Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Step 1 - Describing the Risks and Controls
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Photo of Risk
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What is the Risk to?
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If you have selected other, please specify here
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Describe the risk - What causes the risk? (Eg. Falling limb, falling tree, eroding bank, lack of fencing etc.)
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Describe the controls - What do we currently have in place to address the risk? (Eg. Regular monitoring, barricade fencing, access restriction, pruning etc.)
Step 2 - Measure the 'Likelihood' of Risk (1-5)
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Likelihood of Risk
Step 3 - Measure the 'Consequence' of the Risk (1-5)
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Severity Level
Step 4 - Identify 'Risk Rating'
Step 5 - Identify 'Control Rating' and required action
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Does the control address the risk effectively?
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Is the control officially documented and communicated?
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Is the control in operation and applied consistently?
Combine 'Risk Rating' and 'Control Rating' to establish management priority
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Management Priority
Record Results Recommendation
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What more do we need to do to: -Prevent risk from happening -reduce or get rid of causes -strengthen controls Examples would be to nominate monitoring frequency, barricade fencing, access restrictions, tree removal, departmental notifications, no action required etc.
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Name of Risk Assessor/s:
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Date of assessment