Walkers H&S Risk Assessment

• Title of Risk Assessment

• Site / Location

• Date and Time of Risk Assessment

  Date

• Risk Assessment completed by:

• Date that this Risk Assessment need Reviewing (12 months time unless there is an Accident or Change in the Meantime)

  Date

Activity / Work Process / Hazard

• Activity / Work Process

• Hazard

  Select

• Specify Hazard

• Persons at Risk E P C O

  Select

• How might they be harmed?

  Select

• Specify Injury

• Current Control Measures (already in place)

Risk Rating H / M / L

• Enter Likelihood of Occurrence

  Select

• Enter Potential Severity

  Select

• Enter Risk Rating (Likelihood x Severity)

  HIGH RISK

  MEDIUM RISK

  LOW RISK

Additional Controls

• Additional Control Measures Required

• Enter Revised Risk Rating (After Additional Control Measures have been Completed)

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Estimated Date for Completion of Additional Control Measures

  Date

Activity / Work Process / Hazard

• Activity / Work Process

• Hazard

  Select

• Specify Hazard

  Select

• Persons at Risk E P C O

  Select

• How might they be harmed?

  Select

• Specify Injury

• Current Control Measures (already in place)

Risk Rating H / M / L

• Enter Likelihood of Occurrence

  Select

• Enter Potential Severity

  Select

• Enter Risk Rating (Likelihood x Severity)

  HIGH RISK

  MEDIUM RISK

  LOW RISK

Additional Controls

• Additional Control Measures Required

• Enter Revised Risk Rating (After Additional Control Measures have been Completed)

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Estimated Date for Completion of Additional Control Measures

  Date

Activity / Work Process / Hazard

• Activity / Work Process

• Hazard

  Select

• Specify Hazard

• Persons at Risk E P C O

  Select

• How might they be harmed?

  Select

• Specify Injury

• Current Control Measures (already in place)

Risk Rating H / M / L

• Enter Likelihood of Occurrence

  Select

• Enter Potential Severity

  Select

• Enter Risk Rating (Likelihood x Severity)

  HIGH RISK

  MEDIUM RISK

  LOW RISK

Additional Controls

• Additional Control Measures Required

• Enter Revised Risk Rating (After Additional Control Measures have been Completed)

  HIGH RISK

  MEDIUM RISK

  LOW RISK

• Estimated Date for Completion of Additional Control Measures

  Date