ASSESS CONTROL IDENTIFY Step 3 Step 6 Step 2 Step 4 Step 5 Step 1 Level of risk Level of risk Select hierarchy of control and describe the existing Select hierarchy of control and describe Who is responsible and due Enter risk description with existing after control your proposed treatment date controls treatment Existing Controls Consequence Likelihood Risk Hierarchy of Control Score Consequence Eliminate, eg: eliminate task, remove hazard Who is responsible Risk Likelihood New/Additional Controls Substitute eg: replace with less hazardous process Due for implementing Risk Description (Hazard) Score Date Isolate eg: enclosures, restricted access Select the hierarchy of control and describe your the control(s) proposed treatment Engineering eg: guarding, separation, redesign Administrative eg: SWP, training, schedule Personal Protective Equipment (PPE) eg: gloves
IDENTIFY ASSESS CONTROL Step 1 Enter risk description Step 2 Select hierarchy of control and describe the existing control Step 3 Level of risk with existing controls Step 4 Select hierarchy of control and describe your proposed treatment Step 5 Who is responsible and due date Step 6 Level of risk after treatment Risk Description (Hazard) Existing Controls Hierarchy of Control Eliminate, eg: eliminate task, remove hazard Substitute eg: replace with less hazardous process Isolate eg: enclosures, restricted access Engineering eg: guarding, separation, redesign Administrative eg: SWP, training, schedule Personal Protective Equipment (PPE) eg: gloves Consequence Likelihood Risk Score New/Additional Controls Select the hierarchy of control and describe your proposed treatment Who is responsible for implementing the control(s) Due Date Consequence Likelihood Risk Score
Generic_Risk_Assessment_Form.docx