Risk assessment form Part 5

Company: Department: Site name:

Note: For the purpose of this exercise, all three activity hazards must require risk controls.
Work Hazard, hazardous event and People Assessment of risk Are risk controls
(in relation to the work activity)
activity expected consequence affected Likelihood Consequence Risk required?
(in relation to the work activity) (in relation to the work X =
level level level
activity)

Occupation:
√ Yes No

Number:

Occupation:
√ Yes No

Number:

Occupation:
√ Yes No

Number:

Date: Time: Review period: Date of next review:

Assessor’s name: Position: Signature:

MS Project
Pack version 3.1
Please sign to confirm that this is your own work:__________________
 Risk control form Part 6

Company: Department: Site name:

Work activity Existing Further risk Residual risk Description of

(in relation to the work activity)
and risk level risk controls controls required Probable Potential New risk monitoring required
(from risk (in relation to the work (in relation to the work activity) X = (in relation to the residual risk)
Likelihood Consequence level
assessment form) activity)

Risk level: Frequency:

Risk level: Frequency:

Risk level: Frequency:

Date: Review period: Date of next review:

Assessor’s name: Position: Signature:

MS Project
Pack version 3.1
Please sign to confirm that this is your own work:__________________