Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

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Step 1. Identify the Hazards

  • To use this tool, read the statements below and tick ‘yes’ to any of the statements you agree with,
    making any relevant comments that should be considered as part of the risk assessment process.
    This risk assessment tool can be used as a stand-alone assessment or in conjunction with an
    employee survey.
    This tool forms part of the risk management process. Risk management is a four-step process for
    controlling exposure to health and safety risks associated with hazards in the workplace, with
    consultation with workers occurring at each step. As outlined in the Work Health and Safety Act 2012,
    consultation is an essential part of the risk management process.

Workplace Data

  • Are there any indications when looking at employee sick leave, with<br>or without certificates, which show relevant trends (e.g. headaches,<br>recurrent colds or flu and musculoskeletal disorders)?

  • Are there any departments, units, roles or positions that are showing<br>higher levels of sick leave compared with others?

  • Are there any cases of annual or long service leave (or non-usage) as<br>a result of psychological risk factors or work-related stress (e.g. using<br>annual leave when sick leave is depleted or not using annual leave<br>due to work pressure)?

  • Are there cases of workers’ compensation for psychological injuries<br>(e.g. post-traumatic stress disorder, anxiety and/or depression)?

  • Are there trends or common themes in complaints or workplace<br>grievances?

  • Are there trends in the Employee Assistance Program (EAP) usage and<br>types of issues managed?

  • Are there industrial relations records or disputes that link to job<br>stress or dissatisfaction in the workplace?

  • Are there any related and unresolved issues in minutes of meetings<br>(e.g. workload or change in work roles)?

  • Are there work schedule records that reflect on work, overtime usage<br>or other relevant information?

  • Is there a lack of knowledge and compliance with the organisation’s<br>policies and procedures related to psychological health (e.g.<br>harassment, bullying or discrimination)?

  • Additional comments?

Direct observation

  • Are there any understaffed work areas?

  • Are there any people showing signs of stress (e.g. verbal abuse,<br>openly criticising others or the organisation, general frustration with<br>work environment, incivility)?

  • Are there work areas where employees handle conflict destructively<br>(e.g. using blame language or personal criticism)?

  • Do workers seem to be ‘on edge’ or hypervigilant when discussing<br>work or working through problems?

  • Do workers attend work showing signs of illness (i.e. colds and flus)?

  • Additional comments?

Step 2. Assess and prioritise risk Psychosocial hazards and factors 1.

  • Low job control:
    This factor is related to control over and involvement
    in decisions that could be reasonably expected in a
    job or role.

  • Work methods that are predetermined (e.g. how<br>the work is undertaken and the approach taken is<br>already decided for the worker)

  • Limited control over priorities or workload

  • Workers are not consulted about decisions<br>impacting them

  • Inability to access necessary tools, resources or<br>information

  • The pace of work

  • Shift work

  • Other (please specify)

Psychosocial hazards and factors 2.

  • High or low job demands:
    This factor relates to the various demands placed on
    employees in their roles.

  • Lack of variety in tasks

  • Monotonous, under stimulating or meaningless<br>work

  • High uncertainty

  • Low social value of work

  • Continuous exposure to people through work

  • Tasks that require emotions to be hidden

  • Roles that involve dealing with difficult people/<br>clients

  • Work overload or underload

  • Machine pacing

  • Having too much or too little to do

  • Working under time pressure

  • Continually subjected to deadlines

  • Tasks that required extreme concentration

  • Roles that require difficult environments (e.g.<br>loud noise, vibrations, poor lighting)

  • Roles that require regular overtime

  • Roles that are exposed to emotionally disturbing<br>events

  • Other (please specify)

Psychosocial hazards and factors 3.

  • Poor support
    This factor relates to the practical assistance and
    emotional support that team members or managers
    provide.

