Health and Safety Risk Assessment Template

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Health and safety risk management is important for identifying, assessing, and controlling risks in facilities and workplaces to prevent injuries and incidents. It involves analyzing hazards and potential risks, then implementing control measures to mitigate or eliminate those risks. This process is vital for protecting employees, ensuring legal compliance, and maintaining a safe and productive work environment. It enables organizations to prevent incidents before they occur and promotes a culture of safety and responsibility.

This health and safety risk assessment form is designed to capture essential information needed to identify workplace-related risk. It provides a structured layout for recording details about each identified risk. The form begins with a header that captures basic information such as the assessment date and the particular work area or location being assessed. The body includes fields including the activity being assessed, existing controls in place, and proposed additional measures to further mitigate or eliminate the risk. Note that the Risk Priority Number (RPN) acts as a risk rating metric and is calculated based on the following key factors:

  • Likelihood of occurrence (LO).
  • Degree of possible harm (DPH).
  • Frequency of exposure (FE).
  • Number of people at risk (NP).
The key factors used to calculate the Risk Priority Number (RPN)

This health and safety risk assessment form is a Microsoft Word document that can be customized to meet your specific needs. For example, you may modify the template to assess the risks of multiple activities for one location within a single form. You may also want to expand the scope of the assessment to include not only health and safety risks but also environmental risks. Additionally, you may modify the key factors to calculate RPNs based on the specific context of the risk assessment or industry.

Note that we also provide a worksheet for recording the results of all risk assessments, which is important for supporting ongoing risk management. This worksheet helps monitor risks over time and makes it easier to track and compare them before and after new controls are implemented. Based on the Risk Priority Numbers (RPNs), plans should be developed to respond to high and critical risks effectively.

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