STEP 1.
TITLE OF RISK ASSESSMENT (RA):
ORG UNIT:
RA NO.
VERSION:
CREATION DATE:
REVIEW DATE:
SUMMARY OF ACTIVITY: Further detail on the task, activity, project, change or event that you are assessing LOCATION OF ACTIVITY: RISK ASSESSMENT CREATED BY / CONSULTED WITH:
POSITION TITLE:
STEP 4c.
STEP 6b.
STEP 6c.
STEP 7.
STEP 2.
STEP 3.
STEP 4a.
STEP 4b.
STEP 5.
STEP 6a.
IDENTIFY POTENTIAL HAZARDS
INHERENT RISK
RESIDUAL RISK
Ref No.
SPECIFIC ACTIVITY STEPS
Things that might ‘go wrong’
RISK CONTROL MEASURES
Controls to eliminate or reduce the risks
1
2
3
4
5
6
7
8
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