Title Page
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Job Location
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Prepared on
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Prepared by
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Who will be involved in this workplace risk assessment and what is their role?
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Where will this workplace risk assessment be performed? (for example - on-site)
Workplace Risk Assessment
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To begin the workplace risk assessment, select the "+" icon next to Hazard:
Hazard
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Description of hazard
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Photo of the hazard (required)
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Risk related to hazard
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Who might be harmed?
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Risk likelihood
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Risk consequences
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Use this risk matrix to identify the risk level:
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Risk level
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What Control Measures have you put in place?
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What is the controlled Risk Likelihood?
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What are the controlled Risk Consequences?
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What is the risk level with controls implemented?
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Do not perform high risk work and notify Manager immediately (risk assessment is a fail)
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Do not perform high risk work and notify Manager immediately (risk assessment is a fail)
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What are your controls to control this risk (existing risk control measure)?
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What is the controlled Risk Likelihood?
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What are the controlled Risk Consequences?
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What is the risk level with controls implemented?
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Do not perform high risk work - Notify Manager
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Do not perform high risk work - Notify Manager
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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
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What risk control measures have you developed?
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Name and Signature of Site Supervisor
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Name and Signature of additional installers on-site
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Name and Signature of additional installers on-site