Title Page
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Instructions
1. Answer "Yes" or "No" on the hazards below.
2. If prompted, identify the Likelihood, Consequence and Risk Rating using the 'HIERARCHY OF CONTROL RISK MATRIX'.
3. Also, provide its Consequence and Risk Rating after a Control Measures has been applied.
4. Add photos and notes/comments by clicking on the paperclip icon.
5. Complete audit by providing digital signature.
6. Share your report by exporting as PDF, Word, Excel or Web Link. -
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Hazards
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Slips, trips and falls (Head trauma, back or neck injury, Cuts, bruises, abrasions, chemical burns)<br>Is the hazard Present?
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Likelihood
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Consequence BEFORE Control Measures/Methods
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Risk Rating:
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Risk Rating:
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Control Measures/Methods to mitigate risks.
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Consequence AFTER Control Measures/Methods
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Risk Rating:
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Risk Rating:
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Consequence BEFORE Control Measures/Methods
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Risk Rating:
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Risk Rating:
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Risk Rating:
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Control Measures/Methods to mitigate risks.
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Consequence AFTER Control Measures/Methods
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Risk Rating:
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Risk Rating:
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Risk Rating:
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Consequence BEFORE Control Measures/Methods
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Risk Rating:
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Risk Rating:
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Risk Rating:
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Control Measures/Methods to mitigate risks.
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Consequence AFTER Control Measures/Methods
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Risk Rating:
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Risk Rating:
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Risk Rating:
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Consequence BEFORE Control Measures/Methods
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Risk Rating:
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Risk Rating:
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Risk Rating:
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Risk Rating:
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Control Measures/Methods to mitigate risks.
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Consequence AFTER Control Measures/Methods
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Risk Rating:
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Risk Rating:
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Risk Rating:
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Risk Rating:
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Consequence BEFORE Control Measures/Methods
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Risk Rating:
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Risk Rating:
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Risk Rating:
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Risk Rating:
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Control Measures/Methods to mitigate risks.
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Risk Description:
Floors which can become slippery e.g. when wet, cold rooms, etc.?
Completion
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Name and Signature
