Reference no.

RISK ASSESSMENT
Risk Assessment Team: _________________________________________________________________________________ Description of Task: ____________________________________________________________________________ HAZARD Job Steps
Hazard Description and Effect
Separate the job into individual tasks and record in sequence. Describe all hazards identified and their effects for each task (based on observations and experience). Note: Additional hazards may be caused by interaction with other work.

INITIAL RISK
Hazard Severity
From matrix, identify severity with no controls in place for each hazard.

CONTROLS
Risk Rating
Classify risk rating from matrix for each hazard.

RESIDUAL RISK
Hazard Severity
From matrix, identify severity with controls in place for each hazard.

Population at Risk
Name all types of personnel at risk. Remember to include people outside the work party who may be affected.

Likelihood of Occurrence
From matrix, identify likelihood with no controls in place for each hazard.

List all Controls Required

Likelihood of Occurrenc e
From matrix, identify likelihood with controls in place for each hazard.

Risk Rating

Describe fully all controls applicable for each hazard, eg if PPE is used as a control, it must be specifically described. If a control can only be verified by documentation then it must be available. All controls must be valid in that they reduce severity, likelihood or both.

Classify risk rating from matrix for each hazard.

Reference no.

Signed to confirm risks are acceptable for work to commence: Assessors signature:

Date: Date: