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General Risk Assessment Template

Use this template to identify workplace hazards, assess initial risk ratings, control measures and residual risk ratings. Use Notes for your observation and Actions for needed corrective measures.
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Audit
General
Enter description of procedure, task or worksite being assessed
Hazards, Risks and Controls
Click Add Hazard (+) after you have observed and identified a hazard
Hazard
Description of hazard
Photo of hazard (optional)
Initial risk rating
Initial consequence
Initial likelihood
Initial risk rating
Controls
Select control measures
Enter other control measures
Residual risk rating
Residual consequence
Residual likelihood
Residual risk rating
References
Risk Matrix Reference
Hierarchy of Controls Reference
Completion
Recommendations
Inspector's Full Name & 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.
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