Hazard Identification and Risk Assessment (HIRA)

Hazard Identification and Risk Assessment (HIRA)

Please use this template to identify hazards and assess risks in your workplace, ensuring a safe environment for all.

Project/Activity Name

    Date of Assessment

      Assessor Name

        Job Title

          Hazard Identification

          Hazard Description

            Location

              Potential Consequences

                Risk Assessment

                Likelihood

                Rate the probability of the hazard occurring, with 1 being rare and 5 being highly likely.

                  Severity

                  Assess the potential impact of the hazard if it occurs, ranging from 1 (insignificant) to 5 (catastrophic).

                    Risk Level (Likelihood x Severity)

                    Calculate the risk level by multiplying the likelihood and severity scores. This will help prioritize risks for mitigation.

                      Control Measures

                      Current Controls

                        Additional Controls Needed

                          Responsible Person

                            Review Date

                              Form Templates @ Template.net

                              Thank you for submission!

                              We appreciate you taking the time to submit.

                              Create free forms at Template.net