Risk Assessment Form

User Guide: Risk Assessment Form

Overview

This Risk Assessment Form is designed to help organizations identify, evaluate, and control potential hazards in the workplace. The form follows a structured approach to risk management with sections for basic information, hazard identification, risk assessment, action planning, and approval.

How to Use the Form

1. Basic Information Section

• Assessor Name: Enter the name of the person conducting the assessment (required)
• Department/Area: Specify which department or work area is being assessed (required)
• Assessment Date: The date when the assessment is being performed (required, defaults to current date)
• Next Review Date: When this assessment should be reviewed again (defaults to one year from current date)
• Location: Specific location where the assessment is taking place

2. Hazard Identification Section

• Task/Process Description: Describe the task or process being assessed in detail (required)
• Potential Hazards: List all potential hazards associated with the task/process (required)
• Persons at Risk: Select which groups might be affected by these hazards (required)

3. Risk Assessment Section

This section contains a table for evaluating specific hazards:

• Hazard: Describe a specific hazard
• Existing Controls: List any current safety measures in place
• Likelihood: Select how likely the hazard is to occur (Rare, Unlikely, Possible, Likely, Certain)
• Severity: Select potential consequences if the hazard occurs (Negligible, Minor, Moderate, Major, Severe)
• Risk Level: Automatically calculated based on likelihood and severity selections
• Additional Controls Needed: Recommend further safety measures to reduce risk

The form includes three hazard rows by default, but you can print the form and manually add more if needed.

4. Action Plan Section

• Recommended Action Items: Detail the specific actions needed to address identified risks
• Responsible Party: Identify who will implement these actions
• Target Completion Date: Set a deadline for implementing controls
• Status: Track progress of implementation (Not Started, In Progress, Completed, On Hold)

5. Approval Section

• Approver Name: Name of person authorizing the assessment
• Approver Title: Position of the approving person
• Approval Date: Date when the assessment was approved

Form Buttons

• Print Form: Generates a printer-friendly version of the form
• Reset Form: Clears all entered data (use with caution)
• Save Form: Currently a placeholder button (would typically save data in a connected system)

Risk Matrix Calculation

The form automatically calculates risk levels based on your likelihood and severity selections:

• Low Risk (1-4): Generally acceptable, maintain existing controls
• Medium Risk (5-9): Requires attention, consider additional controls
• High Risk (10-16): Immediate action needed, implement controls promptly
• Extreme Risk (17-25): Unacceptable risk, stop activity until controls implemented

Best Practices

1. Be Specific: Provide detailed descriptions of tasks and hazards
2. Consult Others: Involve employees who actually perform the tasks being assessed
3. Consider All Possibilities: Think about what could go wrong in normal and abnormal conditions
4. Review Regularly: Reassess risks when processes change or incidents occur
5. Implement Controls: Follow through on recommended actions and monitor effectiveness

Technical Notes

• Required fields are marked with a red asterisk (*)
• The form works best in modern browsers
• For optimal printing results, use the "Print Form" button rather than browser print
• The Save button is currently a placeholder and would need backend integration to function

This form provides a systematic approach to risk management that can help organizations maintain a safe working environment and comply with occupational health and safety regulations.