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Fillable Printable Plant Risk Assessment Sample Form

Fillable Printable Plant Risk Assessment Sample Form

Plant Risk Assessment Sample Form

Plant Risk Assessment Sample Form

97
Golden Plains Shire Council - Resource Manual
Form 18: Plant Risk Assessment
PLANT:Organisation:
Howistheplantused?Whousestheplant?
HazardRiskDetermined
ControlMeasures
Implemented
by:
Expected
dateof
completion
Signoffon
completion
Dateof
Completion
Probability
Consequence
RiskRating
StepOne – For each hazard select one category
from Probability column and one category from the
Consequence columns
StepTwo – Plot both (P) & (C) onto the Matrix
StepTwo –
Address High and
Medium risks
RiskRatingMatrix
(Probability)Consequence(C)
ABCDE
1
Expected
A
Death
1HighHighHighMediumMedium
2
Often
B
Permanent Disability
2HighHighMediumMediumLow
3
Sometimes
C
Lost Time Injury
3HighMediumMediumLowLow
4
Rarely
D
Medical Treatment
4MediumMediumLowLowLow
5
Highly Unlikely
E
First Aid Injury
5MediumLowLowLowLow
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