• Job Category

  • Job Type

  • Description


  • Powered Tools

  • Falls

  • Excavation

  • Falling objects

  • Moving plant

  • Noise

  • Manual handling

  • Access / Egress

  • Confined spaces

  • Asbestos

  • Working in trenches

  • Live parts

  • Dust

  • Lone workers

  • Scaffolding

  • UV Radiation

  • Ladders

  • Other

  • Other hazard:


  • Working on or near Exposed Energized Electrical Equipment

  • Working Near Overhead Powerlines

  • Heights

  • Plant

  • Excavation and Trenching

  • Asbestos

  • Confined spaces

  • Hazardous substances

  • Demolition

  • Working on or near a road


  • Live testing

  • Noise management

  • Plant and Equipment

  • PPE Management

  • Risk Management and Hazard Intervention

  • Visual Safety Examination Inspection

  • Working in the sun

  • Ladders

  • Electrical Safety (general)

  • Inspection of Safety Equipment

  • Isolation Safety Tag and Lockout

  • Inspection of Test Instruments

  • Testing and Tagging

  • Testing of Electrical Equipment & Installation

  • Accessing a Pit or Pillar

  • CCICR (ceiling, crawling & conductive roofs)

  • Hazardous Substances Management

  • Housekeeping

  • Manual Handling

  • Work on Electrical Equipment

  • Working in the Vicinity of Exposed Live Parts

  • Excavation and Trenching

  • Safe Working with Asbestos

  • Heights

  • Heights Rescue

  • Emergency Preparedness

Licences and Risks

  • Competency Records / Licences

  • High Risk Plant / Equipment being used

  • Other:

Risk Assessment

  • Task details

  • Hazards and Risks

  • Initial Risk Level

  • Controls undertaken to minimise risk:

  • Residual Risk Level

  • Risk Likelihood Matrix

    Risk Likelihood Matrix
  • Risk Decision Tree

    Risk Decision Tree
  • If the residual risk is High or Catastrophic, permission must be sought by High Level Management for work to proceed.

  • Is the residual risk High or Catastrophic?

  • You must contact High Level Management before continuing.


  • I certify that the above control measures have been implemented and deemed the site to be safe:

  • Additional workers:

  • Additional workers:

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.