Risk assessment template for building and infrastructure works Use this template to assist in deciding whether: an existing building or infrastructure asset should be brought into total or partial conformity with relevant standards when undergoing alterations and additions infrastructure works with a capital value less than $200,000 warrant certification using the Construction Assessment Procedures. Project title Location Project manager Risk assessment Step 1: Identify the risks Hazards Events Consequences Causes Controls When will risk occur? Briefly summarise the risk. For example: the {hazard} could lead to an {event} resulting in {consequences}. Step 2: Determine the probability of risk likely probable possible unlikely rare Step 3: Determine the consequence of risk insignificant minor moderate major catastrophic Step 4: Rate the overall project risk Match the probability (step 2) with the consequence (step 3) and refer to the risk matrix in Table 7. low medium high extreme Result Low- and medium-rated projects will not require certification in accordance with the Construction Assessment Procedures, but must still be undertaken in accordance with the BCA and Australian Standards. High and extreme rated projects will require certification in accordance with the Construction Assessment Procedures. Risk assessment completed by: Name: Position: Signature: Date: Published by: Office of Environment and Heritage, Department of Premier and Cabinet 59–61 Goulburn Street, Sydney PO Box A290, Sydney South 1232 Phone: (02) 9995 5000 (switchboard) 131 555 (environment information and publications requests) 1300 361 967 (national parks, climate change and energy efficiency information and publications requests) Fax: (02) 9995 5999 TTY: (02) 9211 4723 Report pollution and environmental incidents: Environment Line: 131 555 (NSW only) or email info@environment.nsw.gov.au Website: www.environment.nsw.gov.au OEH 2011/0937 November 2011