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Task-Based risk assessment
Task-Based risk assessment
Tom Stamp

Task-Based risk assessment

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Free Task-Based risk assessment Checklist

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Title Page

  • Site conducted

  • Activity Assessed

  • Issue number

  • Purpose of new issue

    • general review (2 years since last review)
    • Due to an accident
    • Due to change in process
    • Risk assessment no longer suitable

  • Add detailed description of review

  • Location

  • Assessment Date

  • Review Date

  • Assessor (name)

  • Assisted by (names)

Hazard List

    Add a Hazard

  • Select your Hazard

    • Contact with electricity
    • Contact with moving machinery parts
    • Contact with moving object
    • Contact with moving vehicles
    • Contact with stationary object
    • Contact with needle stick or open blade
    • Contact with objects at height
    • Contact with hazardous materials
    • Contact with dusts
    • Contact with biohazards
    • Lifting objects using mechanical aids
    • Lone working
    • Moving heavy objects (manually)
    • Repetitive movements
    • Slippery or uneven surfaces
    • Falling from height
    • Working at night/ shift work
    • Working with display screens
    • Working with open flames/ hot work
    • Working with deep water
    • Working in low/ high temperatures
    • Working with loud noises/ long term noise
    • Other unlisted hazard

  • What is the source of Hazard?

  • Who is exposed?

    • Employee
    • Colleague
    • Third Party employee (or contractor)
    • Visitor
    • Member of Public
    • Young person
    • New or expectant mother

  • What is the type of injury that could occur?

  • What are the existing controls?

  • How much is the likelihood of occurrence of hazard

  • What could be the severity of Injury/ ?isease

    • Insignificant - Very minor injury, insignificant damage
    • Minor - First Aid Injury, minor loss of process, slight damage
    • Significant - Lost time injury, loss of process, limited damage
    • Major - Reporting Injury, critical loss of process/damage
    • Severe - Fatality, catastrophic loss of business

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

    • Very Low
    • Low
    • Medium
    • High
    • Very High
    • Extreme

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

    • Very Low
    • Low
    • Medium
    • High
    • Very High
    • Extreme

  • please first go and complete the risk assessment for COSHH/ handling hazardous materials and ensure you have a current safety data sheet available

  • Source of Hazard

  • Who is exposed

    • Employee
    • Colleague
    • Third Party employee (or contractor)
    • Visitor
    • Member of Public
    • Young person
    • New or expectant mother

  • What is the type of injury that could occur?

  • Existing Controls

  • How much is the likelihood of occurrence of hazard

  • What could be the severity of Injury/ Disease

    • Insignificant - Very minor injury, insignificant damage
    • Minor - First Aid Injury, minor loss of process, slight damage
    • Significant - Lost time injury, loss of process, limited damage
    • Major - Reporting Injury, critical loss of process/damage
    • Severe - Fatality, catastrophic loss of business

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

    • Very Low
    • Low
    • Medium
    • High
    • Very High
    • Extreme

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

    • Very Low
    • Low
    • Medium
    • High
    • Very High
    • Extreme

  • please first complete the risk assessment for Manual handling

  • Source of Hazard

  • Who is exposed

    • Employee
    • Colleague
    • Third Party employee (or contractor)
    • Visitor
    • Member of Public
    • Young person
    • New or expectant mother

  • What is the type of injury that could occur?

  • Existing Controls

  • How much is the likelihood of occurrence of hazard

  • What could be the severity of Injury/ Disease

    • Insignificant - Very minor injury, insignificant damage
    • Minor - First Aid Injury, minor loss of process, slight damage
    • Significant - Lost time injury, loss of process, limited damage
    • Major - Reporting Injury, critical loss of process/damage
    • Severe - Fatality, catastrophic loss of business

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

    • Very Low
    • Low
    • Medium
    • High
    • Very High
    • Extreme

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

    • Very Low
    • Low
    • Medium
    • High
    • Very High
    • Extreme

  • please first go and complete the risk assessment for using display screen equipment (DSE)

  • Source of Hazard

  • Who is exposed

    • Employee
    • Colleague
    • Third Party employee (or contractor)
    • Visitor
    • Member of Public
    • Young person
    • New or expectant mother

  • What is the type of injury that could occur?

