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    Risk Assessment Format For Sample

    Uploaded by

    Saqib Rasool
    This document provides a risk assessment for an unnamed project. It includes a risk score calculator to determine the level of risk for each hazard based on probability and severity ratings. The assessment then lists specific tasks and hazards, detailing the consequence, original risk score, current control measures, residual risk score, and whether additional controls are needed. The assessment is signed off by an assessor and approved by a manager, with a 3 month review period defined.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Risk Assessment Format For Sample

    Uploaded by

    Saqib Rasool
    128 views3 pages
    This document provides a risk assessment for an unnamed project. It includes a risk score calculator to determine the level of risk for each hazard based on probability and severity ratings. The assessment then lists specific tasks and hazards, detailing the consequence, original risk score, current control measures, residual risk score, and whether additional controls are needed. The assessment is signed off by an assessor and approved by a manager, with a 3 month review period defined.

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    Risk Assessment format

    Original Title

    Risk Assessment Format for Sample

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    This document provides a risk assessment for an unnamed project. It includes a risk score calculator to determine the level of risk for each hazard based on probability and severity ratings. The assessment then lists specific tasks and hazards, detailing the consequence, original risk score, current control measures, residual risk score, and whether additional controls are needed. The assessment is signed off by an assessor and approved by a manager, with a 3 month review period defined.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    128 views3 pages

    Risk Assessment Format For Sample

    Uploaded by

    Saqib Rasool
    This document provides a risk assessment for an unnamed project. It includes a risk score calculator to determine the level of risk for each hazard based on probability and severity ratings. The assessment then lists specific tasks and hazards, detailing the consequence, original risk score, current control measures, residual risk score, and whether additional controls are needed. The assessment is signed off by an assessor and approved by a manager, with a 3 month review period defined.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Contractor Logo

    Risk Assessment for _________Project

    Project Name: Contract Ref:


    Sub- Con Logo RA No.
    RA Rev No.
    Contract
    Task Description
    Task Site Location

    RISK SCORE CALCULATOR


    Use Risk Score Calculator to determine level of risk for each hazard
    What is the PROBABILITY of an occurrence? Hierarchy of Controls
    What would the SEVERITY of an occurrence
    be? Severity Almost Very Can the hazard be Eliminated or removed from the work
    Very Likely Likely Unlikely
    Rating Certain Unlikely place?
    Catastrophic
    Multiple Fatalities/
    High High High Med Med Can the product or process be substituted for a less
    Environmental release with detrimental effects 5
    25 20 15 10 5 hazardous alternative?
    requiring external emergency services/ >10m
    AED
    Major
    Single Fatality/ Multiple LTI’s/ Major Illness or High High High Med Low
    4 Can the hazard be engineered away with guards or barriers?
    Injury, disability/ Environmental release with 20 16 12 8 4
    minimal off site impact/ 1-10m AED
    Moderate
    Single LTI/ Serious but non-permanent injury or
    ill health High High Med Med Low Can Administrative Controls be adopted
    3
    Work days lost/ 15 12 9 6 3 i.e. procedures, job rotation etc.
    On site release requiring environmental
    emergency plan to be activated/ 100k-1m AED
    Minor
    Medical attention needed. Med Med Med Low Low Can Personal Protective Equipment & Clothing be worn to
    2
    No work restrictions/ Local on-site environmental 10 8 6 4 2 safeguard against hazards?
    release treated locally/ 10-100k AED
    Negligible
    Minor cuts & bruises or sickness/ Med Low Low Low Low RISK RATING (Probability x Severity)
    1
    Nuisance release with no adverse impact/ 1-10k 5 4 3 2 1 1-4 LOW RISK (No further action required)
    AED 5-10 MEDIUM RISK (Procedure to be available)
    12-25 HIGH RISK (Full time supervision present)
    Probability Rating 5 4 3 2 1

    Page 1 of 3 Rev. 0.0 [01-Septeber -2021] CRM Controlled


    Document
    Contractor Logo
    Risk Assessment for _________Project

    Risk Assessed Residual Risk


    Consequence Risk Risk Risk Risk
    SI No. Task Step Hazard Details P S Current Control Measures P S Additional Control Measures
    Details Score Rating Score Rating

    Page 2 of 3 Rev. 0.0 [01-Septeber -2021] CRM Controlled


    Document
    Contractor Logo
    Risk Assessment for _________Project

    Assessor’s Name Position Signature


    Reviewed By Position Signature
    Approved By Position Signature

    Risk Assessment Date of Next


    Review Period 03 Months
    Date Review

    Page 3 of 3 Rev. 0.0 [01-Septeber -2021] CRM Controlled


    Document

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