Title Page
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Job Description
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Conducted on
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Enter site name
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Prepared by
- Anthony Clegg
- Bradley Hunter
- Dan Livesey
- Florin Badescu
- Harry Edwards
- James Parker
- Jordan Barker
- Jordan Rust
- Martin Brown
- Morgan Reynolds
- Neal Depledge
- Paul Whitehouse
- Paul Bessent
- Richard Bowen
- Same Jennings
- Simon Stanfield
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Location
General
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Enter description of procedure, task or worksite being assessed
Hazards, Risks and Controls
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Click Add Hazard (+) after you have observed and identified a task and associated hazard
Hazard
Hazard
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Activity
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Description of hazards identified
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Photo of hazard (optional)
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Persons at risk
Initial risk rating
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Initial consequence
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Initial likelihood
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Initial risk rating
Controls
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Select control measures
- Elimination
- Substitution
- Engineering Controls
- Administrative Controls
- PPE
- Other
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Enter other control measures
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Enter description of control measures
Residual risk rating
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Residual consequence
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Residual likelihood
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Residual risk rating
Completion
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Recommendations
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Signature