TACCP Risk Assessment Template

• Site

• Conducted on (Date and Time)

  Date

• Inspected by

• Location
  Address

General

• Click "Add" button to add hazard

Item

HAZARD ANALYSIS

• Raw Materials / Supply / Process Step

• Identified Hazards

  Select Biological Chemical Physical Radiological

  • Biological
  • Chemical
  • Physical
  • Radiological

• Kindly Specify: Biological Hazard

• Kindly Specify: Chemical Hazard

• Kindly Specify: Physical Hazard

• Kindly Specify: Radiological Hazard

RISK ASSESSMENT

Risk rating

• Consequence

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• Likelihood

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Risk rating

  High

  Medium

  Low

Controls

• Select control measures

  Select Elimination Substitution Engineering Controls Administrative Controls PPE Other

  • Elimination
  • Substitution
  • Engineering Controls
  • Administrative Controls
  • PPE
  • Other

• Enter other control measures

• Is this a significant hazard?

  Yes

  No

CONTROLLED

• Prerequisite Programs

• Process Steps

References

• Risk Matrix Reference

  

• Hierarchy of Controls Reference

  

Completion

• Full Name and Signature of the Assessor

  Sign