ATTACHMENT A - TOOL FOR DOCUMENTING HAZARDS, RISKS AND RISK CONTROL MEASURES
Worksheet No: ...................................................... Area covered in the assessment: .......................................................................................................
Date of Assessment: ............................................ Assessment conducted by: ................................................................................................................
People consulted: ...............................................................................................................................................................................................................
Risk assessment method used: .........................................................................................................................................................................................
No.
Hazards Identified
Is there any risk?
(Describe the situation which
could possibly give rise to injury,
illness or disease)
(Is there any likelihood of injury illness or
disease occurring?)
Yes
No
Where there is a risk,
describe the proposed
risk control measures
List any risk control measures
already implemented to
address the hazard
*Attach separate sheet(s) to provide reasons
Attachment A to GN 9/2000
Page 1 of 1
Are the risk
control
measures
practicable?
Yes
No*
Date for the
implementation
of practicable
risk control
measures
Responsible
person