Fillable Printable OHS Risk Assessment Template
Fillable Printable OHS Risk Assessment Template
OHS Risk Assessment Template
Topic:
OHS Risk Assessment Template
Document Location
//bacsps01/sites/hr/ohs/ohsms/2 hazard identification risk assessmentreview/risk assessment/OHS Risk Assessment Template.doc
Uncontrolled if Printed
Page
1
of
4
OCCUPATIONALHEALTH&SAFETYTEMPLATE
TemplateName
OHS Risk Assessment
Section1–ActivityDescription
DateofAssessment:
DescriptionofActivity/Hazard/Risk:
WorkSite/Location:
AssessmentConductedby:
BACKGROUNDINFORMATION
ReasonforAssessment:
OtherRelevantInformation:
PHOTOS/DIAGRAMS
Topic:
OHS Risk Assessment Template
Document Location
//bacsps01/sites/hr/ohs/ohsms/2 hazard identification risk assessmentreview/risk assessment/OHS Risk Assessment Template.doc
Uncontrolled if Printed
Page
2
of
4
Hazard
Hazard
Mechanical/Kinetic
Chemicals/Substances
Contact with moving plant/parts (cutting,shearing, entanglement, etc)
Inhalation ofdusts,gases,fumes, vapours andmists
Contact with sharp objects/edges
Ingestionof chemicals/substances
Contact with moving vehicles/mobile plant
Absorptionof chemicals/substances through skin
Struck by projectiles or ejecteditems (including struck in eye byobject)
Radiation
Mechanical damage to services, PPE orother items
Exposure toionisingradiation source (industrial radiography,non-destructive
testing)
Gravitational
Fall from height
Exposure tonon-ionising radiationsource (laser, welding flash, infrared,
radiofrequency)
Falling object from height
Slips and trips
Biological
Access/work beneath a suspended load/unstable object
Exposure toalgal, bacterial,fungal, viral or parasiticagents (skin contact,
ingestion, inhalation)
Thermaland/orExplosive
Fire/Explosion
Animal, insectandspider bites/stings
Sharps/needle-stick exposure
Ignition of gas/dust in ahazardousarea
Contact with hot/cold objects/parts
ManualHandling/Postural
Excessively hot/cold environments (including heat stress)
Handling heavy, unstableor awkward objects/loads
Repetitiousmovements
Electrical
Contact with liveelectrical parts(overheadpowerline, etc)
Maintaining static or awkward postures
Exposure to highfault currents (within switchboards, batterybanks)
Tool use thatrequires excessive force
Mechanical damage to powerleads/fixed electricalwiring
Psychological/Mental,Social,Medical
Ingress of waterintoelectrical components
Working for excessive time periods and/or whilefatigued
Noiseand/orVibration
Exposure toworkplacebullying, harassment, violence
Exposure to increased noise(levelsthat may cause hearing damage)
WorkEnvironment
Contact with vibrating plant/vehicles/tools/objects
Inadequate lighting
Environmental
Wet/slippery/uneven/unstable worksurface
Air/ground/water contamination (includingspills, uncontrolled release, etc)
Weather conditions (including flooding, lightning,wind)
Release of harmful solid,liquidor gas duringtransport on/off site
Working alone
Incorrect wastedisposal
Unfavourableatmospheric conditions (dusty)
Import of unauthorised soils, materials,plants ormachinery
Restricted access or working space
Pressurised
Other:
Release of stored gas, liquid,solidunderpressure
Aviation:
Release of spring/tension energy
Topic:
OHS Risk Assessment Template
Document Location
//bacsps01/sites/hr/ohs/ohsms/2 hazard identification risk assessmentreview/risk assessment/OHS Risk Assessment Template.doc
Uncontrolled if Printed
Page
3
of
4
Section3–RiskAnalysis
Step1–ConsiderConsequences
Step2–ConsiderLikelihood
Step3–CalculateRisk
What are the consequences of the hazard occurring? Consider what
is the most probable consequence (below) with respect to this work
hazard
What is the likelihood (below) of the hazard
consequence in Step 1 occurring.
1.Take Step 1 rating and select correct column
2.Take Step 2 rating and select correct row
3.Use the risk score where the two ratings cross on the
matrix below
H=High,S=Serious,M=Medium,L=Low
WorkplaceSafety
Legislative&Regulatory
Extreme
Multiple fatalities
Non-compliance, business activity
affected/penalty enforced
Almost
Certain
Is expected to occur in most
circumstances (once per year)
Consequences
Critical
Single Fatality or
serious injury/illness
Major non-compliance resulting in
regulatory notice
Likely
Will probably occur at least once (every
5 years)
Min
Maj
Crit
Ext
Likelihood
Almost Certain
S (A4)
S (A3)
H (A2)
H (A1)
Major
Medical treatment /LTI
Non-compliance - warning
Possible
Event might occur at some time (10yrs)
Likely
M (B4)
S (B3)
H (B2)
H (B1)
Minor
First Aid and/or
medical treatment
Minimal non-compliance
Unlikely/
Rare
Event not expected to occur/ only in
exceptional circumstances (20+yrs)
Possible
L
(C4)
M
(C3)
S
(C2)
S
(C1)
Unlikely/Rare
L
(D4)
M
(D3)
M
(D2)
S
(D1)
DescriptionofRisk
ControlMeasures
(Detail any existing controls)
RiskAnalysis
AdditionalControls
(detail additional controls to be
implemented)
RiskAnalysis
(with additional controls)
C
L
Risk Rating
C
L
Risk Rating
Topic:
OHS Risk Assessment Template
Document Location
//bacsps01/sites/hr/ohs/ohsms/2 hazard identification risk assessmentreview/risk assessment/OHS Risk Assessment Template.doc
Uncontrolled if Printed
Page
4
of
4
Section4–RiskAssessmentControl/ActionTimetable
Requiredcontroland/oraction
ResponsiblePerson
DueDate
Decision of Acceptability of Risk (with
above actions in place):
ACCEPTABLE / NOT ACCEPTABLE
Approved By:
Name
Signature
Comments:
