Risk Assessment
Sheet1
submitter
Autofill by Company Name
Process/Location     
Conducted By
Name     

Designation     

Date   

Last Review Date     

Next Review Date     

No     

Activity     

Hazard     

Possible Accident / Ill Health & Persons-at-Risk     

Existing Risk Control     

SEV
 Major (Ma)
Moderate (Mo)
Minor (Mi)
LLH
Remote (R)
Occasional (O)
Frequent (F)
Risk
MR
HR
LR

Risk Control Measure     

Action Officer (Follow-up date)     

No     

Activity     

Hazard     

Possible Accident / Ill Health & Persons-at-Risk     

Existing Risk Control     

SEV
Major (Ma)
Moderate (Mo)
Minor (Mi)
LLH
Remote (R)
Occasional (O)
Frequent (F)
Risk
MR
HR
LR

Risk Control Measure     

Action Officer (Follow-up date)     

No     

Activity     

Hazard     

Possible Accident / Ill Health & Persons-at-Risk     

Existing Risk Control     

SEV
Major (Ma)
Moderate (Mo)
Minor (Mi)
LLH
Remote (R)
Occasional (O)
Frequent (F)
Risk
MR
HR
LR

Risk Control Measure    

Action Officer (Follow-up date)    

No    

Activity    

Hazard    

Possible Accident / Ill Health & Persons-at-Risk    

Existing Risk Control    

SEV
Major (Ma)
Moderate (Mo)
Minor (Mi)
LLH
Remote (R)
Occasional (O)
Frequent (F)
Risk
MR
HR
LR

Risk Control Measure    

Action Officer (Follow-up date)    

No    

Activity    

Hazard    

Possible Accident / Ill Health & Persons-at-Risk    

Existing Risk Control    

SEV
Major (Ma)
Moderate (Mo)
Minor (Mi)
LLH
Remote (R)
Occasional (O)
Frequent (F)
Risk
MR
HR
LR

Risk Control Measure    

Action Officer (Follow-up date)    

No    

Activity    

Hazard    

Possible Accident / Ill Health & Persons-at-Risk    

Existing Risk Control    

SEV
Major (Ma)
Moderate (Mo)
Minor (Mi)
LLH
Remote (R)
Occasional (O)
Frequent (F)
Risk
MR
HR
LR

Risk Control Measure    

Action Officer (Follow-up date)    

No    

Activity    

Hazard    

Possible Accident / Ill Health & Persons-at-Risk    

Existing Risk Control    

SEV
Major (Ma)
Moderate (Mo)
Minor (Mi)
LLH
Remote (R)
Occasional (O)
Frequent (F)
Risk
MR
HR
LR

Risk Control Measure    

Action Officer (Follow-up date)    

No    

Activity    

Hazard    

Possible Accident / Ill Health & Persons-at-Risk    

Existing Risk Control    

SEV
Major (Ma)
Moderate (Mo)
Minor (Mi)
LLH
Remote (R)
Occasional (O)
Frequent (F)
Risk
MR
HR
LR

Risk Control Measure    

Action Officer (Follow-up date)    

No    

Activity    

Hazard    

Possible Accident / Ill Health & Persons-at-Risk    

Existing Risk Control    

SEV
Major (Ma)
Moderate (Mo)
Minor (Mi)
LLH
Remote (R)
Occasional (O)
Frequent (F)
Risk
MR
HR
LR

Risk Control Measure    

Action Officer (Follow-up date)    

No    

Activity    

Hazard    

Possible Accident / Ill Health & Persons-at-Risk    

Existing Risk Control    

SEV
Major (Ma)
Moderate (Mo)
Minor (Mi)
LLH
Remote (R)
Occasional (O)
Frequent (F)
Risk
MR
HR
LR

Risk Control Measure    

Action Officer (Follow-up date)