Maintenance Risk Assessment

1. Background Information

Workplace: Precast Plant Date:

Name of
person
Title of Assessment:
conducting
assessment:

2. Risk Assessment
List Current Risk
Identify and list Hazards Risk Rating List Additional Controls (if any - where current controls are not adequately managing the level of risk)
Controls

2
3
4

3- Risk Matrix
Using the matrix calculate the level of risk by finding the intersection between the likelihood and the consequences
Consequence
Likelihood
Insignificant Minor Moderate Major Severe
Almost Certain Medium High Extreme Extreme Extreme
Likely Medium Medium High Extreme Extreme
Possible Low Medium Medium High Extreme
Unlikely Low Low Medium Medium High
Rare Low Low Low Medium Medium

Consequence -
Evaluate the consequences of a risk occurring according to the ratings in the top row

Descriptor Level Definition

Insignificant 1 No injury
Injury/ ill health requiring first
Minor 2
aid
Injury/ill health requiring
Moderate 3
medical attention
Injury/ill health requiring
Major 4
hospital admission
Severe 5 Fatality

2.    Likelihood -
Evaluate the likelihood of an incident occurring according to the ratings in the left hand column

Descriptor Level Definition

May occur somewhere,
Rare 1 sometime (“once in a life time /
once
May in a somewhere
occur hundred years”)
within
Unlikely 2 the Department over an
extended period of time
May occur several times across
Possible 3 the Department or a region over
May bea period of time
anticipated multiple
times over a period of time
Likely 4 May occur once every few
repetitions of the activity or
event
Prone to occur regularly
Almost Certain 5 It is anticipated for each
repetition of the activity of event

4. Risk Level/Rating and Actions

Descriptor Definition
Notify Workplace Manager and/or Management
OHS Nominee immediately. Corrective actions
Extreme
should be taken immediately. Cease associated
Notify Workplace Manager
activity.and/or Management
High OHS Nominee immediately. Corrective actions should
be taken within
Notify Nominated 48 hours
employee, HSRof notification.
/ HSC. Nominated
Medium employee, OHS Representative / HSC is to follow up
Notifythat correctiveemployee,
Nominated action is taken
HSR within
/ HSC.7 Nominated
days.
Low employee, HSR / HSC is to follow up that corrective
action is taken within a reasonable time.
Evaluate the consequences of a risk
occurring according to the ratings in the
Descript
Level Definition
or
Insignific
1 No injury
ant
Injury/ ill health
Minor 2
requiring first aid
Injury/ill health
Moderate 3 requiring medical
Injury/ill health
attention
Major 4 requiring hospital
Severe 5 admission
Fatality

Evaluate the likelihood of an incident

occurring according to the ratings in the
Descript
Level Definition
or

May occur
somewhere,
Rare 1 sometime (“once in a
life time / once in a
hundred years”)

May occur
somewhere within
Unlikely 2 the Department over
an extended period
of time
 May occur several
times across the
Possible 3 Department or a
region over a period
of time

May be anticipated
multiple times over a
period of time
Likely 4 May occur once
every few repetitions
of the activity or
event

regularly
Almost
5 It is anticipated for
Certain
each repetition of the
 4. Risk
Level/Rating
and Actions
Descript
Definition
or

Notify
Workplac
e
Manager
and/or
Manage
ment
OHS
Nominee
immediat
Extreme:
ely.
Corrective
actions
Notify
should be
Workplac
taken
e
immediat
Manager
ely.
and/or
Cease
Manage
associate
ment
d activity.
OHS
Nominee
High: immediat
ely.
Corrective
actions
should be
taken
within 48
hours of
notificatio
n.
 Notify
Nominate
d
employe
e, HSR /
HSC.
Nominate
d
employee
, OHS
Medium:
Represen
tative /
HSC is to
follow up
that
corrective
action is
taken
within 7
days.

Notify
Nominate
d
employe
e, HSR /
HSC.
Nominate
d
employee
Low , HSR /
HSC is to
follow up
that
corrective
action is
taken
within a
reasonabl
e time.