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TASK RISK Page :

No. Ref. No:


ASSESSMENT Revision Date:
Severity Likelihood
Very
Unlikel Possibl Probabl Minor – No or Minor Injury, First Aid; minor Very Unlikely – rare, exceptional event, with
Unlikel
y e e spillage but no environmental harm little or no chance of occurring
y
Moderate – Medical treatment case, Unlikely – Not expected over 5 year cycle
CAUTIO environmental legislation applies but Possible – May occur over a 5 year cycle
CARE CARE CARE Minor
N regulations are being met Probable – Expected to occur over a 5 year
CAUTIO Moderat Serious – LTI, long term absence,; breach of cycle
CARE CARE ALERT
N e environmental legislation or company
CAUTIO procedures
CARE ALERT ALARM Serious Major – Permanent disability / fatality;
N
CAUTIO multiple breach of environmental legislation,
ALERT ALARM ALARM Major difficult to rectify environmental damage
N

Location: Task Name:


Prepared By: Reviewed By: Date of
released :
Task Risk Assessment:
Risk
No Task Sequences Hazard Control Measures
L S R

Date Printed: 14/04/2011