2# RA Leader:

Process: RA Member 1:

Process/Activity Location: RA Member 2:

Original Assessment date: RA Member 3:

Last review date: RA Member 4:

Next review date: RA Member 5:

HAZARD IDENTIFICATION RISK EVALUATION

Possible
Work Existing risk
Ref Hazard injury/ill- S L RPN
Activity controls
health

General
housekeeping
1 fall bruise 2 3 2*3=6
bags are put
neatly

2
3
4
5
6

Notes:
 Approved by

Signature:

Name:

Designation:

Date:

RISK CONTROL

Additional Implementation
S L RPN Due Date
Controls Person

Admin
Control

2 1 2*1 Name 19/4

Constant
reminders
 Reference Number

Remarks

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