Tim Payne

• Document No.

• Audit Title

• Client / Site

• Table

  

• Likelihood vs consequence

  Select Low (1) Low (2) Low (3) Moderate (4) Moderate (5) Moderate (6) Moderate (8) Moderate (9) High (10) High (12) High (15) Catastrophic (16) Catastrophic (20) Catastrophic (25)

  • Low (1)
  • Low (2)
  • Low (3)
  • Moderate (4)
  • Moderate (5)
  • Moderate (6)
  • Moderate (8)
  • Moderate (9)
  • High (10)
  • High (12)
  • High (15)
  • Catastrophic (16)
  • Catastrophic (20)
  • Catastrophic (25)

• Work able to proceed (insignificant)

• Permission from worker in charge for work to proceed (Insignificant)

• Permission from high level management for work to proceed (Significant)

• Work unable to proceed seek other methods (Significant)

Risk assessment

• Step 1- Hazards & Risks

• Step 2 - Hazards & Risks

• Step 3 - Hazards & Risks

• Task

• Initial Risk - L

  1

  2

  3

  4

  5

• Initial Risk - C

  1

  2

  3

  4

  5

• Initial Risk - R

  1

  2

  3

  4

  5

• Controls

• Residual Risk - L

  1

  2

  3

  4

  5

• Residual Risk - C

  1

  2

  3

  4

  5

• Residual Risk - R

  Select 1 2 3 4 5 6 8 9 10 12 15 16 20 25

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 8
  • 9
  • 10
  • 12
  • 15
  • 16
  • 20
  • 25

Risk assessment

• Step 1- Hazards & Risks

• Step 2 - Hazards & Risks

• Step 3 - Hazards & Risks

• Task

• Initial Risk - L

  1

  2

  3

  4

  5

• Initial Risk - C

  1

  2

  3

  4

  5

• Initial Risk - R

  1

  2

  3

  4

  5

• Controls

• Residual Risk - L

  1

  2

  3

  4

  5

• Residual Risk - C

  1

  2

  3

  4

  5

• Residual Risk - R

  Select 1 2 3 4 5 6 8 9 10 12 15 16 20 25

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 8
  • 9
  • 10
  • 12
  • 15
  • 16
  • 20
  • 25

Risk assessment

• Step 1- Hazards & Risks

• Step 2 - Hazards & Risks

• Step 3 - Hazards & Risks

• Task

• Initial Risk - L

  1

  2

  3

  4

  5

• Initial Risk - C

  1

  2

  3

  4

  5

• Initial Risk - R

  1

  2

  3

  4

  5

• Controls

• Residual Risk - L

  1

  2

  3

  4

  5

• Residual Risk - C

  1

  2

  3

  4

  5

• Residual Risk - R

  Select 1 2 3 4 5 6 8 9 10 12 15 16 20 25

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 8
  • 9
  • 10
  • 12
  • 15
  • 16
  • 20
  • 25

• Select date

  Date

• Worker in charge

  Sign

• Select date

  Date

• Employee name

  Sign

• Select date

  Date

• Employee name

  Sign

• Select date

  Date

• Employee name

  Sign

• Select date

  Date

• Employee name

  Sign

• Select date

  Date

• Employee name

  Sign

• SWMS – Working on or near a Road

• SWMS – Working Near Overhead Power Lines

• SWMS – Heights

• SWMS – Asbestos

• SWMS – Working on or near Exposed Energized Electrical Equipment

• SWMS – Hazardous Substances