HAZARD IDENTIFICATION/RISK MANAGEMENT TEMPLATE – HLTWHS001

INSTRUCTIONS: How to complete this table?

 Identify the potential hazards that exist in the area you have been asked to inspect or concerning the planning activity.
 Identify the potential impacts that could be caused by exposure to the hazard. You should consider a) How the harm could occur, b) The potential harm, and c) Who is at risk of
exposure.
 Determine whether the hazard you have identified is removable and if any existing controls are in place.
 Complete an assessment of each hazard's risk by analysing both the likelihood and the consequence of exposure, and then rate the risk using the risk rating matrix.
 Recommend a treatment for the risk (i.e., how to eliminate or reduce the risk for participants).
 Nominate a duty holder/person/group who is responsible for implementing the treatment that you have recommended.

YOU SHOULD IDENTIFY AT LEAST FOUR (4) HAZARDS.

Name of Risk Assessor: Mason Biggs Risk Assessment Date: 29/04/2024

Location: CMC Gym St Marys Activity: Rock Climbing

Hazard Identification Risk Assessment

Hazard Potential Impact (possible Is the Hazard What are the existing Exposure Consequence Risk Rating Treatment Person responsible
impacts from exposure) removable? controls? Likelihood of Exposure recommended* for the treatment

5 A Very Low
4 B ✘ Low
✘ Yes
Water Slipping NO control 3 ✘ C Medium Clean up spill Teacher
No
✘ 2 D High
1 E Extreme

5 A ✘ Very Low
4 B Low Teacher
✘ Yes Putting it in the right Move from hazardous
Tubs Tripping Hazard ✘ 3 ✘ C Medium Instructors
No spot location
2 D High Students
1 E Extreme

HLTWHS001_Task 2_Hazard Identification Form

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 5 A Very Low
4 B Low
Yes
3 C Medium
No
2 D High
1 E Extreme

5 A Very Low
4 B Low
Yes
3 C Medium
No
2 D High
1 E Extreme

5 A Very Low
4 B Low
Yes
3 C Medium
No
2 D High
1 E Extreme

5 A Very Low
4 B Low
Yes
3 C Medium
No
2 D High
1 E Extreme

5 A Very Low
4 B Low
Yes
3 C Medium
No
2 D High
1 E Extreme

HLTWHS001_Task 2_Hazard Identification Form

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 RISK MANAGEMENT/ASSESSMENT – RISK ASSESSMENT RESOURCES

RISK LIKELIHOOD RISK CONSEQUENCES

OVERALL RISK RATING MATRIX HIERARCHY OF CONTROLS

HLTWHS001_Task 2_Hazard Identification Form

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