Title Page

  • Conducted on

  • Prepared by

  • Location


  • Instructions
    1. Observe and identify workplace hazards on site which could cause harm to workers. Follow and repeat the steps below for all hazards identified
    2. Click "Add Hazard" to begin documenting risk assessment
    3. Describe hazard and take photo and include annotations where required
    4. Assess the risk rating based on risk matrix reference at bottom of template
    5. Attach any photos, notes or corrective actions by clicking on the paperclip icon
    6. Select the appropriate controls with reference to the hierarchy of controls at bottom of template
    Complete the risk assessment by providing general recommendations and signature
    Generate and export report in PDF, Word or Web Links

  • Enter description of procedure, task or worksite being assessed

Hazards, Risks and Controls

  • Click Add Hazard (+) after you have observed and identified a hazard

  • Hazard


  • Description of hazard

  • Photo of hazard (optional)

Initial risk rating

  • Initial consequence

  • Initial likelihood

  • Initial risk rating


  • Select control measures

  • Enter other control measures

Residual risk rating

  • Residual consequence

  • Residual likelihood

  • Residual risk rating


  • Risk Matrix Reference

  • Hierarchy of Controls Reference


  • Recommendations

  • Signature

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.