Title Page

  • Document No.

  • Audit Title

  • Conducted on

  • Personnel

Risk

  • What is the risk being assesed ?

  • Take a photo.

Risk Rating Matrix

  • Estimate the LIKELIHOOD of an accident occurring which would result in the consequence

  • EXTREMELY UNLIKELY
    May occur but only in exceptional circumstances

    UNLIKELY
    Could occur at some time

    POSSIBLE
    Should occur at some time

    LIKELY
    Will probably occur in most circumstances

    ALMOST CERTAIN
    Is expected to occur in most circumstances

  • Select Likelihood

  • Determine the most credible CONSEQUENCE

  • INSIGNIFICANT
    Health & Safety - Temporary discomfort or pain
    Environment - No adverse impact (e.g. appearance issue only)
    Business Continuity - Process disruption, no impact on customer
    Reputation - Public concern limited to individuals. No broader political concern or media coverage.
    Regulatory Compliance - No requirement to report to authority.

    MINOR
    Health & Safety - First aid treatment
    Environment - Impact contained to site with simple clean up.
    Business Continuity - Process disruption with minor customer impact (e.g. late delivery)
    Reputation - Local community concern, political enquiry or media coverage.
    Regulatory Compliance - Mandatory reporting but authority unlikely to take any action

    MODERATE
    Health & Safety - Medical treatment. Lost work time.
    Environment - Impact contained to site requiring specialist clean up.
    Business Continuity - Damage to non-critical process(e.g. can transfer work to another process). Customer inconvenienced (e.g. customer suffers a loss)
    Reputation - Regioanl public concern, political enquiry or media coverage.
    Regulatory Compliance - Authority likely to give informal warning.

    MAJOR
    Health & Safety - Serious injury (e.g. amputation, admittance to hospital or permanant loss of body function)
    Environment - Significant local environmental impact. Specialist clean up required.
    Business Continuity - Loss of Key Process. Structural damage to facility. Loss of key supplier or customer. Financial loss > $500K
    Reputation - National public concern, political enquiry or media coverage. Reduced ability to obtain capital or insurance.
    Regulatory Compliance - Authority likely to give formal warning or on the spot fine. Litigation/prosecution possible.

    DISASTEROUS
    Health & Safety - Fatality
    Environment - Environmental impact of regional or national significance. Long term damage.
    Business Continuity - Effective loss of site. Long term loss of market share.
    Reputation - International public concern, political enquiry or media coverage. Reduced company or brand market value.
    Regulatory Compliance - Litigation / prosecution likely.

  • Select Consequence

  • Risk Score is 1 - Low

  • Manage by routine procedures.

  • Risk Score is 3 - Low

  • Manage by routine procedures.

  • Risk Score is 6 - Medium

  • Management responsibility must be specified.

  • Risk Score is 10 - High

  • Senior management attention needed.

  • Risk Score is 15 - High

  • Senior management attention needed.

  • Determine the most credible CONSEQUENCE

  • INSIGNIFICANT
    Health & Safety - Temporary discomfort or pain
    Environment - No adverse impact (e.g. appearance issue only)
    Business Continuity - Process disruption, no impact on customer
    Reputation - Public concern limited to individuals. No broader political concern or media coverage.
    Regulatory Compliance - No requirement to report to authority.

    MINOR
    Health & Safety - First aid treatment
    Environment - Impact contained to site with simple clean up.
    Business Continuity - Process disruption with minor customer impact (e.g. late delivery)
    Reputation - Local community concern, political enquiry or media coverage.
    Regulatory Compliance - Mandatory reporting but authority unlikely to take any action

    MODERATE
    Health & Safety - Medical treatment. Lost work time.
    Environment - Impact contained to site requiring specialist clean up.
    Business Continuity - Damage to non-critical process(e.g. can transfer work to another process). Customer inconvenienced (e.g. customer suffers a loss)
    Reputation - Regioanl public concern, political enquiry or media coverage.
    Regulatory Compliance - Authority likely to give informal warning.

    MAJOR
    Health & Safety - Serious injury (e.g. amputation, admittance to hospital or permanant loss of body function)
    Environment - Significant local environmental impact. Specialist clean up required.
    Business Continuity - Loss of Key Process. Structural damage to facility. Loss of key supplier or customer. Financial loss > $500K
    Reputation - National public concern, political enquiry or media coverage. Reduced ability to obtain capital or insurance.
    Regulatory Compliance - Authority likely to give formal warning or on the spot fine. Litigation/prosecution possible.

