Fillable Printable OHS Risk Assessment Template
Fillable Printable OHS Risk Assessment Template
OHS Risk Assessment Template
Topic:
OHS Risk Assessment Template
Document Location
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OCCUPATIONAL HEALTH & SAFETY TEMPLATE
Template Name
OHS Risk Assessment
Section 1 – Activity Description
Date of Assessment:
Description of Activity/Hazard/Risk:
Work Site/Location:
Assessment Conducted by:
BACKGROUND INFORMATION
Reason for Assessment:
Other Relevant Information:
PHOTOS/DIAGRAMS
Topic:
OHS Risk Assessment Template
Document Location
http://bacsps01/sites/hr/ohs/ohsms/2 hazard identification risk assessment review/risk assessment/OHS Risk Assessment Template.doc
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Hazard
Hazard
Mechanical/Kinetic
Chemicals/Substances
Contact with moving plant/parts (cutting, shearing, entanglement, etc)
Inhalation of dusts, gases, fumes, vapours and mists
Contact with sharp objects/edges
Ingestion of chemicals/substances
Contact with moving vehicles/mobile plant
Absorption of chemicals/substances through skin
Struck by projectiles or ejected items (including struck in eye by object)
Radiation
Mechanical damage to services, PPE or other items
Exposure to ionising radiation source (industrial radiography, non-destructive
testing)
Gravitational
Fall from height
Exposure to non-ionising radiation source (laser, welding flash, infrared,
radiofrequency)
Falling object from height
Slips and trips
Biological
Access/work beneath a suspended load/unstable object
Exposure to algal, bacterial, fungal, viral or parasitic agents (skin contact,
ingestion, inhalation)
Thermal and/or Explosive
Fire/Explosion
Animal, insect and spider bites/stings
Sharps/needle-stick exposure
Ignition of gas/dust in a hazardous area
Contact with hot/cold objects/parts
Manual Handling/Postural
Excessively hot/cold environments (including heat stress)
Handling heavy, unstable or awkward objects/loads
Repetitious movements
Electrical
Contact with live electrical parts (overhead power line, etc)
Maintaining static or awkward postures
Exposure to high fault currents (within switchboards, battery banks)
Tool use that requires excessive force
Mechanical damage to power leads/fixed electrical wiring
Psychological/Mental, Social, Medical
Ingress of water into electrical components
Working for excessive time periods and/or while fatigued
Noise and/or Vibration
Exposure to workplace bullying, harassment, violence
Exposure to increased noise (levels that may cause hearing damage)
Work Environment
Contact with vibrating plant/vehicles/tools/objects
Inadequate lighting
Environmental
Wet/slippery/uneven/unstable work surface
Air/ground/water contamination (including spills, uncontrolled release, etc)
Weather conditions (including flooding, lightning, wind)
Release of harmful solid, liquid or gas during transport on/off site
Working alone
Incorrect waste disposal
Unfavourable atmospheric conditions (dusty)
Import of unauthorised soils, materials, plants or machinery
Restricted access or working space
Pressurised
Other:
Release of stored gas, liquid, solid under pressure
Aviation:
Release of spring/tension energy
Topic:
OHS Risk Assessment Template
Document Location
http://bacsps01/sites/hr/ohs/ohsms/2 hazard identification risk assessment review/risk assessment/OHS Risk Assessment Template.doc
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Section 3 – Risk Analysis
Step 1 – Consider Consequences
Step 2 – Consider Likelihood
Step 3 – Calculate Risk
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
Workplace Safety
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)
Description of Risk
Control Measures
(Detail any existing controls)
Risk Analysis
Additional Controls
(detail additional controls to be
implemented)
Risk Analysis
(with additional controls)
C
L
Risk Rating
C
L
Risk Rating
Topic:
OHS Risk Assessment Template
Document Location
http://bacsps01/sites/hr/ohs/ohsms/2 hazard identification risk assessment review/risk assessment/OHS Risk Assessment Template.doc
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Section 4 – Risk Assessment Control / Action Timetable
Required control and / or action
Responsible Person
Due Date
Decision of Acceptability of Risk (with
above actions in place):
ACCEPTABLE / NOT ACCEPTABLE
Approved By:
Name
Signature
Comments:
