Section 1.0 Review Date

  • All risk assessments should be reviewed annually or when there has been a change to the working process or work activity.

  • Review date:

Section 2.0 Risk Assesssment

  • Insert hazard details:

  • Hazard
  • Hazard:

  • Persons at risk:

  • Possible outcomes:

  • Add media

  • Current risk evaluation:

  • Severity:

  • Likelihood:

  • Risk level:

  • Risk evaluation:

  • Control measures to reduce likelihood:

  • Risk evaluation following control measures:

  • Severity:

  • Likelihood:

  • Risk level:

  • Risk evaluation:

  • Any recommended additional controls?

  • Additional control measures:

  • Risk evaluation following control measures:

  • Severity:

  • Likelihood:

  • Risk level:

  • Risk evaluation:

Signature of a competent person

  • Risk assessor signature

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