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Form 1: Hazard Identification Register

Workplace area: Date:

Form completed by: Sign:

Ref no:

Ref No. Identified Hazards Date Initials

8
9

10
Form 2: Hazard & Associated Risk Reg

Workplace area:

Form completed by:

Associated
Ref No. Hazards
Risk

10

Comments: (Are controls preventing or minimising the risks? Are there any new problems introduced?)
Ref No: 1

Ref No: 2

Ref No: 3

Ref No: 4
Associated Risk Register

Date:

Sign:

Control Measures
Risk Control Implemented Review
Rating Measures Date
Yes No

w problems introduced?)
Form 3: Hazard Identification

Workplace area: Date:

Form completed by: Sign:

What are the hazards for each activity?


Sr. No. Identify the task or activity Date Initials
(and Ref. no.)
Form 4: Risk Identification

Workplace area: Date:

Form completed by: Sign:

What are the


Specific circumstances Description of
Sr.No. hazards for each activity? What are the associated risks? * Who is at risk?
relating to the risk risk
(and Ref. no.) (and Ref. no.)
Comments:
Form 5: Risk Assessment

Workplace area: Date:

Form completed by: Sign:

Estimated
Hazard Associated risk Estimated
Task/Activity. Existing controls (if any) severity of
Ref. no. ref. no. likelihood
consequences

Comments:
Risk rating
Form 6: Risk Control Measur

Workplace area: Date:

Hazard Ref. No: Risk Ref. No:

Risk rating Possible control option(s)


Risk Ref. No.
( From Form No 5) and how it will control the risk

Elimination:

Substitution:

Isolation:

Engineering:

Administrative:

Personal protective equipment:

Comments:
k Control Measures

Form completed by:

Sign:

ption(s)
Preferred control option(s) and comments
rol the risk

ent:
Form 7: Risk Control Implementatio

Workplace area: Date:

Hazard Ref. No: Risk Ref. No:

Preferred control What resources are


What needs to be done?
option(s) needed?

Comments:
: Risk Control Implementation Plan

Form completed by:

Sign:
Implementation
Person(s) Implementation completed Date for
responsible due date review
Signature Date
Form 8: Review of Risk Contro

Workplace area:

Hazard Ref. No: Risk Ref. No:

Are control measures in


Control Scheduled Current Comment
measure(s) review date date (if necessary)
Yes

Comments:
eview of Risk Control

Form completed by:

Sign:
Are controls preventing
Are there any new
Are control measures in place? or minimising exposure
problems?
to the risk?
Date control No, No, Yes,
Yes No
implemented comment comment Comment
Risk Priority Chart
Risk score & statement

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