Information

  • Site ID

  • Conducted on

  • Risk Assessment Lead

  • Team Members (limit of 4 additional employees)

    Hazard Analysis
  • Department

  • Process

  • Task

(1). Crushing/Pinching

  • Is there risk of the load (e.g., material/equipment/vehicle, etc.) falling, rolling, shifting or collapsing?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there the potential for lack of capacity/control for the load to be slowed, stopped or immobilized?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there the potential for the load come into uncontrolled contact with moving parts of the facility operations during testing, inspection, use, maintenance, cleaning or repair?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there potential for material/equipment or a individual to fall/be thrown off or under the load?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there a potential for an individual to be trapped between the load and materials or fixed structures?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(2). Entanglement

  • Is there a risk of body parts, clothing, equipment, or other materials coming into contact with moving parts of the plant causing entanglement?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(3). Cutting, Stabbing and Puncturing

  • Is there a risk of an individual coming into contact with sharp or flying objects?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there a risk of an individual coming into contact with moving parts of the load or other equipment/structures during testing, inspection, operation, maintenance, cleaning or repair during the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there risk of the load (e.g., material/equipment/vehicle, etc.) falling, rolling, shifting or collapsing?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(4). Shearing / Burning / Friction

  • Is there the risk of an individual's body or clothing to be abraded or burned while performing the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there risk of an individual's body or clothing to be cut or sheared in performing the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(5). Striking

  • Is there a risk of an individual being struck by uncontrolled or unexpected movement of the load or structure during performance of the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(6). High Pressure Fluids/Gases

  • Is an individual at risk of coming into contact with high pressure fluids or gasses while performing the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(7). Electrical

  • Does the risk exist that the load could contact live electrical conductors during performance of the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there risk that an individual or the load will encounter electrical leads on the ground?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there risk of water to contact electrical equipment during performance of the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there the risk of overloading of electrical circuits during performance of the task? <br>

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(8). Chemical

  • Is there a risk of an individual being exposed to hazardous gasses, vapors, liquids, solids, powders/dusts during performance of the task?

  • Describe the hazard specific to the task

  • Who is at risk?

  • Is/are product Safety Data Sheet(s) available and immediately accessible?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(9). Slips, Trips or Falls

  • Is there a risk of an individual encountering uneven, cluttered, or slippery work surfaces during performance of the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there a risk of obstacles being placed in the proximity an individual driving a vehicle or managing a moving load as associated with this task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there a risk of an individual performing this task working at height in an uncontrolled manner (e.g., no individual or systemic fall prevention/control devices or procedures in place)?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(10). Ergonomic

  • Does performance of the task or use of associated equipment involve repetitive or sustained postures?

  • Describe the hazards specific to the task?

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Does performance of the task or use of associated equipment involve high force or jerking actions?

  • Describe the hazards specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Has there been a report of musculoskeletal disorder associated with the task?

  • Describe the hazards specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Does this task require employees to be working with their hands above their shoulder?

  • Describe the hazards specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazards specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(11). Suffocation/Asphyxiation

  • Is there a risk of an individual encountering a suffocating or asphyxiating environment during routine performance of the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there a risk to an individual performing the task of being exposed to a suffocating/asphyxiating environment due to a release of hazardous materials?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(12). Temperature

  • Is there a risk of an individual performing this task coming into contact with objects at temperatures high/low enough to cause discomfort or injury?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there a risk of an individual performing this task entering an environment with temperatures high/low enough to cause discomfort or injury?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(13). Light

  • Is the lighting in the area adequate for an individual to perform the task in a safe and efficient manner?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is the lighting excessive or have complaints been made about the lighting in the task area being too bright?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(14). Noise

  • Has the noise in the area while performing the task been judged to be too loud, excessive, or painful?

  • Describe the hazard specific to the task

  • Who is at risk?

  • What is the source of the noise?

  • Has a noise survey been performed in this area?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(15). Other Hazards

  • Are there hazardous conditions other than above mentioned categories including:

  • Is there a risk of fires or explosions due to flammable liquids or gasses associated with or on proximity to the area where the task is performed?

  • Describe the hazards specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other

  • Describe the hazards specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Process Sign-off

Risk Assessment Team

  • Team Lead Signature

  • Team Member Signature

  • Team Member Signature

  • Team Member Signature

  • Team Member Signature

Facility Leadership

  • Facility Leader 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.