Free Workplace Risk Assessment Form Template
Workplace Risk Assessment Form
Please fill out the form with your information below.
Personal Information
Name
Assessment Date
Assessor Name
Position
Workplace Information
Department/Area Assessed
Hazard Description
Risk Assessment
Likelihood of Harm
Severity of Harm
Proposed Measures
Acknowledgment and Approval
I confirm that the above information is accurate to the best of my knowledge and that all necessary actions will be taken to minimize risk.
Date:
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