• Risk Assessment Scope

  •  -  -
    at
     :
    Pick a Date
  • Hazard Identification & Risk Assessment

  •   Hazard Description ( ie leaking roof ) Risk Description ( i.e slip on floor) Initial Risk Rating Proposed Risk Controls ( ie mop floor and place hazard sign) Type of risk control Residual Risk Rating
    1
    2
    3
    4
  • Recommended Action Summary

    For each proposed risk control, provide a recommended action and allocate a responsible person and time frame in consultation with that person. Completion confirmation is required for each action.
  •   Recommended Actions Accountable area Responsible Persons Target completion Date Actual completion Date
    1
    2
    3
    4
  • REVIEW

  •   YES NO
    Control Measures have been reviewed and no further risks have been identified
    Are further Review required
  •   Review Date Reviewed by Description of any changes
    Review 1
    Review 2
  •    
  • Should be Empty: