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Risk Assessment Template

Inspection

Overview

Description of procedure, task or worksite being assessed

Risk Matrix and Hierarchy of Controls

Risk Matrix Reference:

Hierarchy of Controls Reference:

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

Elimination
Substitution
Engineering Controls
Administrative Controls
PPE
Other

Explanation of controls

Elimination
Substitution
Engineering Controls
Administrative Controls
PPE
Other

Completion

Recommendations

Signature

Risk Assessment Template Checklist

Created by: SafetyCulture Staff | Industry: General | Downloads: 3,537

Document workplace hazards, risk ratings and control measures.

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