  • Existing Controls

  • How much is the likelihood of occurrence of hazard

  • What could be the severity of Injury/ Disease

    • Insignificant - Very minor injury, insignificant damage
    • Minor - First Aid Injury, minor loss of process, slight damage
    • Significant - Lost time injury, loss of process, limited damage
    • Major - Reporting Injury, critical loss of process/damage
    • Severe - Fatality, catastrophic loss of business

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

    • Very Low
    • Low
    • Medium
    • High
    • Very High
    • Extreme

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

    • Very Low
    • Low
    • Medium
    • High
    • Very High
    • Extreme

  • Other Hazard

  • Source of Hazard

  • Who is exposed

    • Employee
    • Colleague
    • Third Party employee (or contractor)
    • Visitor
    • Member of Public
    • Young person
    • New or expectant mother

  • What is the type of injury that could occur?

  • Existing Controls

  • How much is the likelihood of occurrence of hazard

  • What could be the severity of Injury/ Disease

    • Insignificant - Very minor injury, insignificant damage
    • Minor - First Aid Injury, minor loss of process, slight damage
    • Significant - Lost time injury, loss of process, limited damage
    • Major - Reporting Injury, critical loss of process/damage
    • Severe - Fatality, catastrophic loss of business

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

  • Use the Risk Matrix to determine the risk rating for this hazard

    Screenshot 2022-01-28 at 17.33.23.png

  • What is the risk rating for this hazard?

Control Measures and Personal Protective Equipment Required

  • Are machinery protection devices (guards, interlocks) used as a control measure for this task?

  • Specify Type/ Grade

  • Task / Hazard Controlled

  • Is there a specific system of work (e.g. SSW, JSA, Work at Height Permit) required for this task?

  • Specify Type/ Grade

  • Task / Hazard Controlled

  • Is Hearing Protection required for this task?

  • Specify Type/ Grade

    • EN352 Disposable ear plugs
    • EN352 Reusable ear plugs
    • EN352 Over ear defenders
    • EN352 Communication Ear defenders

  • Task / Hazard Controlled

  • Is Eye Protection required for this task?

  • Specify Type/ Grade

  • Task / Hazard Controlled

  • Is Respiratory Protection required for this task?

  • Specify Type/ Grade

    • EN136 - face/dust mask
    • EN136 - respirator - face fit required
    • self contained breathing apparatus - training required

  • Task / Hazard Controlled

  • Is Hand Protection required for this task?

  • Specify Type/ Grade

    • EN388 Puncture resistant
    • EN388 Cut resistant
    • EN388 Impact resistant
    • EN388 Abrasion resistant
    • EN374 Chemical resistant
    • EN407 Thermal (heat) resistant
    • EN511 Thermal (cold) resistant
    • EN388 Vibration resistant

  • Task / Hazard Controlled

  • Is protective coveralls/ clothing required for this task?

  • Specify Type/ Grade

  • Task / Hazard Controlled

  • Is Hi Vis Clothing required for this task?

  • Specify Type/Grade

    • EN471,2 Hi Vis Vest front fastening

  • Task / Hazard Controlled

  • Is safety footwear required for this task?

  • Specify Type/ Grade

  • Task / Hazard Controlled

  • Is there other personal protective equipment required for this task?

  • Please specify

  • Specify Type/ Grade

  • Task / Hazard Controlled

Sign off

  • Manager's Name & Signature

  • This document must now be communicated with all relevant persons

Task-Based risk assessment
Tom Stamp

Task-Based risk assessment

Use this Template
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. You should independently determine whether the template is suitable for your circumstances.

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