• This risk assessment template is designed to be used in conjunction with the Tetra Pak Hazard & Control Check List.
    All hazards and working practices that were identified as AT RISK or lacking control, should be entered and assessed.
    Where the risk is identified as HIGH or VERY HIGH, work should be stopped until additional permanent or temporary control measures to reduce the risk to an acceptable level have been implemented. Use the RA matrix below to assess the risk of each identified hazard.

  • no label
  • Definitions:
    Extra-ordinary Accident: Fatality or Permanent disability such as the loss of a body part or permanent deafness
    Serious Accident: Requiring professional medical treatment with more than 1 day of lost time
    Minor Accident: Requiring professional medical treatment but less than 1 day of lost time
    First Aid Injury: Requiring only non professional medical treatment

Hazards or work practices identified in the Tetra Pak Hazard & Control Checklist

  • Assess each hazard

  • Hazard
  • Description of hazard

  • Add photograph where possible

  • Likely severity of injury should an incident occur.

  • Frequency and duration of exposure to the hazard

  • Probability of occurrence of a hazardous event

  • Possibility of avoiding harm should a hazardous event occur

  • What is the sum of the frequency, probability and avoidance?

  • Using the RA matrix what is the level of risk

  • Define additional controls required to reduce risk to an acceptable level

Work Method Statement

  • Describe the safe work method that will be adopted or identify where within the OEM maintenance manual this can be found.

  • Add signature

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.