Title Page

  • Location of the Workplace
  • Prepared on

  • Prepared by

Focus of the Workplace Risk Assessment

Goal of the Workplace Risk Assessment

  • Why is this workplace risk assessment needed? (Other than being legally required)

  • How could this workplace risk assessment help your business and your employees?

  • What is the intended result, effect, or output of this workplace risk assessment?

Scope of the Workplace Risk Assessment

  • What's included in this workplace risk assessment?

  • What's not included in this workplace risk assessment?

Important Details Regarding the Workplace Risk Assessment

  • Who will be involved in this workplace risk assessment and what level of responsibility or participation do they have?

  • Where (specific room, site, facility, building, or area) will this workplace risk assessment be performed?

  • When will this workplace risk assessment be performed?

Workplace Risk Assessment

  • To begin the workplace risk assessment, select the "+" icon next to Hazard:

  • Hazard
  • Description of hazard

  • Photo of the hazard (optional)

  • Risk related to hazard

  • Who might be harmed?

  • Risk likelihood

  • Risk consequences

  • Use this risk matrix to identify the risk level:

    Risk Matrix SafetyCulture.png
  • Risk level

  • Hazard causing risk can be eliminated?

  • Are you already doing something to control this risk (existing risk control measure)?

  • Develop a risk control measure targeting this risk.

  • Briefly describe the existing control measure:

  • Further action needed to control the risk?

  • Select the "Action" icon to create an action, assign it to someone, and set a due date.

  • Eliminate the hazard causing the risk.

  • Are you already doing something to control this risk (existing risk control measure)?

  • Briefly describe the existing control measure:

  • Further action needed to control the risk?

  • Select the "Action" icon to create an action, assign it to someone, and set a due date.

  • Further action needed to control the risk?

  • Select the "Action" icon to create an action, assign it to someone, and set a due date.

  • Monitor this risk.

  • To ADD another hazard to the workplace risk assessment, select the "+" icon next to Hazard.
    To END the workplace risk assessment, select the "Next Page >" button at the bottom right.

Completion/Review

  • What risk control measures have you developed?

  • How will you monitor the effectiveness of these risk control measures?

  • How often will you review this workplace risk assessment?

  • The HSE recommends reviewing workplace risk assessments at least annually.

  • Name and Signature of Employer/Owner/Manager of Workplace

  • Did the employer/owner/manager of the workplace perform the workplace risk assessment himself/herself?

  • Name and Signature of Appointed Person

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