Risk Register

• Risk Assessment Form

• Job Number

• Operation

• Prepared by

• Conducted on

  Date

Risk Assessment

Risk

Hazards

• List hazards here

Details of Possible Harm

• List harm here

Initial Risk Rating

• Risk Level

  Select Very Low Low Moderate High Very High Critical

  • Very Low
  • Low
  • Moderate
  • High
  • Very High
  • Critical

Control Measures

• List control measures here

• Levels of Control

  Select Eliminate (remove it completely from the workplace Substitute (wholly or party with a safer alternative Isolate (using physical barriers, time or distance) Engineering Controls (adapt tools or equipment to reduce the risk) Administration Controls (develop methods of work, processes and procedures) Personal Protective Equipment PPE (used as a last option)

  • Eliminate (remove it completely from the workplace
  • Substitute (wholly or party with a safer alternative
  • Isolate (using physical barriers, time or distance)
  • Engineering Controls (adapt tools or equipment to reduce the risk)
  • Administration Controls (develop methods of work, processes and procedures)
  • Personal Protective Equipment PPE (used as a last option)

Residual Risk Rating

• Risk Level

  Select Very Low Low Moderate High Very High Critical

  • Very Low
  • Low
  • Moderate
  • High
  • Very High
  • Critical

Review Date

• Enter Review Date

  Date

Manager/Supervisor Approval

• Form Authorised By

  Sign

• Review Date

  Date