RISK ASSESSMENT FORM

RISK ASSESSMENT

INVENTORY OF WORK ACTIVITIES

Company:
No. Process/Location Work Activities
1 i.

2 i.

3 i.

4 i.

5 i.
 RISK ASSESSMENT FORM
ACTIVITY-BASED RISK ASSESSMENT FORM

Company:
Process/ Location:
Conducted by:
(Names, designations)
(Date)

Approved by:
(Name, designation)
(Date)

Last Review Date:

1. Hazard Identification 2. Risk Evaluation 3. Risk Control

1a. 1b. 1c. 1d. 2a. 2b. 2c 2d 3a. 3b.
. .
No. Work Activity Hazard Possible Accident / Ill Health Existing Risk Control Additional Risk Action Officer,

Sev-erity

Risk Level
Likeli-hood
& Persons-at-Risk (if any) Control Designation
(Follow-up date)

1.
2.
3.