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Risk Assessment Proforma

This document provides a risk assessment proforma to evaluate risks associated with an activity or task. It outlines how to assess the likelihood and severity of potential hazards, and how to determine an overall risk level. Risks are classified as low, medium, or high based on a risk rating score calculated from the likelihood and severity ratings. The proforma also includes spaces to describe hazards, those at risk, existing risk controls, and any residual risks requiring further action.

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51 views1 page

Risk Assessment Proforma

This document provides a risk assessment proforma to evaluate risks associated with an activity or task. It outlines how to assess the likelihood and severity of potential hazards, and how to determine an overall risk level. Risks are classified as low, medium, or high based on a risk rating score calculated from the likelihood and severity ratings. The proforma also includes spaces to describe hazards, those at risk, existing risk controls, and any residual risks requiring further action.

Uploaded by

ramstories
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Risk Assessment Ref:

Method Statement Ref:


Risk Assessment for: -------------------------------------RISKASSESSMENTPROFORMA

Ref

Activity
Element

Significant
Potential
Hazards

Population
at Risk

Risk Classification

Likelihood
(L)

Severity
(S)

Risk Level
Low/Medium/High

Action to be
Taken to Reduce
Risk

Residual Risks

Risk Rating
(R)

Risk Classification
Likelihood (L) :
Time:
Continuous
No. Exposed:
100 plus
50 to 100
25 to 50
15 to 25
5 to 15
1 to 5

6
6
6
6
6
6

5 hrs. plus
6
5
4
3
3
2

2 to 4 hrs.
5
4
3
3
2
1

.25 to 1 hr.
4
3
2
2
1
1

10 min. or less
3
3
2
1
1
1

Severity (S):

Not Harmful (NH) = 1; Slightly Harmful (SH) = 2; Harmful (H) = 3; Extremely Harmful (EH) = 4; Multiple Casualties (M) = 5; Catastrophic (C) = 6

Risk Rating:

Determined as Likelihood x Severity


AX059 HMRT JV RA&C 007B

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