Health And Risk Assessment Checklist
This procedure will help you in identifying the hazard(s) in your work place, assess the level of risk and how to control it. This assessment is conducted to establish whether there are any underlying health conditions that could be prevented or managed, to improve the quality of life and overall health of your employees. Use this template to document a risk assessment to manage health and safety hazards and risks.
MaintainX
10/24/2021
Health And Risk Assessment Checklist
This procedure will help you in identifying the hazard(s) in your work place, assess the level of risk and how to control it. This assessment is conducted to establish whether there are any underlying health conditions that could be prevented or managed, to improve the quality of life and overall health of your employees. Use this template to document a risk assessment to manage health and safety hazards and risks.
Activity Description:
Conducted By:
Date:
Step 1: Identify the Hazards
Biological
Other details:
Chemicals (note: refer to the label and safety data sheet (SDS) for the classification and management of all chemicals)
Name of chemical(s) details:
Critical Incident -resulting in:
Other/details:
Energy systems -incident/issues involving:
Other/details:
Environment:
Other/details:
Facilities/Built Environment:
Other/details:
Machinery, plant and equipment:
Other/details:
Manual tasks/ergonomics:
Other/details:
People:
Other/details:
Other hazard details:
Step 2: Assess the Level of Risk
Consider the hazards identified in Step One and use the risk assessment matrix below as a guide to assess the risk level.
Consequence
Description of Consequence
Likelihood
Description of Likelihood
Assessment Risk Level
Description of Risk Level
Actions per Risk Level
Step 3: Control the Risk
In the table below:
Note: control measures should be implemented in accordance with the preferred hierarchy of control. If lower level controls (such as administration or PPE) are to be implemented without higher level controls, it is important the reasons are explained.
Hazards/risks and control measures
Description of hazards/risks
Risk Level
Control measures (Note: if only administration or PPE controls are used, please explain why)
Submission
This activity will be conducted in accordance with the risk assessment, implementing the control measure outlined in Step 3. Changes will be made to the activity if it is required to manage any emerging risks to ensure safety.
Contact Person: (indicate those others involved in the preparation of this risk assessment)
Date:
Step 4: Monitor and Review Controls
Complete during and/or after the activity
Are the planned control measures sufficient and effective in minimizing the level or risk?
Have there been any changes to the planned control measures?
Are further control measures required in future?
Details:
Review completed by:
Designation:
Signature:
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