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HSE Risk Assessment Template

Use this template to record an HSE Risk Assessment to control health and safety dangers in your workplace. Identify observed potential and existing dangers (e.g biological, chemical, energy, environment, etc.), evaluate the risk level (consequence, probability and risk ratings) and implement necessary control measures. Monitor and examine planned control measures and recommend if further measures are needed. Lastly, implement overall recommendations to avoid and control risk hazards.

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HSE Risk Assessment Template

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Assessment

Hazard Identification

Describe the procedure, task or worksite being evaluated:

Biological (e.g. hygiene, disease, infection)

Are there biological dangers observed?

Chemicals

Are there chemical hazards observed?

Critical Incident

Are there critical dangers observed?

Energy Systems

Are there energy system dangers observed?

Add the hazards you have observed and identified:

Environment

Are there environment risks observed?

Facilities / Built Environment

Are there facilities / built environment dangers observed?

Add a hazard after you have observed and identified it

Machinery, Plant and Equipment

Are there any machinery, plant and equipment risks observed?

Manual Tasks / Ergonomics

Are there any manual tasks / ergonomics risks observed?

People

Are there people dangers observed?

Others

Are there any other hazards not listed above?

References

Hierarchy of Controls Reference:

Risk Matrix Reference:

Monitor and Review Controls

Have there been any modifications to the planned control measures?

Are the proposed control measures adequate and effective in reducing the level of risk?

Are further control measures necessary in future?

Completion

Further recommendations:

Name and signature of the inspector:

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