Risk assessment form

Location

Description of hazard
and hazardous event

Bad
Housekeeping
(no waste
disposal no
cleaning )

Bad Ventilation

What risk
controls
are currently
in
place?

Who
might be
harmed?

All
people
in the

workstat
ion

All
people
in the
workstat
ion

Current
risk
rating*

C R

Un
controlled
waste
disposal

Unorganiz
ed
procedure
s to
cleaning
Using hoods
(not
effective )
(not
enough)

Are further
Controls needed?

1
5

Establish
housekeeping
procedures
and follow up
this
procedures
Safe waste
disposal

checking
,inspection
and
maintenance
of ventilators
Use ventilation
System
(hoods and
ventilators)

Residual
risk
rating*

Date to
be
complet
ed

C R

unspecif
ed

unspecif
ed


There is no
emergency exit

Activities

Description of hazard
and hazardous event

All
people
in the
workstat
ion

Who
might be
harmed?

Using one
door to
entry and
exit

What risk
controls
are currently
in
place?

1
6

Current
risk
rating*

Identify
emergency
exits
Make
emergency exit
far from places
of work

unspecif
ed

Are further
Controls needed?

Date to
be
complete
d

Residual
risk
rating*

Equipment

Description of hazard
and hazardous event

Who
might be
harmed?

What risk
controls
are currently
in
place?

Current
risk
rating*

Are further
Controls needed?

Date to
be
complete
d

Residual
risk
rating*

/hazardous Material
Risk Rating Calculator
Likelihood
Likelihood that hazardous event will
occur

1
2

very unlikely

unlikely

Description of likelihood
Will only occur in exceptional circumstances
(There is a 1 in a million chance of hazardous event
happening )

Not likely to occur within the foreseeable future, or

within the project lifecycle
(There is a 1 in a 100,000 chance of hazardous event
happening )

fairly likely

likely

very likely

May occur within the foreseeable future , or within

the project lifecycle
(There is a 1 in a 10,000 chance of hazardous event
happening )

Likely to occur within the foreseeable future , or

within the project lifecycle
(There is a 1 in a 1000 chance of hazardous event
happening )

Almost certain to occur within the foreseeable

future , or within the project lifecycle
(There is a 1 in a 100 chance of hazardous event
happening )

Consequences
Consequence of hazardous event

Description of Consequences

insignifcant

minor

No injury - No treatment required

Minor injuries needing first aid (minor cuts bruises
bumps )
Injury required medical treatment or lost time

3
4
5

moderate up to three days

absence
major more than seven days
absence
catastrophic death

Serious injury required specialist medical treatment

or hospitalization
Loss of life, permanent disability or multiple serious
injuries

Risk matrix
Likelihood

Consequences

very likely (5)

Likely (4)
fairly likely (3)
unlikely (2)
Very
unlikely(1)

Insignifcant
(1)
5
4
3
2
1

Minor (2)
10
8
6
4
2

Moderate
(3)
15
12
9
6
3

Major (4)
20
16
12
8

Catastrophic
(5)
25
20
15
10

Action Level Table

Risk Rating
2025
1516
812
36
12

Action
Stop stop activity and take immediate action
Urgent action take immediate action and stop activity if necessary,
maintain existing controls rigorously
Action improve within specified timescale
Monitor look to improve at next review or if there is a significant change
No action no further action but ensure controls are maintained and
reviewed