ATTACHMENT 2.

4 - Template Risk Assessment Report

CLIENT’S
LOGO

Risk Assessment Report

Project:
Client:
Venue:
Date:
Prepared by :
Date:
 QUALITATIVE RISK ASSESSMENT REPORT

Table of content
1.0 INTRODUCTION
2.0 RISK MANAGEMENT POLICY
3.0 RISK ASSESSMENT METHODOLOGY
3.1 Guidewords
3.3 Procedure
4.0 REVIEW MEETING RESULTS
4.1 Identification of risks/risk listing
4.2 Safeguards/Early warnings
5.0 RISK RESPONSE PLANNING AND MITIGATION
6.0 RECOMMENDATIONS

ATTACHMENTS

Attachment 1 – List of Participants (Attachment 2.3)

Attachment 2 – Procedure (Not included, for information see workshop Qualitative Risk Assessment)
Attachment 3 – Guidewords (See workshop QlRA – Table 2.1)
Attachment 4 – Risk Assessment Worksheet (Attachment 2.1)
Attachment 5 – List of Action Control Sheet (Attachment 2.2}
Attachment 6 – [CLIENT] Documents

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 QUALITATIVE RISK ASSESSMENT REPORT
1.0 INTRODUCTION

Brief introduction of:

 The client:
 Client’s objectives:
 Scope / Objectives of the risk assessment review meeting:
 Location/venue of the meeting:
Note; When referred to ”CLIENT”, CLIENT will be substituted with the actual name of the client in
the actual report.

(Example)
The objective of this Qualitative Risk Management Assessment meeting hereafter referred to as the
“Review Meeting” to assess and evaluate potential risks related to establishing the enterprise.
The Review Meeting has been conducted at the Client’s office location at ……………………………...
Bornemann Consultancy has provided the chairman. [CLIENT] has provided the secretary.
Participants of the Review Meeting are listed in Attachment 1.
Details of the procedure being followed has been described in Attachment 2. The scope of this to
assess the potential impact of unforeseen adverse events on the following issues i.e.
1. Time
2. Cost
3. Quality
4. Health and environment
Procedural issues, when identified, have been recorded as action items together with the deviation
of the intended use of the system and the system modifications as they became apparent during the
review meeting.
Adequacy of system safeguards has been reviewed only where it constitutes an additional hazard,
risk or adverse event.
When it is perceived that conditions have no impact and do not constitute an additional hazard or
risk, or already addressed in a previous meeting, it was considered as “Not part of this review” or
has been recorded as part of the “Normal existing mode of operation”.
2.0 RISK MANAGEMENT POLICY
The present risk management policy has been used as a guideline, deviation, additions, proposed
alterations have been recorded as appropriate and applicable
[Excerpt of the current risk management policy’]
3.0 RISK ASSESSMENT METHODOLOGY
Brief description of the methodology.
[Typical]
For performing the review meeting an Excel worksheet format has been used (Attachment 4)
[CLIENT] documents, as listed in Attachment 6, have been used for reference and supporting
documentation

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 QUALITATIVE RISK ASSESSMENT REPORT
Pre-selected guidewords have been used (refer to paragraph 3.1- Attachment 3) for identifying
perceived adverse events and conditions, relevant to the perceived risks, which may occur when
executing the enterprise actions].
3.1 Guide words
[Reference Attachment 3].
[Address the selection and use of the guide words if so needed for clarity]
3.2 Procedure
[Example]
The Guidewords were preselected by the chairman and presented, before starting the review
meeting, to the participants. During the review meeting Guidewords have been added to suit specific
issues as they became apparent. The actual Guidewords that have been applied are addressed and
listed in paragraph 3.1.
During the review meeting the worksheet with the relevant guideword was projected on a screen by
the secretary. Once a conclusion/consensus was reached by the participants on how to deal with
the issue, the consensus was recorded on the worksheet, projected, and saved.
4.0 REVIEW MEETING RESULTS.
[Presentation and elaboration of the meeting results]
4.1 Risk identification and Risk listing
[Listing and elaboration of perceived and identified risks]
[The execution status of actions as a result from the risk assessment review meeting can be monitored
using Attachment 5]
4.2 Early warning systems
[Safeguard and early warning - elaboration on the currently available safeguards and early warnings
as they became apparent during the meeting]
5.0 RISK RESPONSE PLANNING AND MITIGATION
[Address adequacy and short comings of the current practices]
6.0 RECOMMENDATIONS
[Based on the Action Numbers recorded in the relevant worksheets it is recommended that the
following actions are to be taken.]
[Describe recommendations as a result of the Risk Assessment action items]

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