Attachment 4 Hazard Management - Job Safety analysis – Name of Assessors: Date of Adoption: Number: Name and Number of Risk Last Review Date: Assessment: Method undertaken for risk Location: assess. eg. visual inspection: (department, depot, etc) Special notes: Reference Documents: (Aust Standards, Regs, other SOPs, etc) Licences / Training Required: Risk Calculator Likelihood of Injury Happening L1. L2. L3. Definitions L4. Consequence Very Likely Likely Unlikely Highly Unlikely Permanent Incapacity C1. Major Injury High High High Medium Major Medical Treatment C2. Severe Injury High High Medium Low Minor Medical Treatment C3. Minor Injury High Medium Low Low Short Term Discomfort C4. Negligible Injury Medium Low Low Low No. Basic Job / Steps Hazards & Potential Accidents Severity Risk Current Controls, additional Rating Suggested & Implemented Controls 1. 2. 3. 4. 5.
Attachment 4 – Hazard Management - Job Safety analysis Name of Assessors: Date of Adoption: Name and Number of Risk Assessment: Number: Last Review Date: Method undertaken for risk assess. eg. visual inspection: Location: (department, depot, etc) Special notes: Reference Documents: (Aust Standards, Regs, other SOPs, etc) Licences / Training Required: Risk Calculator Likelihood of Injury Happening Definitions Consequence L1. Very Likely L2. Likely L3. Unlikely L4. Highly Unlikely Permanent Incapacity C1. Major Injury High High High Medium Major Medical Treatment C2. Severe Injury High High Medium Low Minor Medical Treatment C3. Minor Injury High Medium Low Low Short Term Discomfort C4. Negligible Injury Medium Low Low Low No. Basic Job / Steps Hazards & Potential Accidents Severity Risk Rating Current Controls, additional Suggested & Implemented Controls 1. 2. 3. 4. 5.