    DISASTEROUS
    Health & Safety - Fatality
    Environment - Environmental impact of regional or national significance. Long term damage.
    Business Continuity - Effective loss of site. Long term loss of market share.
    Reputation - International public concern, political enquiry or media coverage. Reduced company or brand market value.
    Regulatory Compliance - Litigation / prosecution likely.

  • Select Consequence

  • Risk Score is 2 - Low

  • Manage by routine procedures.

  • Risk Score is 5- Low

  • Manage by routine procedures.

  • Risk Score is 9 - Medium

  • Management responsibility must be specified.

  • Risk Score is 14 - High

  • Senior management attention needed.

  • Risk Score is 19 - Extreme

  • Detailed research and management planning is required at a senior level (i.e. Do we really need to have this risk and if so how is it best managed)

  • Determine the most credible CONSEQUENCE

  • INSIGNIFICANT
    Health & Safety - Temporary discomfort or pain
    Environment - No adverse impact (e.g. appearance issue only)
    Business Continuity - Process disruption, no impact on customer
    Reputation - Public concern limited to individuals. No broader political concern or media coverage.
    Regulatory Compliance - No requirement to report to authority.

    MINOR
    Health & Safety - First aid treatment
    Environment - Impact contained to site with simple clean up.
    Business Continuity - Process disruption with minor customer impact (e.g. late delivery)
    Reputation - Local community concern, political enquiry or media coverage.
    Regulatory Compliance - Mandatory reporting but authority unlikely to take any action

    MODERATE
    Health & Safety - Medical treatment. Lost work time.
    Environment - Impact contained to site requiring specialist clean up.
    Business Continuity - Damage to non-critical process(e.g. can transfer work to another process). Customer inconvenienced (e.g. customer suffers a loss)
    Reputation - Regioanl public concern, political enquiry or media coverage.
    Regulatory Compliance - Authority likely to give informal warning.

    MAJOR
    Health & Safety - Serious injury (e.g. amputation, admittance to hospital or permanant loss of body function)
    Environment - Significant local environmental impact. Specialist clean up required.
    Business Continuity - Loss of Key Process. Structural damage to facility. Loss of key supplier or customer. Financial loss > $500K
    Reputation - National public concern, political enquiry or media coverage. Reduced ability to obtain capital or insurance.
    Regulatory Compliance - Authority likely to give formal warning or on the spot fine. Litigation/prosecution possible.

    DISASTEROUS
    Health & Safety - Fatality
    Environment - Environmental impact of regional or national significance. Long term damage.
    Business Continuity - Effective loss of site. Long term loss of market share.
    Reputation - International public concern, political enquiry or media coverage. Reduced company or brand market value.
    Regulatory Compliance - Litigation / prosecution likely.

  • Select Consequence

  • Risk Score is 4 - Low

  • Manage by routine procedures.

  • Risk Score is 8 - Medium

  • Management responsibility must be specified.

  • Risk Score is 13 - High

  • Senior management attention needed.

  • Risk Score is 18 - Extreme

  • Detailed research and management planning is required at a senior level (i.e. Do we really need to have this risk and if so how is it best managed)

  • Risk Score is 22 - Extreme

  • Detailed research and management planning is required at a senior level (i.e. Do we really need to have this risk and if so how is it best managed)

  • Determine the most credible CONSEQUENCE

  • INSIGNIFICANT
    Health & Safety - Temporary discomfort or pain
    Environment - No adverse impact (e.g. appearance issue only)
    Business Continuity - Process disruption, no impact on customer
    Reputation - Public concern limited to individuals. No broader political concern or media coverage.
    Regulatory Compliance - No requirement to report to authority.

    MINOR
    Health & Safety - First aid treatment
    Environment - Impact contained to site with simple clean up.
    Business Continuity - Process disruption with minor customer impact (e.g. late delivery)
    Reputation - Local community concern, political enquiry or media coverage.
    Regulatory Compliance - Mandatory reporting but authority unlikely to take any action

    MODERATE
    Health & Safety - Medical treatment. Lost work time.
    Environment - Impact contained to site requiring specialist clean up.
    Business Continuity - Damage to non-critical process(e.g. can transfer work to another process). Customer inconvenienced (e.g. customer suffers a loss)
    Reputation - Regioanl public concern, political enquiry or media coverage.
    Regulatory Compliance - Authority likely to give informal warning.

