Risk Assessment Worksheet
{Company Name} – Risk Assessment Worksheet
Assessed Job Title:
Supervisor:
Date:
Department:
Assessment Conducted by:
Applicable Regulations:
*Risk Level
Critical Job Steps
Potential Hazards
(Consequence x Probability)
C
P
Control Measures or Procedures
R
Step 1:
5
Step 2:
Step 3:
The information contained in this document is a basic suggestion for improving OHS in the workplace, but is not specifically tailored to your individual working conditions. It is your responsibility
to add those items specific to your workplace or situation. Therefore the TSCBC takes no responsibility for how you use the information contained within these documents and cannot be held
liable for any inaccuracies, omissions or deficiencies in the information provided to companies or workers based on the information contained herein.
*Refer to Risk Level Guide
Step 4:
Step 5:
Step 6:
Step 7:
Step 8:
The information contained in this document is a basic suggestion for improving OHS in the workplace, but is not specifically tailored to your individual working conditions. It is your responsibility
to add those items specific to your workplace or situation. Therefore the TSCBC takes no responsibility for how you use the information contained within these documents and cannot be held
liable for any inaccuracies, omissions or deficiencies in the information provided to companies or workers based on the information contained herein.
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Risk Level Guide
Rank = Consequence x Probability
Consequence
R=CxP
2
3
4
5
1
1
2
3
4
5
Unlikely
2
2
4
6
8
10
3
Likely
3
3
6
9
12
15
Major
4
Often
4
4
8
12
16
20
Severe
5
Regularly
5
5
10
15
20
25
Probability
1
Minimal
1
Rare
2
Minor
2
3
Moderate
4
5
Probability
1
Consequence
The risk level of a hazard is calculated by first determining its potential consequence and probability. These factors will have to be
determined based on the assessment of how severe an incident could be (probability) and the frequency of hazard exposure (probability).
Once the two factors are determined, simply multiply the two to establish the hazard’s risk level.
Take for example the hazard of a truck driver falling while entering or exiting a tractor unit. The consequence of the hazard will vary on a
number factors, including the worker’s ability to handle a fall. If your workforce is largely made up of individuals who are injury prone be
sure the consequence score reflects that with a high value.
At the same time, probability will vary depending on the number of times an employee will be exposed to a hazard, in this case the
number of time an operator will enter and exit the cab. The greater number entry/exit in a shift, the greater exposure which is
represented with a high probability value.
The information contained in this document is a basic suggestion for improving OHS in the workplace, but is not specifically tailored to your individual working conditions. It is your responsibility
to add those items specific to your workplace or situation. Therefore the TSCBC takes no responsibility for how you use the information contained within these documents and cannot be held
liable for any inaccuracies, omissions or deficiencies in the information provided to companies or workers based on the information contained herein.
PAGE 3 OF 3