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    Risk Assessment Sheet: Hazards Identified

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    Shahla
    This document contains a risk assessment form to evaluate hazards, existing controls, and actions needed to reduce risk. The form has three parts: Part 1 involves identifying hazards, those affected, consequences, likelihood of occurrence, and initial risk rating. Any serious immediate dangers require prompt response. Part 2 evaluates existing controls like documents, training, best practices, and reassesses risk level. Part 3 is for developing actions to reduce risk if existing controls are insufficient, including required actions, responsibilities, and target completion dates.

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    Risk Assessment Sheet: Hazards Identified

    Uploaded by

    Shahla
    106 views5 pages
    This document contains a risk assessment form to evaluate hazards, existing controls, and actions needed to reduce risk. The form has three parts: Part 1 involves identifying hazards, those affected, consequences, likelihood of occurrence, and initial risk rating. Any serious immediate dangers require prompt response. Part 2 evaluates existing controls like documents, training, best practices, and reassesses risk level. Part 3 is for developing actions to reduce risk if existing controls are insufficient, including required actions, responsibilities, and target completion dates.

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    F001D Risk Assessment Sheet.doc

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    This document contains a risk assessment form to evaluate hazards, existing controls, and actions needed to reduce risk. The form has three parts: Part 1 involves identifying hazards, those affected, consequences, likelihood of occurrence, and initial risk rating. Any serious immediate dangers require prompt response. Part 2 evaluates existing controls like documents, training, best practices, and reassesses risk level. Part 3 is for developing actions to reduce risk if existing controls are insufficient, including required actions, responsibilities, and target completion dates.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    106 views5 pages

    Risk Assessment Sheet: Hazards Identified

    Uploaded by

    Shahla
    This document contains a risk assessment form to evaluate hazards, existing controls, and actions needed to reduce risk. The form has three parts: Part 1 involves identifying hazards, those affected, consequences, likelihood of occurrence, and initial risk rating. Any serious immediate dangers require prompt response. Part 2 evaluates existing controls like documents, training, best practices, and reassesses risk level. Part 3 is for developing actions to reduce risk if existing controls are insufficient, including required actions, responsibilities, and target completion dates.

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    of 5

    Health Safety and Environmental Management Procedures Manual

    Title: HS&EP 1 Issue No. 02 Revision: 00


    Controlled Copy Page: 8 of 13

    RISK ASSESSMENT SHEET


    Risk Assessment No: Date:

    Assessed by: Review Date:

    Job Title: Signed:

    Description of Activity/Task

    Location:

    AFFECTED BY HAZARD KEY TO CONSEQUENCE KEY TO CHANCE


    A:- Direct Labour No:- None Im:- Improbable
    B:- Plant and Site Maintenance Personnel Mi:- Minor Re:- Remote
    C:- General Public Ma:- Major Po:- Possible
    D:- Contractors Fa:- Fatal Pr:- Probable
    E:- Visitors Li:- Likely
    F:- Office Staff
    P/E Plant and/or Environment

    PART 1
    PLANT ENVIRONMENT RISK
    No. HAZARDS IDENTIFIED & PERSONS AT RISK
    Consequence Chance OK?
    (Note:- any serious and imminent A B C D E F PE No Mi Ma Fa Im Re Po Pr Li Y/N/M
    danger should be addressed
    immediately)

    IF RISK IS NOT ACCEPTABLE CONSIDER EXISTING CONTROLS AND USING THE SAME
    NUMBERING, COMPLETE PART 2 AND RE-EVALUATE THE RISK.
    13 September 2004 OP 07 Briggs Commercial Limited
    Form No. F001D
    Health Safety and Environmental Management Procedures Manual
    Title: HS&EP 1 Issue No. 02 Revision: 00
    Controlled Copy Page: 9 of 13

    PART 1 Continuation sheet No. Assessment No.


    PLANT ENVIRONMENT RISK
    No. HAZARDS IDENTIFIED & PERSONS AT RISK
    Consequence Chance OK?
    (Note:- any serious and imminent A B C D E F PE No Mi Ma Fa Im Re Po Pr Li Y/N/M
    danger should be addressed
    immediately)

    13 September 2004 OP 07 Briggs Commercial Limited


    Form No. F001D
    Health Safety and Environmental Management Procedures Manual
    Title: HS&EP 1 Issue No. 02 Revision: 00
    Controlled Copy Page: 10 of 13

    PART 2 Assessment No.


    EXISTING CONTROLS (CAN REF EXISTING EXISTING BEST RISK OK?
    EXISTING DOCUMENTS) INFORMATION TRAINING PRACTICE Y/N/M

    IF EXISTING CONTROLS ARE INADEQUATE, CONSIDER OTHER MEASURES TO REDUCE RISK TO ACCEPTABLE LEVEL
    AND COMPLETE PART 3.

    13 September 2004 OP 07 Briggs Commercial Limited


    Form No. F001D
    Health Safety and Environmental Management Procedures Manual
    Title: HS&EP 1 Issue No. 02 Revision: 00
    Controlled Copy Page: 11 of 13

    PART 2 Continuation sheet No. Assessment No.


    EXISTING CONTROLS (CAN REF EXISTING EXISTING BEST RISK OK?
    EXISTING DOCUMENTS) INFORMATION TRAINING PRACTICE Y/N/M

    13 September 2004 OP 07 Briggs Commercial Limited


    Form No. F001D
    Health Safety and Environmental Management Procedures Manual
    Title: HS&EP 1 Issue No. 02 Revision: 00
    Controlled Copy Page: 12 of 13
    PART 3 Assessment No.
    SITUATION OR HAZARD ACTION REQUIRED TO REDUCE RISK ACTION TARGET DATE
    IDENTIFIED TO RESOLVE TO ACCEPTABLE LEVEL BY DATE FINISHED

    13 September 2004 OP 07 Briggs Commercial Limited


    Form No. F001D

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