• Site conducted

  • Client :

  • Contractor:

  • Location:

  • Date/Time:

Site Information


  • Maps Provided and Discussed

  • What are the high risk areas?

  • High risk areas identified, discussed and marked on the map?

  • What are the environmental issues?

  • What are the operator issues ?

  • Emergency Assembly Point

  • Physical GPS Coordinates

Site Risk Assessment

    Add Hazard
  • Risk Matrix

    RA Matrix.JPG
  • Hazard

  • Initial Risk Rating

  • Controls (How are we going to reduce this Risk? Eliminate, Minimise)

  • Residual Risk Rating - after the controls are in place

  • Controls Hierachy

  • Photo of Hazard (if required)

Confirm Understanding

  • Foreman Signature

  • Supervisor Signature

  • Add signature
  • Additional Signature

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.