Title Page

  • Site conducted

  • Document No.

  • Job Description

  • Date & Time

  • Location
  • Are there others working with you?

Take 5

  • Take 5

    Take 5.png
  • Procedure Flow Chart

    Procedure.png
  • Definitions:

    Hazard: any source of potential damage, harm or adverse health effect on somneone or something.

    Risk: The possible harm, (injury, illness or death), that may occur when a person is exposed to a hazard

    Risk Control: action taken to elliminate health and safety risks, so far as reasonably practicable, and if that is not possible, action taken to minimise the risk, so far as reasonable practicable. Elminating a hazard will also elliminate any risks associated with that hazard.

    Hierarchy of Control: the order in which risk control measures are to be considered

  • Risk Rating

    Matrix.jpg
  • Hierarchy of Control:

    The aim is to minimise risks to health and safety, by implementing risk control measures in accordance with the Hierarchy of Control.

    • Eliminating the hazard. Eliminating a hazard will also eliminate any risks associated with that hazard.

    Where elimination of the risk is not possible, the aim is to minimize risks, so far as is reasonably practicable, by implementing one or more of the following:

    • Substituting (wholly or partly) the hazard giving rise to the risk with something that gives rise to a lesser risk;

    • Isolating the hazard from any person exposed to it;

    • Implementing engineering controls.

    If a risk then remains, minimizing the remaining risk, so far as is reasonably practicable, by implementing:

    • Administrative controls.

    If a risk then remains, minimizing the remaining risk, so far as is reasonably practicable, by

    • Ensuring the provision and use of suitable Personal Protective Equipment.

    heirarchy.png

Risk Assessment

A - Prior to commencing the job

  • Do you understand the required task that has to be completed?

  • If you don't understand, contact your supervisor.

  • Do you understand the steps involved to complete this task?

  • If you don't understand, contact your supervisor.

B - Consider the Work Method to be followed

  • Have you identified the steps to be followed to complete the task?

  • If you don't understand, contact your supervisor.

  • Have you identified and arranged the necessary permits?

  • If you don't understand, contact your supervisor.

  • Select Permits

  • Identified and obtained the tools required to do the job properly?

  • If you don't understand, contact your supervisor.

  • Have you identified and completed the required isolation's? Considered all energy sources eg. (Electrical, Hydraulic, Pneumatic, Gravity)?

  • If you don't understand, contact your supervisor.

C - Identify and address any hazards associated with each

  • Mechanical Hazards

  • Add Risk

  • Risk
  • Select Hazard Type

  • What is the likelihood of harm?

  • What is the severity?

  • Using risk matrix what is the Severity x Likelihood

  • What Controls are Implemented?

  • Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)

  • Show risk matrix (for reference)

  • matrix.png
  • Electrical Hazards

  • Add Risk

  • Risk
  • Select Hazard Type

  • What is the likelihood of harm?

  • What is the severity?

  • Using risk matrix what is the Severity x Likelihood

  • What Controls are Implemented?

  • Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)

  • Show risk matrix (for reference)

  • matrix.png
  • Chemical Hazards

  • Add Risk

  • Risk
  • Select Hazard Type

  • What is the likelihood of harm?

  • What is the severity?

  • Using risk matrix what is the Severity x Likelihood

  • What Controls are Implemented?

  • Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)

  • Show risk matrix (for reference)

  • matrix.png
  • Ergonomic Hazards

  • Add Risk

  • Risk
  • Select Hazard Type

  • What is the likelihood of harm?

  • What is the severity?

  • Using risk matrix what is the Severity x Likelihood

  • What Controls are Implemented?

  • Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)

  • Show risk matrix (for reference)

  • matrix.png
  • Biological Hazards

  • Add Risk

  • Risk
  • Select Hazard Type

  • What is the likelihood of harm?

  • What is the severity?

  • Using risk matrix what is the Severity x Likelihood

  • What Controls are Implemented?

  • Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)

  • Show risk matrix (for reference)

  • matrix.png
  • Systems of Work

  • Add Risk

  • Risk
  • Select Hazard Type

  • What is the likelihood of harm?

  • What is the severity?

  • Using risk matrix what is the Severity x Likelihood

  • What Controls are Implemented?

  • Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)

  • Show risk matrix (for reference)

  • matrix.png
  • Location Hazards

  • Add Risk

  • Risk
  • Select Hazard Type

  • What is the likelihood of harm?

  • What is the severity?

  • Using risk matrix what is the Severity x Likelihood

  • What Controls are Implemented?

  • Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)

  • Show risk matrix (for reference)

  • matrix.png
  • Regulated Hazards

  • Add Risk

  • Risk
  • Select Hazard Type

  • What is the likelihood of harm?

  • What is the severity?

  • Using risk matrix what is the Severity x Likelihood

  • What Controls are Implemented?

  • Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)

  • Show risk matrix (for reference)

  • matrix.png
  • Radiation Hazards

  • Add Risk

  • Risk
  • Select Hazard Type

  • What is the likelihood of harm?

  • What is the severity?

  • Using risk matrix what is the Severity x Likelihood

  • What Controls are Implemented?

  • Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)

  • Show risk matrix (for reference)

  • matrix.png
  • Other Hazards

  • Add Risk

  • Risk
  • Select Hazard Type

  • What is the likelihood of harm?

  • What is the severity?

  • Using risk matrix what is the Severity x Likelihood

  • What Controls are Implemented?

  • Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)

  • Show risk matrix (for reference)

  • matrix.png

E- Safely Complete the Task

  • Implement the controls and complete the task safely

  • If the task cannot be performed safely, do NOT start, contact your supervisor.

  • Sign off on completed risk assessment

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.