Hazardous Tree Risk Assessment and Control Template

• Conducted on

• Prepared by

• Location

General

• Instructions
  ------------------------------
  1. Observe and identify workplace hazards on site which could cause harm to workers. Follow and repeat the steps below for all hazards identified
  2. Click "Add Hazard" to begin documenting risk assessment
  3. Describe hazard and take photo and include annotations where required
  4. Assess the risk rating based on risk matrix reference included in this template
  5. Attach any photos, notes or corrective actions by clicking on the paperclip icon
  6. Select the appropriate controls with reference to the hierarchy of controls included in this template
  Complete the risk assessment by providing general recommendations and signature
  Generate and export report in PDF, Word or Web Links

References

• Hierarchy of Controls Reference

  

• Risk Matrix Reference

  

Hazards, Risks and Controls

• Enter description of procedure, task or worksite being assessed

Hazard

Hazard

• Description of hazard

• Photo of hazard (optional)

  Media

Risk rating

• Consequences

  Catastrophic

  Major

  Moderate

  Minor

  Insignificant

• Likelihood

  Almost certain

  Likely

  Possible

  Unlikely

  Rare

• Risk rating

  Select 10 9 8 7 6 5 4 3 2

  • 10
  • 9
  • 8
  • 7
  • 6
  • 5
  • 4
  • 3
  • 2

Controls

• Select control measures

  Select Elimination Substitution Engineering Controls Administrative Controls PPE Other

  • Elimination
  • Substitution
  • Engineering Controls
  • Administrative Controls
  • PPE
  • Other

• Enter other control measures

Completion

• Recommendations

• Signature

  Sign

• Signature

  Sign