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