring?

  • What is your risk rating of this hazard? (refer to Risk Rating Matrix)

Control Measures and Precautions

  • This risk assessment must take into consideration the age and needs of all persons involved taking into consideration any accessibility requirements, lone working and safeguarding concerns.

  • What are the control measures?

  • Please detail

  • Explanation of control measures and precautions

Completion / Sign Off

Completion / Sign Off

  • The person completing this risk assessment must ensure that the contents of each risk assessed are briefed to all relevant members to ensure they follow the controls on this risk assessment. This risk assessment must be printed and displayed on your H&S noticeboard.

  • Name and Signature

  • Position

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.