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Environmental Risk Assessment

This template focuses on 4 major environmental hazards: odour, noise and vibrations, emissions and structural ground. Determine if your workplace is free from these risks by answering “Safe or At Risk”. If it is “At Risk” then conduct a thorough risk assessment to evaluate if these hazards exist in the workplace. A risk matrix is also available for your reference.
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Audit
Odour
Odour
Hazard
Description of hazard
Photo of hazard (optional)
Risk rating
Severity
Likelihood
Risk rating
Controls
Select control measures
Enter other control measures
Description of control measures and risk management
Noise and Vibrations
Noise and Vibrations
Hazard
Description of hazard
Photo of hazard (optional)
Risk rating
Severity
Likelihood
Risk rating
Controls
Select control measures
Enter other control measures
Description of control measures and risk management
Emissions
Emissions (including dust, mud, litter and pests)
Hazard
Description of hazard
Photo of hazard (optional)
Risk rating
Severity
Likelihood
Risk rating
Controls
Select control measures
Enter other control measures
Description of control measures and risk management
Structural ground
Ground (unstable environment, trenching etc.)
Hazard
Description of hazard
Photo of hazard (optional)
Risk rating
Severity
Likelihood
Risk rating
Controls
Select control measures
Enter other control measures
Description of control measures and risk management
References
Risk Matrix Reference
Completion
Recommendations
Assessor's Name and Signature
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.