APPENDIX C - Departmental Risk Assessment Tool for Stress Management Consequence (if in doubt grade up, not down) Likelihood Insignificant Minor (2) Moderate Major Catastrophic (1) (3) (4) (5) Almost certain 5 10 15 20 25 (5) Likely (4) 4 8 12 16 20 Possible (3) 3 6 9 12 15 Unlikely (2) 2 4 6 8 10 Rare (1) 1 2 3 4 5 Low (1-3) Moderate High (8-12) Extreme (4-6) (15-25) RISK Assessment for: By: Date: Reviewed: Reviewed by Description of the Hazard Persons Potential Existing Safe Systems/ Controls Existing Suggested Safe Systems Required Complete in danger Harm References and Actions L x I = R L x I = R Demands Control Support Relationships Role Change Other………..
APPENDIX C - Departmental Risk Assessment Tool for Stress Management Consequence (if in doubt grade up, not down) Likelihood Insignificant (1) Minor (2) Moderate (3) Major (4) Catastrophic (5) Almost certain (5) 5 10 15 20 25 Likely (4) 4 8 12 16 20 Possible (3) 3 6 9 12 15 Unlikely (2) 2 4 6 8 10 Rare (1) 1 2 3 4 5 RISK Low (1-3) Moderate (4-6) High (8-12) Extreme (15-25) Assessment for: By: Date: Reviewed: Reviewed by Description of the Hazard Persons in danger Potential Harm Existing Safe Systems/ Controls References Existing L x I = R Suggested Safe Systems Required and Actions Complete L x I = R Demands Control Support Relationships Role Change Other………..