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  • ASSESSOR (Print Name) : Record No Location / Area Assessment Date: Last Assessment Date: Next Assessment Date: Signature

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    Xavier Seven
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    This risk assessment record document contains sections to identify the subject being assessed, associated hazards, people involved, possible injuries, existing risk controls, likelihood and severity of harm, risk rating, deficiencies and proposed remedies, and priority levels. The assessor and managers would sign off on the assessment after filling out these sections for each identified risk.

    Original Description:

    Risk Assessment worksheet

    Original Title

    Risk Assessment 9

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    This risk assessment record document contains sections to identify the subject being assessed, associated hazards, people involved, possible injuries, existing risk controls, likelihood and severity of harm, risk rating, deficiencies and proposed remedies, and priority levels. The assessor and managers would sign off on the assessment after filling out these sections for each identified risk.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    16 views1 page

    ASSESSOR (Print Name) : Record No Location / Area Assessment Date: Last Assessment Date: Next Assessment Date: Signature

    Uploaded by

    Xavier Seven
    This risk assessment record document contains sections to identify the subject being assessed, associated hazards, people involved, possible injuries, existing risk controls, likelihood and severity of harm, risk rating, deficiencies and proposed remedies, and priority levels. The assessor and managers would sign off on the assessment after filling out these sections for each identified risk.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    of 1

    ASSESSOR (Print name): SIGNATURE: ASSESSMENT DATE: MANAGERS SIGNATURE:

    RECORD NO LOCATION / AREA LAST ASSESSMENT DATE: NEXT ASSESSMENT DATE:

    RISK ASSESSMENT RECORD

    SUBJECT FOR ASSESSMENT

    ASSOCIATED HAZARD
    List the significant hazards associated with each subject (e.g., electricity, petrol, fumes, noise, dust, etc.) refer to relevant Analysis Sheets (i.e., COSHH, Noise)

    PEOPLE INVOLVED

    TYPE OF POSSIBLE INJURY/ILLNESS

    EXISTING RISK-CONTROL MEASURES


    List for each hazard the control procedures, equipment and devices currently used. e.g. safe method of work, LEV, safety valve, the last specific assessment or monitoring undertaken

    LIKELIHOOD OF EVENT

    SEVERITY OF HARM

    RISK RATING

    DEFICIENCIES & PROPOSED REMEDIAL MEASURES


    Give brief statement of any observed deficiency and of any required control action(s). If not obvious, give brief reason for recommendation(s) made.

    PRIORITY

    Name the activity or project, machine, equipment, etc.

    List the groups(s) of people who might be at risk

    Give a brief statement for each hazard (e.g., cut hand, eye damage, chronic illness)

    Enter for each hazard H, M or L

    Enter for each hazard H, M or L

    Enter for each hazard 1 to 9

    Enter for each hazard 1 to 5

    Page 1 of 1

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