Risk Identification

Location or Dept

Other pertinent information

Type of issue.

Identification of Risk

Picture - if possible

Under what circumstances would this risk be realized?

What would the potential consequences of this risk be if realized?


What is the desired state?

What is the risk probability?
What are the consequences?

Recommendations and actions

When is the target date for resolution?

Estimated / actual cost

Actual date of resolution
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.