Prioritize issues using a risk assessment rating template

Risk Assessment Rating Template

About the Risk Assessment Rating Template

Use this template to distinguish workplace risks, evaluate initial risk ratings, control means and residual risk ratings. Use the Risk Matrix chart to identify the severity, likelihood and risk rating before and after implementing control measures.

Related categories

Preview of the template

Audit

General

Instructions: 1. Inspect and identify workplace risks on site which could generate harm to workers. Follow and repeat the steps underneath for all hazards classified 2. Add a hazard to document risk evaluation 3. Describe the hazard, attach a photo and include annotations where needed 4. Evaluate the risk rating based on the risk matrix reference at the bottom of the template 5. Select the proper controls with reference to the hierarchy of controls at the bottom of the template 6. Complete the risk evaluation by giving general recommendations and a digital signature 7. Generate and export your report in PDF, Word or Web Links

Describe the procedure, task or worksite being evaluated:

Hazards, Risks and Controls

Add the hazard you have observed and identified:

Hazard

Describe the hazard:

Photo of hazard (optional):

What can you do to get rid of that hazard or to limit the risk?

Controls

Possible control measures:

Initial risk rating

Initial consequence:

Initial probability:

Rate the risk initial:

Residual risk rating

Residual consequence:

Residual probability:

Rate the risk:

References

Risk Matrix Reference:

Hierarchy of Controls Reference:

Completion

Further recommendations:

Full name and signature of the inspector:

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.