Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Step 1 - Describing the Risks and Controls

  • Photo of Risk

  • What is the Risk to?

  • If you have selected other, please specify here

  • Describe the risk - What causes the risk? (Eg. Falling limb, falling tree, eroding bank, lack of fencing etc.)

  • 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)

  • Likelihood of Risk

Step 3 - Measure the 'Consequence' of the Risk (1-5)

  • no label
  • Severity Level

Step 4 - Identify 'Risk Rating'

  • Combine 'Likelihood' and 'Consequence' Score to get the "RISK RATING"

  • no label

Step 5 - Identify 'Control Rating' and required action

  • Does the control address the risk effectively?

  • Is the control officially documented and communicated?

  • Is the control in operation and applied consistently?

  • Add the above scores together on this slider to get the "CONTROL RATING"

  • no label

Combine 'Risk Rating' and 'Control Rating' to establish management priority

  • no label
  • Management Priority

Record Results Recommendation

  • 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.

  • Name of Risk Assessor/s:

  • Date of assessment

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.