Title Page

  • Location / Site

  • Prepared by

  • Conducted on

Risk Assessment

  • Title:

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

  • Is the SWMS / JSA sufficient for the task?

  • Does SWMS reflect the current job steps?

  • Have all hazards associated with the task been identified?

  • Are the hazard controls adequate?

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

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

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

  • Are emergency requirements identified in the SWMS / JSA?

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

  • Further Findings:


  • Name:

  • Select date

  • 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.