• 5 - Safety: Catastrophic (very serious injury or illness, severe cut, knock with fracture and crack, unbearable pain, fainting, require medical treatment, hospitalization, lost days expected, partial disability, permament disable, fatality, damage to a major section of the property, major health issue detected).
    Environment: Serious Pollution > 45 gals (more 203 liters)
    4 - Safety: Serious Effect (serious injury or illness; severe cut, knock with severe swelling, very much inpain, fainting, require medical treatment, lost days expected, major damage to property, high potential for chronic health issue to develop). Lost Time injury > 90 days PTD or fatality.
    Environment: Serious pollution < 45 gals (203 liters)
    3 - Safety: Major Effect (major injury or illness; major cut requiring first aid treatment, knock with major swelling, very much inpain, fainting, require medical treatment, 1 lost day, damage to machine, tool, minor health issue to develop). Lost Time Injury > 30 days.
    Environment: Moderate pollution < 20 gals (90 liters)
    2 - Safety: Minor Effect (minor injury or illness, scratch, minor cut, knock with swelling, considerable pain, require first aid, need rest, can continue to work, minor scratches to machne, tools, very low potential for chronic heallth issue to develop). Medical Treatment Injury, return to work < 3 days.
    Environment: Minor Pollution < 10 gals (45 liters)
    1 - Safety: Insignificant Effect / with or without First Aid injury (minor injury or illness; minor scratch(no blood), knock, some pain, inconvenience, smell, no first aid required, can continue to work, knock/scratches to machine, unlikely of chronic health issue to develop).
    Environment: Trivial Pollution contained < 1 gal (4.5 liters)

  • High
    Extreme/significant Risk; immediate action required; must be managed by department management with a detailed plan.

    Medium
    Moderate Risk; addition control or management responsibility must be specified; manage by specific monitoring or response procedures

    Low
    Low Risk; manage by routine procedures; unlikely to need specific allocation of resources

  • Findings #1

  • Severity

  • Likelihood

  • Risk Assessment

  • Remarks

  • Action owner

  • Findings #2

  • Severity

  • Likelihood

  • Risk Assessment

  • Remarks

  • Action owner

  • Findings #3

  • Severity

  • Likelihood

  • Risk Assessment

  • Remarks

  • Action owner

  • Findings #4

  • Severity

  • Likelihood

  • Risk Assessment

  • Remarks

  • Action owner

  • Findings #5

  • Severity

  • Likelihood

  • Risk Assessment

  • Remarks

  • Action owner

  • Findings #6

  • Severity

  • Likelihood

  • Risk Assessment

  • Remarks

  • Action owner

  • Findings #7

  • Likelihood

  • Severity

  • Likelihood

  • Risk Assessment

  • Remarks

  • Action owner

  • Findings #8

  • Severity

  • Likelihood

  • Risk Assessment

  • Remarks

  • Action owner

  • Findings #9

  • Severity

  • Likelihood

  • Risk Assessment

  • Remarks

  • Action owner

  • Findings #10

  • Severity

  • Likelihood

  • Risk Assessment

  • Remarks

  • Action owner

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.