Risk Assessments

• Location / Site

• Prepared by

• Conducted on

  Date

Risk Assessment

• Title:

• Has a SWMS / JSA been carried out for the task?

  Yes

  No

  N/A

• Is the SWMS / JSA sufficient for the task?

  Yes

  No

  N/A

• Does SWMS reflect the current job steps?

  Yes

  No

  N/A

• Have all hazards associated with the task been identified?

  Yes

  No

  N/A

• Are the hazard controls adequate?

  Yes

  No

  N/A

• Was the work group involved in development of the SWMS / JSA?

  Yes

  No

  N/A

• Has the work group signed on the SWMS / JSA?

  Yes

  No

  N/A

• Is the work being carried out in line with SWMS / JSA?

  Yes

  No

  N/A

• Are emergency requirements identified in the SWMS / JSA?

  Yes

  No

  N/A

• Has the Supervisor been identified on the SWMS / JSA?

  Yes

  No

  N/A

• Further Findings:

• Name:

• Select date

  Date

• Signature:

  Sign