How to use: Select choice using drop down box under Hazard, Persons at Risk, Control Measures, Severity and Likelihood by
clicking on relevant cell. For "Hazard", "Severity" and "Likelihood" only select one choice for each box. Use different boxes to select
RISK ASSESSMENT additional choices for hazards. The risk rating will be automatically calculated.
Department: Date of assessment: Assessor(s):
Area: Date of review:
Activity/Task/Equipment Hazard Persons at risk Control measures Risk rating Extra control measures when rating > 9
Severity (S) Likelihood (L) S L Rating
SXL
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Signature of assessor(s): Date:
Additional comments
clicking on relevant cell. For "Hazard", "Severity" and "Likelihood" only select one choice for each box. Use different boxes to select
RISK ASSESSMENT additional choices for hazards. The risk rating will be automatically calculated.
Department: Date of assessment: Assessor(s):
Area: Date of review:
Activity/Task/Equipment Hazard Persons at risk Control measures Risk rating Extra control measures when rating > 9
Severity (S) Likelihood (L) S L Rating
SXL
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
#VALUE!
Signature of assessor(s): Date:
Additional comments
