Health And Safety Risk Assessment Template | Free Download

Health and safety risk assessment template

About the Health and safety risk assessment template

Every workplace comes with its own set of hazards. Our health and safety risk assessment template is designed to help you systematically identify and address these risks, creating a safer environment for your team.

Easily customize this template to fit your industry’s specific needs, assign tasks for thorough assessments, and gather actionable insights to improve safety measures. This tool empowers you to uphold high safety standards and effectively protect your workforce.

Purpose and benefits of a health and risk safety assessment template

In any work environment, it’s essential to prioritize the health and safety of employees. A health and safety risk assessment template is a tool that helps identify potential hazards and assess the associated risks. It is an essential part of any risk management strategy.

The template typically includes sections for documenting hazards, assessing the likelihood and severity of risks, and outlining measures for risk control and mitigation. It is a standardized document that can be used across different work environments to ensure consistent safety practices.

Using a health and safety risk assessment template can help identify potential hazards that may have been overlooked otherwise. It provides a structured approach to identifying and assessing risks and helps ensure that appropriate measures are taken to mitigate or control them.

Best practices for using the health and risk safety assessment template

Using this risk assessment template can significantly boost your workplace safety. Here are some best practices to help you get the most out of it:

Conduct thorough inspections. Regularly inspect all areas of your workplace for potential hazards and use the template to document your findings. This ensures nothing is overlooked and provides a solid foundation for addressing hazards.
Engage your team. Involve your employees in the risk assessment process. Their firsthand experience can provide valuable insights into potential risks that might not be immediately obvious. Encourage open communication and feedback, and ask them if they have any items they might want to add to the template.
Customize the template based on your needs. Tailor the template to fit the unique requirements of your industry. For example, if you’re in healthcare, you can include questions about biological hazards and patient handling protocols.

Download Lumiform’s health and safety risk assessment template today

Enhance your workplace safety with our easy-to-use template. Identify, assess, and manage risks with customizable fields and action management. Start using it now to streamline your safety protocols and maintain compliance consistently.

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Preview of the template

Audit

PPE

Are PPE requirements sufficient? -Should gloves be required? -Should a face shield be required?

Is PPE supplied adequate for the task? -Previous injuries when using current PPE? Why? -PPE being replaced excessively? (e.g. Burn holes, soaked with liquid chemicals, etc.)

Is PPE being worn properly? -Ear plugs completely inserted into ears -Safety glasses fit properly and pass fit test (gaps no larger than width of finger) -Gloves being worn when handling materials that are sharp, hot, etc.

PPE supplies readily available to operators (Interview >= 2 employees.)

Tools/Machinery/Equipment

Are all tools in good working condition? -Held together with tape? -Excessive noise/vibration? -Requires excessive manual manipulation?

All existing guarding in place? -Guards laying on the floor? -Bolts/Screws missing from fixed guarding? -Guards shifted causing open point of operation?

Existing guarding sufficient in preventing access to the point of operation? -Gaps in guarding too large? -Use of chains as barrier guarding? -Interlocked/Presence sensing devices not working properly? -No guard installed where it should exist?

Machinery working properly and not causing regular manual manipulation? -Frequent breakdowns causing manual work? -Machinery producing excessive noise/vibration due to disrepair?

Machinery design/layout inherently hazardous? -Congestion created in design? -Equipment no longer safest design for the process? -Can a hazardous piece of equipment be eliminated from the process/work area?

Hazard Communication

Employees know how to find MSDS and understand the hazards of the chemicals they work with. (Interview >=2 employees)

Ventilation adequate for the airborne health hazards? -Industrial hygiene sampling results on file? -Employee complaints about "fumes" or "nausea/dizziness"

Chemicals are stored in proper containers and labeled properly? -Secondary containers that are not in control of current shift labeled with HMIS label or equivalent? -Labels legible and accurately indicates the chemical that is inside the container?

Incidental spills cleaned up immediately? -No evidence of spills being left? -Chemicals being tracked on employees' shoes and/or mobile equipment?

Chemicals stored properly? -Flammable materials not in use stored in proper cabinet/safety container? -Incompatible materials stored away from each other?

