Title Page

  • Employee Name

  • Department

  • Location
  • Conducted on

  • Prepared by

Individual Stress Assessment for Managers to complete

  • Click + to add identifying factors that may cause workplace stress

  • Stress
  • Stress categories

  • Specific causes of workplace stress identified within each category

  • Existing workplace precautions already in place

  • Additional Workplace precautions to be implemented for individual

  • Will the precautions implemented avoid workplace stress or reduce the causes of stress?

  • Please describe.

Completion

  • Additional Comments

  • Full Name and Signature of Manager

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.