  • Inadequate or absent supervision

  • Low levels of support for problem solving and<br>personal development

  • Inconsiderate or unsupportive supervision

  • Social or physical isolation

  • Poor relationship with co-workers

  • Poor relationships with supervisors/managers

  • Interpersonal conflict

  • Lack of social support

  • Isolated or solitary work

  • Other (please specify)

Psychosocial hazards and factors 4.

  • Low role clarity
    This factor relates to the degree of certainty with
    regard to role requirements and responsibilities.

  • Unclear work role

  • Conflicting roles within the same job

  • Lack of definition of or agreement on<br>organisational objectives and structure

  • Other (please specify)

Psychosocial hazards and factors 5.

  • Poor workplace relationships:
    This factor relates to the quality of relationships and/
    or degree of conflict among workers or teams.

  • Social or physical isolation

  • Poor relationships with co-workers

  • Poor relationships with superiors

  • Lack of social support

  • Bullying, harassment and violence

  • Isolated or solitary work

  • Lack of agreed procedures or knowledge of<br>procedure for dealing with workplace problems<br>or complaints

  • Poor trust among employees and towards<br>management

  • Other (please specify)

Psychosocial hazards and factors 6.

  • Poor organisational change management:
    This factor relates to how organisational change is
    managed.

  • Management of organisational change is not<br>done or not done well

  • Lack of communication within the workplace

  • Rigidity of work practices

  • Job insecurity

  • Career uncertainty

  • Stagnation

  • Other (please specify)

Psychosocial hazards and factors 7.

  • Low rewards and recognition:
    This factor relates to the acknowledgement provided
    to workers.

  • Absence of mechanisms for feedback and/or goal<br>setting

  • Feedback or acknowledgement that is not<br>meaningful

  • Inequitable reward and recognition practices

  • Other (please specify)

Psychosocial hazards and factors 8.

  • Poor organisational justice:
    This factor relates to the perceptions of fairness at
    work.

  • Bias of work procedures

  • Inconsistency of applied procedures

  • Lack of respect given to employees during the<br>process

  • Unclear or unfair processes for performance<br>appraisal and management

  • Other (please specify)

Psychosocial hazards and factors 9.

  • Remote and isolated work:
    This factor relates to work that is isolated from the
    assistance of others because of the location, time
    or nature of the work being done. Assistance from
    others includes rescue, medical assistance and
    emergency services.

  • Sleep during shifts (Fatigue Management)

  • Long distance travel

  • Field work alone

  • Remote and isolated work roles should consider:

  • Access to communication devices

  • Frequency of contact with other Workers, Supervisors or Managers

  • Length of time away from others

  • Difficulty of immediate rescue or attendance of emergency services

  • Whether high risk activities are involved

  • Likelihood of animal attack (ie Snake bite/Farm animals)

  • Likelihood of violence or aggression from customers or clients

Psychosocial hazards and factors 10.

  • Violent events:
    This factor relates to workplace incidents that involve
    exposure to abuse, the threat of, or actual harm that
    causes fear and distress and can lead to stress and/
    or physical injury.

  • Potential exposure to Robbery

  • Assault

  • Being bitten, spat at, scratched or kicked

  • Being threatened with a weapon

  • Other (please specify)

Psychosocial hazards and factors 11.

  • Traumatic events:
    This factor refers to any workplace events that may
    be perceived as traumatic or distressing. Examples
    include:

  • Exposure to a fatality or serious injury

  • Exposure to a medical situation that is distressing

  • Exposure to a violent incident

Sign off on completion

  • Psychosocial risk assessment tool

  • Step 4: Review effectiveness of controls

  • Review of control implementation plan

  • Are control measures in place?

  • Are controls eliminating or minimising the risk to an acceptable residual risk level?

  • (Attach copies of documentation to support this.)

  • Are there any new or remaining risks which need further attention?

  • Who was involved/consulted in the review?

  • Name:

  • Position:

  • Signature:

  • Date:

  • Name:

  • Position:

  • Signature:

  • Date:

  • Name:

  • Position:

  • Signature:

  • Date:

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.