IOSH Managing safely V5.

0 Project template (Risk assessment form)

Name of person completing Username that you use Date and time
the risk assessment: to access your course: completed:
Description of work area
being assessed:
Description of task being
assessed:

What is the Who might How might Existing risk Current risk Additional New risk Action / Action /
hazard? be harmed? they be controls rating control rating monitored by monitored by
harmed? measures: measures: whom? when?
L C R L C R

© HSQE Ltd (2017) Page 1 of 3 www.hsqe.co.uk

IOSH Managing safely V5.0 Project template (Risk assessment form)

What is the Who might How might Existing risk Current risk Additional New risk Action / Action /
hazard? be harmed? they be controls rating control rating monitored by monitored by
harmed? measures: measures: whom? when?
L C R L C R

Review date: Signature of person completing

the risk assessment:

Training provider name: HSQE Ltd.

© HSQE Ltd (2017) Page 2 of 3 www.hsqe.co.uk

IOSH Managing safely V5.0 Project template (Risk assessment form)
Risk rating calculator

Likelihood that the hazardous event will occur: Consequence of the hazardous event should it occur:
1 Very unlikely 1 Insignificant – no injury
2 Unlikely 2 Minor – Minor injuries requiring first aid
3 Fairly likely 3 Moderate – Up to three days absence
4 Likely 4 Major – More than seven days absence
5 Very likely 5 Catastrophic - Death

Action level table

Risk rating: Action:

20-25 STOP – Stop activity and take immediate action
15-16 URGENT ACTION – Take immediate action and stop activity if necessary, maintain existing controls rigorously
8-12 ACTION – Improve within specified timescales
3-6 MONITOR – Look to improve at the next review or if there is a significant change
1-2 NO ACTION – No further action but ensure controls are maintained and reviewed

Getting you project assessed

Please email a copy of your completed risk assessment form to HSQE Ltd at tutors@hsqe.co.uk

© HSQE Ltd (2017) Page 3 of 3 www.hsqe.co.uk