Risk Assessment

Information

Document No.
Audit Title
Client / Site
Conducted on
Prepared by

Hazards

Hazard Identification:

Entanglement
Select who may be at risk.
- Employees
- Contractors
- Visitors
- Young Persons
- Members of the public
- Delivery Drivers
Select the severity
Select the Likelihood of the Injury Occurring
Select the Risk Rating ( Severity X Likelihood
Risk is Okay
Add Media if required
Risk is not Okay
Add media if required
Cutting,stabbing or Puncturing
Select who may be at risk.
- Employees
- Contractors
- Visitors
- Young Persons
- Members of the public
- Delivery Drivers
Select the severity
Select the Likelihood of the Injury Occurring
Select the Risk Rating ( Severity X Likelihood
Risk is Okay
Add media if required
Risk is not Okay
Add media if required
Striking
Select who may be at risk.
- Employees
- Contractors
- Visitors
- Young Persons
- Members of the public
- Delivery Drivers
Select the severity
Select the Likelihood of the Injury Occurring
Select the Risk Rating ( Severity X Likelihood
Risk is Okay
Add media if required
Risk is not Okay
Add media if required
Shearing/Burning/Friction
Select who may be at risk.
- Employees
- Contractors
- Visitors
- Young Persons
- Members of the public
- Delivery Drivers
Select the severity
Select the Likelihood of the Injury Occurring
Select the Risk Rating ( Severity X Likelihood
Risk is Okay
Add media if required
Risk is not Okay
Add media if required
High Pressure (Fluid/Gases)
Select who may be at risk.
- Employees
- Contractors
- Visitors
- Young Persons
- Members of the public
- Delivery Drivers
Select the severity
Select the Likelihood of the Injury Occurring
Select the Risk Rating ( Severity X Likelihood
Risk is Okay
Add media if required
Risk is not Okay
Add media if required
Electrical
Select who may be at risk.
- Employees
- Contractors
- Visitors
- Young Persons
- Members of the public
- Delivery Drivers
Select the severity
Select the Likelihood of the Injury Occurring
Select the Risk Rating ( Severity X Likelihood
Risk is Okay
Add media if required
Risk is not Okay
Add media if required
Gases or Vapours
Select who may be at risk.
- Employees
- Contractors
- Visitors
- Young Persons
- Members of the public
- Delivery Drivers
Select the severity
Select the Likelihood of the Injury Occurring
Select the Risk Rating ( Severity X Likelihood
Risk is Okay
Add media if required
Risk is not Okay
Add media if required
Slips/Trips/Falls
Select who may be at risk.
- Employees
- Contractors
- Visitors
- Young Persons
- Members of the public
- Delivery Drivers
Select the severity
Select the Likelihood of the Injury Occurring
Select the Risk Rating ( Severity X Likelihood
Risk is Okay
Add media if required
Risk is not Okay
Add media if required
Manual Handling
Select who may be at risk.
- Employees
- Contractors
- Visitors
- Young Persons
- Members of the public
- Delivery Drivers
Select the severity
Select the Likelihood of the Injury Occurring
Select the Risk Rating ( Severity X Likelihood
Risk is Okay
Add media if required
Risk is not Okay
Add media if required
Extreme of Temperature
Select who may be at risk.
- Employees
- Contractors
- Visitors
- Young Persons
- Members of the public
- Delivery Drivers
Select the severity
Select the Likelihood of the Injury Occurring
Select the Risk Rating ( Severity X Likelihood
Risk is Okay
Add media if required
Risk is not Okay
Add media if required
Light
Select who may be at risk.
- Employees
- Contractors
- Visitors
- Young Persons
- Members of the public
- Delivery Drivers
Select the severity
Select the Likelihood of the Injury Occurring
Select the Risk Rating ( Severity X Likelihood
Risk is Okay
Add media if required
Risk is not Okay
Add media if required
Noise
Select who may be at risk.
- Employees
- Contractors
- Visitors
- Young Persons
- Members of the public
- Delivery Drivers
Select the severity
Select the Likelihood of the Injury Occurring
Select the Risk Rating ( Severity X Likelihood
Risk is Okay
Add media if required
Risk is not Okay
Add media if required
Any other Hazard not listed
Select who may be at risk.
- Employees
- Contractors
- Visitors
- Young Persons
- Members of the public
- Delivery Drivers
Select the severity
Select the Likelihood of the Injury Occurring
Select the Risk Rating ( Severity X Likelihood
Risk is Okay
Add media if required
Risk is not Okay
Add media if required

Existing Controls

Hazard Selection

- Entanglement
- Cutting/Stabbing/Puncturing
- Striking
- Shearing/Burning/Friction
- High Pressure (Fluids/Gases)
- Electrical
- Gases or Vapours
- Slips/Trips/Falls
- Manual Handling
- Extreme of Temperature
- Light
- Noise
- Other Hazard
Contributing Factors
Existing Contols
Risk Status

Risk Control Action Plan

Hazard Rectification

- Entanglement
- Cutting/Stabbing/Puncturing
- Striking
- Shearing/Burning/Friction
- High Pressure (Fluids/Gases)
- Electrical
- Gases or Vapours
- Slips/Trips/Falls
- Manual Handling
- Extreme of Temperature
- Light
- Noise
- Other Hazard
Further Controls/Actions required
Who is responsible for actions?
Date by when actions should be completed
Date when actions are completed