Workplace Risk Assessment

• Location of the Workplace
  Address

• Prepared on

  Date

• 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)

• 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?

  Date

• Yes

  No

  N/A

• To begin the workplace risk assessment, select the "+" icon next to Grantee Risk Assessment Questions:

Grantee Risk Assessment Questions

• Description of grant

• 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.

• Does the organization have sufficient quality management systems and the ability to meet the management standards required of grant recipients?

  Yes

  No

  N/A

• What level of monitoring is already in place with other federal agencies or pass-through entities?

• Does the grantee make a strong case in their application highlighting their ability to deliver on the objectives of the funding opportunity?

  Yes

  No

  N/A

• How experienced is the grantee's staff, or does the grantee have a lot of new personnel or changed systems?

  Yes

  No

  N/A

Compliance Questions

• Yes

  No

  N/A

• Has the organization consistently submit all required reports in a timely manner in the past?

  Yes

  No

  N/A

• What the grantee's history of compliance with prior award terms and conditions?

• What is the grantee's experience with the financial management standards for federal awards?

• What has been the grantee's history of performance for federal awards and sub-awards?

  Yes

  No

  N/A

• Has the grantee been a participant of federal or state audits in the past?

  Yes

  No

  N/A

• What are the results of audits, such as findings and questioned costs?

• Is the organization on a stable financial footing?

  Yes

  No

  N/A

• Use this risk matrix to identify the risk level:

  

• Risk consequences

  High

  Medium

  Low

• Risk likelihood

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Risk level

  High

  Medium

  Low

• What risk control measures have been developed by the grantee?

• How will the grantor and grantee monitor the effectiveness of these risk control measures?

• How often will the grantor and grantee review this workplace risk assessment?

  Select Every 2 weeks Every month Every 3 months Every 6 months Every year Every 15 months

  • Every 2 weeks
  • Every month
  • Every 3 months
  • Every 6 months
  • Every year
  • Every 15 months

• SBA recommends reviewing workplace risk assessments at least annually.

  Pass

  Fail

  N/A

• Name and Signature

  Sign

• Date

  Date