Health %26 Safety Risk Assessment Form

Health & Safety Risk Assessment

Please complete this template to identify and assess potential hazards, ensuring a safer environment for everyone involved.

Risk Assessment Details

Location

    Date

      Assessor's Name

        Hazard Identification

        Hazard

        Likelihood

        Severity

        Risk Rating

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        • Low

        • Medium

        • High

        Control Measures

          Responsible Person

            Date

              Additional Notes/Comments

              Use this section for any additional observations or considerations related to the risk assessment.

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