Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Work Activity

  • Advise the work activity that appears to be a risk

  • Enter details of activity

Risks Identified

  • List all the risks identified in relation to the particular activity

  • Take picture of risk if possible

Who might be harmed?

  • Who can be harmed or affected by these risks?

Description

  • Advise description of risks

Probability of Occurance

  • Indicate the Probability of Occurance

Risk Rating

  • Indicate the impact level of this risk from HIGH (Castrophical) - MEDIUM (Critical) or LOW (Marginall)

Existing Measures

  • Were there any existing measures in place to control this risk? If yes, please advise in detail

Resolution

  • Indicate if this risk can be controlled immediately or not

Implementation Plan

  • Who will action the implementation ?

  • When will this be actioned and completed by?

Completion

  • Risk assessment has been completed

  • Risks reported have been resolved and completed

  • Date of Risk Assessment

  • Date of Completion

  • WHS Representative 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.