Title Page

  • Site conducted

  • Activity Assessed

  • Issue number

  • Purpose of new issue

  • Add detailed description of review

  • Location
  • Assessment Date

  • Review Date

  • Assessor (name)

  • Assisted by (names)

Hazard List

    Add a Hazard
  • Select your Hazard

  • What is the source of Hazard?

  • Who is exposed?

  • 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

  • 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?

  • 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

  • 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

  • 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?

  • please first complete the risk assessment for Manual handling

  • Source of Hazard

  • Who is exposed

  • 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

  • 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?

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

  • Source of Hazard

  • Who is exposed

  • 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

  • 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?

  • Other Hazard

  • Source of Hazard

  • Who is exposed

  • 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

  • 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

  • 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

  • Task / Hazard Controlled

  • Is Hand Protection required for this task?

  • Specify Type/ Grade

  • 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

  • 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

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.