Risk assessment checklist

Template Information

Workplace risk assessment

Category: manufacturing

Template Questions

  • (1). Crushing - Can anyone be crushed due to:
  • Other factors?
  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6. PPE
  • Can be entangled due to:
  • (2). Entanglement
  • Can anyone be cut, stabbed or punctured due to?
  • (3). Cutting, Stabbing and Puncturing
  • Can anyone’s body parts be:
  • (4). Shearing / Burning / Friction
  • Can anyone be struck by moving objects due to:
  • (5). Striking
  • Can anyone come into contact with?
  • (6). High Pressure Fluid /Gases
  • Can anyone be injured by electrical shock due to:
  • (7). Electrical
  • Can anyone’s health be affected by exposure to:
  • (8). Gases or Vapors
  • 1. Elimination. 2. Substitution. 3. Engineering Controls. 4. Isolation. 5. Administrative Controls. 6
  • Can anyone using the plant, or in the vicinity of the plant, slip, trip or fall due to:
  • (9). Slips, Trips or Falls
  • (10). Manual Handling
  • Can anyone be suffocated due to:
  • (11). Suffocation
  • Can anyone’s health be affected by extreme temperatures by:
  • (12). Temperature
  • Is lighting acceptable in this area?
  • (14). Light
  • Is noise acceptable in this area?
  • Noise
  • Could the plant create hazardous conditions other than above mentioned categories including:
  • (13). Other Hazards
  • CLASSIFICATION1. FACTOR
  • a. Catastrophe; numerous fatalities; major disruption of activities 100
  • b. Disaster; multiple fatalities; 50
  • c. Very serious; Fatality; 25
  • d. Serious; serious injury (amputation, permanent disability) 15
  • e. Important; disabling injury; 5
  • f. Noticeable; minor cuts, bruises, bumps; minor damage. 1
  • a. Continuously (or many times daily) 10
  • b. Frequently (approximately once daily). 6
  • c. Occasionally (from once per week to once per month) 3
  • d. Infrequent (from once per month to once per year). 2
  • e. Rarely (it has been known to occur) 1
  • f. Very rarely (not known to have occurred) 0.5
  • a. Almost certain likely or expected result; 1 in 10 chance. 10
  • b. Quite possible/not unusual; 1 in 10 to 1 in 100 chance 6
  • c. Would be an unusual sequence or coincidence; 1 in 100 to 1 in 1000 chance 3
  • d. Would be a remotely possible coincidence 1 in 1000 to 1 in 10,000 chance. 1
  • e. Has never happened after many years of exposure, but is conceivably possible; 1 in 10 000 to 1 in
  • f. Practically impossible sequence (has never happened) 1 in 100,000 chance or lower 0.1
  • 500 Very high risk Immediate action required. HIGH PRIORITY.
  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.
  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.
  • 60- 149 Moderate risk Hazard must be examined against current standards
  • 0- 59 Low risk Manage by routine procedures.
  • - Is it possible to eliminate the risk?
  • - Is it possible to reduce the level of risk posed by the hazard by (priority order.
  • · Substitution (using less hazardous alternatives)
  • · Isolation (separating the operator from the risk)
  • · Engineering controls (re-designing plant or equipment).
  • - Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, tr
  • - Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equip
  • Completed by date/time Date
  • Responsibility
  • Issue identified. Comment on progress/update for actions
  • Select date Date
  • Auditor to sign here