Hobsons Bay City Council Workplace Safety Risk Assessment

This workplace risk assessment template can be used by any member of the senior leadership team, coordinator group, and health & safety representatives to do the following: 1) Decide on the focus of the workplace risk assessment by stating the goal, scope, and other important details (when and where workplace risk assessment will be performed); 2) Identify hazards, risks caused by the hazards, and who might be harmed by these risks; 3) Evaluate risks by estimating likelihood and consequences of risk and using the risk matrix provided to identify risk levels (high, medium, low); 4) Develop effective risk control measures when hazards cannot be eliminated; and 5) Specify how often the workplace risk assessment will be reviewed.

Title Page

Location of the Workplace
Prepared on
Prepared by

Focus of the Workplace Risk Assessment

Goal of the Workplace Risk Assessment

Why is this workplace risk assessment needed? (Other than being legally required)
How could this workplace risk assessment help your business and your employees?
What is the intended result, effect, or output of this workplace risk assessment?

Scope of the Workplace Risk Assessment

What's included in this workplace risk assessment?
What's not included in this workplace risk assessment?

Important Details Regarding the Workplace Risk Assessment

Who will be involved in this workplace risk assessment and what level of responsibility or participation do they have?
Where (specific room, site, facility, building, or area) will this workplace risk assessment be performed?
When will this workplace risk assessment be performed?

Workplace Risk Assessment

To begin the workplace risk assessment, select the "+" icon next to Hazard:
Description of hazard
Photo of the hazard (optional)
Risk related to hazard
Who might be harmed?
Risk likelihood
Risk consequences
Use this risk matrix to identify the risk level:
Risk level
Hazard causing risk can be eliminated?
Are you already doing something to control this risk (existing risk control measure)?
Develop a risk control measure targeting this risk.
Briefly describe the existing control measure:
Further action needed to control the risk?
Select the "Action" icon to create an action, assign it to someone, and set a due date.
Eliminate the hazard causing the risk.
Are you already doing something to control this risk (existing risk control measure)?
Briefly describe the existing control measure:
Further action needed to control the risk?
Select the "Action" icon to create an action, assign it to someone, and set a due date.
Further action needed to control the risk?
Select the "Action" icon to create an action, assign it to someone, and set a due date.
Monitor this risk.
To ADD another hazard to the workplace risk assessment, select the "+" icon next to Hazard.
To END the workplace risk assessment, select the "Next Page >" button at the bottom right.

Completion/Review

What risk control measures have you developed?
How will you monitor the effectiveness of these risk control measures?
How often will you review this workplace risk assessment?
The OHS Team recommends reviewing workplace risk assessments at least annually.
Name and Signature of Management Representative
Did the management representative perform the workplace risk assessment himself/herself?
Name, Signature and Position of other participant/s