    MAJOR
    Health & Safety - Serious injury (e.g. amputation, admittance to hospital or permanant loss of body function)
    Environment - Significant local environmental impact. Specialist clean up required.
    Business Continuity - Loss of Key Process. Structural damage to facility. Loss of key supplier or customer. Financial loss > $500K
    Reputation - National public concern, political enquiry or media coverage. Reduced ability to obtain capital or insurance.
    Regulatory Compliance - Authority likely to give formal warning or on the spot fine. Litigation/prosecution possible.

    DISASTEROUS
    Health & Safety - Fatality
    Environment - Environmental impact of regional or national significance. Long term damage.
    Business Continuity - Effective loss of site. Long term loss of market share.
    Reputation - International public concern, political enquiry or media coverage. Reduced company or brand market value.
    Regulatory Compliance - Litigation / prosecution likely.

  • Select Consequence

  • Risk Score is 7 - Medium

  • Management responsibility must be specified.

  • Risk Score is 12 - High

  • Senior management attention needed.

  • Risk Score is 17 - High

  • Senior management attention needed.

  • Risk Score is 21 - Extreme

  • Detailed research and management planning is required at a senior level (i.e. Do we really need to have this risk and if so how is it best managed)

  • Risk Score is 24 - Extreme

  • Detailed research and management planning is required at a senior level (i.e. Do we really need to have this risk and if so how is it best managed)

  • Determine the most credible CONSEQUENCE

  • INSIGNIFICANT
    Health & Safety - Temporary discomfort or pain
    Environment - No adverse impact (e.g. appearance issue only)
    Business Continuity - Process disruption, no impact on customer
    Reputation - Public concern limited to individuals. No broader political concern or media coverage.
    Regulatory Compliance - No requirement to report to authority.

    MINOR
    Health & Safety - First aid treatment
    Environment - Impact contained to site with simple clean up.
    Business Continuity - Process disruption with minor customer impact (e.g. late delivery)
    Reputation - Local community concern, political enquiry or media coverage.
    Regulatory Compliance - Mandatory reporting but authority unlikely to take any action

    MODERATE
    Health & Safety - Medical treatment. Lost work time.
    Environment - Impact contained to site requiring specialist clean up.
    Business Continuity - Damage to non-critical process(e.g. can transfer work to another process). Customer inconvenienced (e.g. customer suffers a loss)
    Reputation - Regioanl public concern, political enquiry or media coverage.
    Regulatory Compliance - Authority likely to give informal warning.

    MAJOR
    Health & Safety - Serious injury (e.g. amputation, admittance to hospital or permanant loss of body function)
    Environment - Significant local environmental impact. Specialist clean up required.
    Business Continuity - Loss of Key Process. Structural damage to facility. Loss of key supplier or customer. Financial loss > $500K
    Reputation - National public concern, political enquiry or media coverage. Reduced ability to obtain capital or insurance.
    Regulatory Compliance - Authority likely to give formal warning or on the spot fine. Litigation/prosecution possible.

    DISASTEROUS
    Health & Safety - Fatality
    Environment - Environmental impact of regional or national significance. Long term damage.
    Business Continuity - Effective loss of site. Long term loss of market share.
    Reputation - International public concern, political enquiry or media coverage. Reduced company or brand market value.
    Regulatory Compliance - Litigation / prosecution likely.

  • Select Consequence

  • Risk Score is 11 - High

  • Senior management attention needed.

  • Risk Score is 16 - High

  • Senior management attention needed.

  • Risk Score is 20 - Extreme

  • Detailed research and management planning is required at a senior level (i.e. Do we really need to have this risk and if so how is it best managed)

  • Risk Score is 23 - Extreme

  • Detailed research and management planning is required at a senior level (i.e. Do we really need to have this risk and if so how is it best managed)

  • Risk Score is 25 - Extreme

  • Detailed research and management planning is required at a senior level (i.e. Do we really need to have this risk and if so how is it best managed)

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