Risk Assessment Form Controlling Organisation: Date of Event: What is the identified Date What problem was Likelihood Consequence Risk Rating What can be done to Who will fix the Date for Completed potential risk? Inspected detected (if any) A, B, C, D, E 1, 2, 3, 4, 5 VH, H, M, L rectify the problem? problem? Completion. (signed off)
Risk Assessment Form Controlling Organisation: Date of Event: What is the identified potential risk? Date Inspected What problem was detected (if any) Likelihood A, B, C, D, E Consequence 1, 2, 3, 4, 5 Risk Rating VH, H, M, L What can be done to rectify the problem? Who will fix the problem? Date for Completion. Completed (signed off)