Assessment
Enter description of procedure, task or worksite being assessed
Are there biological hazards observed?
Choose the type of hazard
Description of hazard
Consequence
Likelihood
Risk rating
- Elimination
- Substitution
- Engineering Controls
- Administrative Controls
- PPE
- Other
Are there chemical hazards observed?
Choose the type of hazard
Description of hazard
Name of chemical(s) / Details
Consequence
Likelihood
Risk rating
- Elimination
- Substitution
- Engineering Controls
- Administrative Controls
- PPE
- Other
Are there critical hazards observed?
Choose type of hazard resulting in:
Description of hazard
Consequence
Likelihood
Risk rating
- Elimination
- Substitution
- Engineering Controls
- Administrative Controls
- PPE
- Other
Are there energy system hazards observed?
Choose the type of hazard / incident or issues involving:
Description of hazard
Consequence
Likelihood
Risk rating
- Elimination
- Substitution
- Engineering Controls
- Administrative Controls
- PPE
- Other
Are there environment hazards observed?
- Sun exposure
- Water (creek, river, beach, dam)
- Sound / Noise
- Animals / Insects
- Storms / Weather
- Temperature (heat, cold)
- Other
Description of hazard
Consequence
Likelihood
Risk rating
- Elimination
- Substitution
- Engineering Controls
- Administrative Controls
- PPE
- Other
Are there facilities / built environment hazards observed?
- Buildings and fixtures
- Driveway / Paths
- Workshops / Work rooms
- Playground equipment
- Furniture
- Swimming pool
- Other
Description of hazard
Consequence
Likelihood
Risk rating
- Elimination
- Substitution
- Engineering Controls
- Administrative Controls
- PPE
- Other
Are there machinery, plant and equipment hazards observed?
Choose type of hazard
Description of hazard
Consequence
Likelihood
Risk rating
- Elimination
- Substitution
- Engineering Controls
- Administrative Controls
- PPE
- Other
Are there manual tasks / ergonomics hazards observed?
Choose type of hazard
Description of hazard
Consequence
Likelihood
Risk rating
- Elimination
- Substitution
- Engineering Controls
- Administrative Controls
- PPE
- Other
Are there people hazards observed?
- Students
- Staff
- Parents
- Physical
- Psychological / Stress
- Other
Description of hazard
Consequence
Likelihood
Risk rating
- Elimination
- Substitution
- Engineering Controls
- Administrative Controls
- PPE
- Other
Are there any other hazards not listed above?
Description of hazard
Consequence
Likelihood
Risk rating
- Elimination
- Substitution
- Engineering Controls
- Administrative Controls
- PPE
- Other
Risk Matrix Reference
Hierarchy of Controls Reference
Are the planned control measures sufficient and effective in minimizing the level of risk?
Have there been any changes to the planned control measures?
Are further control measures required in future?
Recommendations
