Form 1: Hazard Identification Register

Workplace area: Date:

Form completed by: Sign:

Ref no:

Ref No. Identified Hazards Date Initials

6
 Form 2: Hazard & Associated Risk Register

Workplace area: Date:

Form completed by: Sign:

Control Measures
Associated Risk Control Implemented Review
Ref No. Hazards
Risk Rating Measures Date
Yes No

Comments: (Are controls preventing or minimising the risks? Are there any new problems introduced?)

Ref No: 1

Ref No: 2

Ref No: 3
 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 Risk rating
Ref. no. ref. no. likelihood
consequences

Comments:
 Form 6: Risk Control Measures

Workplace area: Date: Form completed by:

Hazard Ref. No: Risk Ref. No: Sign:

Risk rating
Possible control option(s)
Risk Ref. No. ( From Form No Preferred control option(s) and comments
and how it will control the risk
5)

Elimination:

Substitution:

Isolation:

Engineering:

Administrative:

Personal protective equipment:

Comments:
 Form 7: Risk Control Implementation Plan

Workplace area: Date: Form completed by:

Hazard Ref. No: Risk Ref. No: Sign:

Implementation
Preferred control What resources are Person(s) Implementation completed Date for
What needs to be done?
option(s) needed? responsible due date review
Signature Date

Comments:
 Form 8: Review of Risk Control

Workplace area: Form completed by:

Hazard Ref. No: Risk Ref. No: Sign:

Are controls preventing
Are there any new
Are control measures in place? or minimising exposure
Control Scheduled Current Comment problems?
to the risk?
measure(s) review date date (if necessary)
Date control No, No, Yes,
Yes Yes No
implemented comment comment Comment

Comments:
Risk Priority Chart
Risk score & statement