Walking/Working Surfaces and Fall Protection

Proper labels in place and legible? -Portable ladders and stairways require labeling indicating weight limits.

Floors and work platforms free of excessive debris and clutter? -Excessive oil, trash, manufacturing byproducts, etc. in the work are? -No items stored on stairs?

Handrails secure and free of excessive defects? -Heavily damaged handrails that require replacement? Loose? Broken welds? Bent handrails and/or toe boards? -Handrails do not contain excessive oil/grease?

Handrails installed where a fall from a height of four feet or greater exists?

Fall protection equipment available for working at heights greater than 4 feet from the working surface below it where fall prevention is not available?

Harnesses, lanyards, SRL, and lifelines maintained in good condition and inspected properly? -Inspection labels present and legible? -Webbing free of frayed, cut or broken fibers? -Quick connect buckles working properly?

Emergency Response/Fire Protection

Fire extinguishers inspected monthly and unblocked?

Employees aware of emergency procedures and where assembly areas are? (Interview >=2 employees)

Eyewash/Safety Shower stations inspected and unblocked?

Spill kits are available where needed and are equipped/inspected as required?

Sufficient emergency equipment installed in the area? -Fire extinguishers, eyewash, safety shower, spill kits, alarm pull stations, etc.

Fire suppression systems not blocked/damaged?

Mobile Equipment

Equipment inspected per inspection frequency requirements?

Operators using horns and warning devices where required?

No passengers on equipment designed for operators only?

Electrical Hazards/Arc Flash

High voltage signs in place and visible?

Debris/Tools stored on top of electrical cabinets?

Electrical cabinets closed and in good repair? -Do the cabinets close securely? -Knock-outs all in place? -Large dents in the housing/door?

Electrical cabinets not blocked? -Nothing within 36 inches of the front of the cabinet? -Clear access/pathway to electrical cabinets?

Arc flash signage in place? -Indicates arc flash category?

Proper arc flash PPE available and in use?

Hazardous Energy Control (Lockout/Tagout)

Employees expected to conduct lockout trained and equipped properly? -Employees understand their role and requirements? -Employees have locks available if needed?

Employees locked out during a change over and/or other tasks that require lockout? -All employees who are working on the equipment have their own lock affixed to the proper energy source(s)? -Lockout was verified, stored energy was dissipated and equipment will not operate?

Energy control procedures exist for all equipment in the area and employees know where to find them?

Lockout exceptions have been adequately evaluated and determined safe? -Do regular tool/machine adjustments introduce hazards with unacceptable risk? -Other exceptions?

Crane/Hoist Safety

Inspections completed as per requirements? -Operator inspections completed? -PM's completed as per the schedule?

Are employees working under suspended loads?

Are cranes working within their operating limits? -Capacity not exceeded? -Upper limit switch not used as a stop?

General Safety and Housekeeping

Trash, debris, and equipment not left laying around?

Equipment free of excessive dust, oil and/or soot?

Floor surfaces covered in oil/dust covering the painted surface?

General tripping hazards due to housekeeping, equipment layout, and/or workstation design?

Signature and Finalization

I have completed this assessment to the best of my knowledge. This audit is not intended to identify all safety and health hazards, but to identify all visible/known hazards as of the date printed on the completed assessment. assessment.

Select date

General Comments

Overall Safety Score

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Frequently asked questions

What is a health and safety risk assessment?

A health and safety risk assessment is a systematic process for identifying potential workplace hazards, evaluating the associated risks, and implementing control measures to reduce or eliminate them. This leads to a safer working environment and compliance with health and safety regulations.

What are common hazards to look for in a risk assessment?

Common hazards include physical hazards (like slips, trips, and falls), chemical hazards (exposure to harmful substances), biological hazards (such as bacteria and viruses), and ergonomic hazards (like repetitive strain injuries). Identifying these hazards is key to implementing effective control measures.

How can you involve employees in the risk assessment process?

Involve employees by encouraging them to report hazards and participate in safety meetings. Since they have firsthand experience, they can offer valuable insights into potential risks. Use their feedback to improve safety measures and encourage a culture of safety and collaboration.

This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.