Date of Assessment: [Date]
Assessor: [Your Name]
Office Location: [Your Company Address]
Risk Area | Hazard Description | Severity (Low, Medium, High) | Action Required |
---|---|---|---|
Lighting | |||
Temperature | |||
Ventilation | |||
Cleanliness |
Risk Area | Hazard Description | Severity (Low, Medium, High) | Action Required |
---|---|---|---|
Desk Layout | |||
Chair Ergonomics | |||
Desk Height | |||
Electrical Equipment |
Risk Area | Hazard Description | Severity (Low, Medium, High) | Action Required |
---|---|---|---|
Fire Extinguishers | |||
Emergency Exits | |||
Fire Alarms |
Risk Area | Hazard Description | Severity (Low, Medium, High) | Action Required |
---|---|---|---|
Power Outlets | |||
Electrical Cables | |||
Equipment Maintenance |
[Your Name]
[Job Title]
[Your Email]
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