Assessment

Hazard Identification

  • Enter description of procedure, task or worksite being assessed

Biological (e.g. hygiene, disease, infection)

  • Are there biological hazards observed?

  • Click Add Hazard after you have observed and identified a hazard

  • Hazard
  • Choose the type of hazard

  • Kindly specify

  • Description of hazard

  • Add media

Risk rating

  • Consequence

  • Likelihood

  • Risk rating

Controls

  • Select control measures

  • Kindly specify

Chemicals

  • Are there chemical hazards observed?

  • Click Add Hazard after you have observed and identified a hazard

  • Hazard
  • Choose the type of hazard

  • Description of hazard

  • Photo of hazard (optional)

  • Name of chemical(s) / Details

Risk rating

  • Consequence

  • Likelihood

  • Risk rating

Controls

  • Select control measures

  • Kindly specify

Critical Incident

  • Are there critical hazards observed?

  • Click Add Hazard after you have observed and identified a hazard

  • Hazard
  • Choose type of hazard resulting in:

  • Kindly specify

  • Description of hazard

  • Photo of hazard (optional)

Risk rating

  • Consequence

  • Likelihood

  • Risk rating

Controls

  • Select control measures

  • Kindly specify

Energy Systems

  • Are there energy system hazards observed?

  • Click Add Hazard after you have observed and identified a hazard

  • Hazard
  • Choose the type of hazard / incident or issues involving:

  • Kindly specify

  • Description of hazard

  • Photo of hazard (optional)

Risk rating

  • Consequence

  • Likelihood

  • Risk rating

Controls

  • Select control measures

  • Kindly specify

Environment

  • Are there environment hazards observed?

  • Click Add Hazard after you have observed and identified a hazard

  • Hazard
  • Choose type of hazard

  • Kindly specify

  • Description of hazard

  • Photo of hazard (optional)

Risk rating

  • Consequence

  • Likelihood

  • Risk rating

Controls

  • Select control measures

  • Kindly specify

Facilities / Built Environment

  • Are there facilities / built environment hazards observed?

  • Click Add Hazard after you have observed and identified a hazard

  • Hazard
  • Choose type of hazard

  • Kindly specify

  • Description of hazard

  • Photo of hazard (optional)

Risk rating

  • Consequence

  • Likelihood

  • Risk rating

Controls

  • Select control measures

  • Kindly specify

Machinery, Plant and Equipment

  • Are there machinery, plant and equipment hazards observed?

  • Click Add Hazard after you have observed and identified a hazard

  • Hazard
  • Choose type of hazard

  • Kindly specify

  • Description of hazard

  • Photo of hazard (optional)

Risk rating

  • Consequence

  • Likelihood

  • Risk rating

Controls

  • Select control measures

  • Kindly specify

Manual Tasks / Ergonomics

  • Are there manual tasks / ergonomics hazards observed?

  • Click Add Hazard after you have observed and identified a hazard

  • Hazard
  • Choose type of hazard

  • Kindly specify

  • Description of hazard

  • Photo of hazard (optional)

Risk rating

  • Consequence

  • Likelihood

  • Risk rating

Controls

  • Select control measures

  • Kindly specify

People

  • Are there people hazards observed?

  • Click Add Hazard after you have observed and identified a hazard

  • Hazard
  • Choose type of hazard

  • Kindly specify

  • Description of hazard

  • Photo of hazard (optional)

Risk rating

  • Consequence

  • Likelihood

  • Risk rating

Controls

  • Select control measures

  • Kindly specify

Others

  • Are there any other hazards not listed above?

  • Click Add Hazard after you have observed and identified a hazard

  • Hazard
  • Description of hazard

  • Photo of hazard (optional)

Risk rating

  • Consequence

  • Likelihood

  • Risk rating

Controls

  • Select control measures

  • Kindly specify

References

  • Risk Matrix Reference

  • Hierarchy of Controls Reference

Monitor and Review Controls

  • 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?

Completion

  • Recommendations

  • Full Name and Signature of the Inspector

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