Information

  • Risk Assessment Form

  • Document No.

  • Company Name

  • Operation

  • Conducted on

  • Prepared by

Risk Assessment

    Risk

Hazards

  • Hazards

  • List other hazards here

Details of Possible Harm

  • Harm

  • List other harmful outcomes here

Initial Risk Rating

  • Risk Level

Control Measures

  • Turn on guidance

  • List the appropriate control measures for the task

    Hierarchy_of_Controls.png
  • Elimination Measures

  • Substitution Measures

  • Isolation Measures

  • Engineering Measures

  • Administration Measures

  • Choose PPE appropriate to the task

Plant & Equipment

  • Choose the plant and equipment required for the job

  • List any other plant and equipment here

Residual Risk Rating

  • Risk Level

Review Date

  • Enter Review Date

Approvals

Manager/Supervisor Approval

  • Form Authorised By

  • Review 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.