Section 1.0 Review Date Section 2.0 Risk Assesssment
Insert hazard details:
Hazard
Hazard:
Persons at risk:
Select
Employees
Contractors
Visitors
Employees Contractors Visitors
Possible outcomes:
Add media
Media
Current risk evaluation:
Severity:
1: Nil - Very minor
2: Slight - First Aid Treatment
3: Moderate - RIDDOR over 3 days
4: High - Death, serious injury, permanent disability.
5: Very High - Multiple deaths
Likelihood:
1: Remote Posibility
2: Unlikely
3: Possible
4: Highly Likely
5: Inevitable
Risk level:
Select
1
2
3
4
5
6
7
8
9
10
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14
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16
17
18
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25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Risk evaluation:
1-4: Broadly acceptable
5-9: Moderate - reduce risks if reasonably practical
10-15: High Risk - Priority action to be taken
16-25: Unacceptable - Action must be taken immediately
Control measures to reduce likelihood:
Risk evaluation following control measures:
Severity:
1: Nil - Very minor
2: Slight - First Aid Treatment
3: Moderate - RIDDOR over 3 days
4: High - Death, serious injury, permanent disability.
5: Very High - Multiple deaths
Likelihood:
1: Remote Posibility
2: Unlikely
3: Possible
4: Highly Likely
5: Inevitable
Risk level:
Select
1
2
3
4
5
6
7
8
9
10
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25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Risk evaluation:
1-4: Broadly acceptable
5-9: Moderate - reduce risks if reasonably practical
10-15: High Risk - Priority action to be taken
16-25: Unacceptable - Action must be taken immediately
Any recommended additional controls?
Additional control measures:
Risk evaluation following control measures:
Severity:
1: Nil - Very minor
2: Slight - First Aid Treatment
3: Moderate - RIDDOR over 3 days
4: High - Death, serious injury, permanent disability.
5: Very High - Multiple deaths
Likelihood:
1: Remote Posibility
2: Unlikely
3: Possible
4: Highly Likely
5: Inevitable
Risk level:
Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
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24
25
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Risk evaluation:
1-4: Broadly acceptable
5-9: Moderate - reduce risks if reasonably practical
10-15: High Risk - Priority action to be taken
16-25: Unacceptable - Action must be taken immediately
Signature of a competent person
Risk assessor signature
Sign
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