Hazards considered

  • Unexpected movement of plant/machinery

  • Being struck by moving parts

  • Falling from height

  • Sharp tools or components

  • Mobile equipment

  • Collapse of infrastructure

  • Exposure to dust/fumes/vapours/noise

  • Exposure to extreme hot or cold

  • Fluids under pressure

  • Contact with live electrical conductors

  • Missing/removed Guarding and safety devices

  • Slips, trips and falls

  • Injury from manual handling

  • Using the wrong tools for the job

  • Poor housekeeping, disposal of waste

Hazard Information

  • Describe the hazard (include photos)

  • Likely hood

  • Consequence

  • How could the incident occur?

  • What is the most likely consequence if an incident occurs?

  • Who is exposed to the hazard?

  • How frequently are personal exposed to the hazard?

  • Frequency Rate

  • What is the likelihood of the hazard occurring?

  • Likely hood

Details of recommended controls

  • Control

  • Control

  • Control

  • Control

  • Control

  • Control

Implementation plan

  • Action Required

  • Person Responsible

  • Action Due Date

  • Action Required

  • Person Responsible

  • Action Due Date

  • Action Required

  • Person Responsible

  • Action Due Date

  • Action Required

  • Person Responsible

  • Action Due Date

  • Action Required

  • Person Responsible

  • Action Due Date

Sign off/close out

  • Risk Assessment conducted by?

  • Risk Assessment conducted by?

  • Risk Assessment conducted by?

  • Risk Assessment conducted by?

  • Risk Assessment conducted by?

  • Risk Assessment conducted by?

Manager review

  • Add signature

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