Inspection

Overview

Description of procedure, task or worksite being assessed

Risk Matrix and Hierarchy of Controls

Risk Matrix Reference:

risk_matrix.png

Hierarchy of Controls Reference:

controls.png
Hazard Register
Hazard

Description of hazard

Photo of hazard
Risk Rating

Consequences

Likelihood

Risk Rating (refer risk matrix above)

Comments/ observations

Controls
Select control measures

Enter other

Explanation of controls
Completion

Recommendations

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